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Heading Off Healthcare Investigations

Uptick in Investigations Expected for 2020; Data Volume Growing

Healthcare risk managers can expect a greater focus on internal investigations and audits in 2020, with much of it aimed at heading off government inquiries with potentially large consequences.

Healthcare organizations are taking a path similar to many other industries in trying to police themselves before an outside entity intervenes, says John Kihlberg, senior director for engagement and client management with H5, a legal technology company in San Francisco.

“We’re seeing companies facing a lot more internal investigations, with some of those coming from audit programs and special investigation units focused on trying to prevent some of the regulatory investigations that could be triggered if there is an issue,” Kihlberg says. “They are proactively looking at that internally, more than they did before, to try avoid these issues turning into a major problem when regulators get involved.”

At the same time, healthcare organizations are conducting more internal investigations regarding compliance, expenses, and mandatory reporting to government agencies, he says. In a recent survey about internal investigations by H5, 20% of respondents in healthcare/life sciences indicated their companies faced more than 100 investigations per year, compared to 22% of respondents overall.

Want to keep reading? Download the full article here. 

Excerpted from From Healthcare Risk Management™.  The material herein is copyrighted by Relias Media (of Relias LLC) and may be reprinted by permission only. This article is digitally reprinted with licensed permission privileges into perpetuity to H5.

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