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Of course, with something as complicated and constantly-evolving as healthcare compliance training, there are some challenges, including:


New and Evolving Healthcare Laws

As new healthcare laws are signed into law and older ones are constantly tweaked, it can be difficult to provide training with the most up-to-date and accurate information. For example, The Medicare Access and CHIP Reauthorization Act (MACRA) went into effect in 2020. The Act mandates changes to Medicare reimbursement for healthcare providers and the reauthorization of health insurance funds for families with kids. Another example of a government act that remains on shaky ground is the Affordable Care Act (ACA), especially during the Trump Administration. As uncertainties loom for healthcare laws, compliance officers and trainers must be prepared to update or overhaul current policies and procedures on a dime to adhere to new requirements and stay in compliance.

Healthcare Tax reform

Tax Reform

Tax code is another area that changes and evolves frequently. Reporting requirements and changes to reimbursement models are two examples of components of tax reform that fluctuate. This makes it more challenging for trainers to stay on top of the latest information and ensure that organizations can stay in compliance no matter what changes are taking place.


The Rise of Intelligent Tech

While machine learning and AI are making significant strides for patient care with benefits that include improved outcomes and lowered costs, these technologies also put healthcare organizations at risk as more patient data is out in the cyber world, potentially leaving it vulnerable to hackers. For this reason, healthcare compliance training should include IT departments and cybersecurity experts to ensure patient data is safeguarded and that all laws surrounding data collection and sharing and patient care are followed.



Automation is another area that technology is accelerating. As the industry braces for more changes and shifts, it’s important for healthcare providers to take smarter approaches to handle their day-to-day operations and compliance concerns. Healthcare is an industry that’s already fraught with risk, including new technologies and laws, which only adds to the complexities and challenges facing compliance and risk managers. To minimize these risks, healthcare compliance officers and leaders must ensure they have the knowledge, resources and proper systems in place to handle what comes at them next.


Language Barriers

The healthcare industry is becoming increasingly diverse and is made up of people from all different backgrounds. There are so many advantages to learning in one’s native tongue, including higher comprehension and retention — two things that are critically important for compliance. If you’re not providing multilingual compliance training, your employees could potentially misunderstand laws or practices and make errors that could cost you significantly in terms of penalties and even suspensions.

Further Reading


Hear from Miriam at Excelsior Care Group


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