Director
MD
Marc Lato
Healthcare Compliance, Medicare, Medicaid
Dr. Marc Lato has over 21 years of working in a Family Medicine practice and over 22 years of administrative experience as a physician executive/medical director and chief medical officer in various health plans, organizations, and hospital systems. He holds a BA in Psychology and an MD from the University of Arizona. He received his Family Medicine residency training at St Joseph’s Hospital and Medical Center in Phoenix, Arizona and is board certified in Family Medicine.
He has extensive experience with Arizona’s Medicaid system called AHCCCS (Arizona Health Care Cost Containment System) and with its long term care program (ALTCS- Arizona Long Term Care System). Additionally, Dr. Lato has expertise with Medicare Advantage Plans, Special Needs Plans, and with utilization management including the use of InterQual and MCG Guidelines. He has developed quality improvement programs and directed quality and utilization management programs at the various organizations at which he has worked. Most recently, he served as Interim Medical Director for Denver Health Medical Plan in Colorado.
He is a member of numerous professional organizations and works with various charitable groups within the Greater Phoenix community including his synagogue and Hushabye Nursery, a 3-year-old non-profit dealing with opiate addicted mothers and babies who suffer from neonatal abstinence syndrome.
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SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
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SunHawk Consulting specializes in professional consulting services and has a team of highly skilled subject matter experts with substantial backgrounds in:
* Healthcare Compliance: statistical sampling & coding audit services, design and implementation of healthcare compliance programs, evaluation of compliance programs and risk assessments, HIPAA compliance risk assessments & training, corporate integrity agreement (CIA) board advisor, independent review organization (IRO) services, interim healthcare compliance support, physical security assessment;
* Corporate Investigations: fraud investigations and forensic accounting, anti-money laundering (AML), bank secrecy act (BSA), know your customer (KYC), foreign corrupt practices act, third-party due diligence;
* Corporate Compliance: Evaluation and Design of Corporate Compliance Programs, Interim Compliance Support, Compliance Risk Assessments, Physical Security Assessment, Enterprise Risk Management, Private Equity Governance, GRC System Support, Audit Function Support, Fraud Risk Assessments, Investigations Program Assessment and Enhancements, Qui Tam Investigations, Hot Line Support;
* Litigation Disputes: Complex Litigation and Disputes, Mergers and Acquisitions: Regulatory Due Diligence, Expert Witness, Statistical Analysis, Healthcare Payment Disputes, Litigation Support, Physical Security Assessment, and Neutral Party Data Analysis.