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Martin Biegelman on Conflicts of Interest

Martin Biegelman on Conflicts of Interest

SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Phoenix Basic Compliance & Ethics Academy on February 29 in Phoenix, AZ.  Don't miss out on Martin's presentation on CONFLICTS OF INTEREST. The...

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The Evolution of the Standards – James Rose

The Evolution of the Standards – James Rose

In January 2024, the IIA released an update to the International Professional Practices Framework, including new Global Internal Audit Standards. In this session, you will gain insights into the new Standards from James Rose, a member of the International Internal...

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Martin Biegelman on Conflicts of Interest

Martin Biegelman on Conflicts of Interest

SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Basic Compliance & Ethics Academy on November 16, 2023 in Denver, CO. Don't miss out on Martin's presentation on CONFLICTS OF INTEREST. The...

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HCCA Board & Audit Committee Compliance Conference Roundup

HCCA Board & Audit Committee Compliance Conference Roundup

Our experts - James Rose, Martin Biegelman, and Nancy Roht - had a fantastic time speaking at this year’s HCCA Board & Audit Committee Compliance Conference! The SunHawk team would like to thank the HCCA and all the attendees who made the conference a great...

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HCCA Board & Audit Committee Compliance Conference

HCCA Board & Audit Committee Compliance Conference

SunHawk Consulting, LLC is excited to announce that three of our experts - James Rose, Martin Biegelman, and Nancy Roht - will be presenting at the HCCA Board & Audit Committee Compliance Conference on October 23rd and 24th, 2023.     THE SPEAKING...

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Martin Biegelman on Conflicts of Interest

Martin Biegelman on Conflicts of Interest

SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Basic Compliance & Ethics Academy on September 14, 2023 in Boston, MA. Don't miss out on Martin's presentation on CONFLICTS OF INTEREST. The...

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Auditing Controls versus Transactions – A Case Study

Auditing Controls versus Transactions – A Case Study

SunHawk Consulting, LLC is excited to announce that Managing Director, James Rose will be presenting at the 2023 September Auditing & Monitoring Conference on September 6, 2023 The presentation will be a case study on AUDITING CONTROLS VERSUS TRANSACTIONS You Will...

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Fraud and Collaboration with Clinical and Medical Coding Teams

Fraud and Collaboration with Clinical and Medical Coding Teams

SunHawk Consulting, LLC is excited to announce that Lorraine Aniello and Leah Lane will be presenting on the topic of "A Healthcare Study in Fraud and Collaboration with Clinical and Medical Coding Teams" at the Clinical Practice Compliance Conference, which is being...

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“RISK” in Risk Adjustment

“RISK” in Risk Adjustment

In our previous article, we explained how Risk Adjustment is a “partnership” between the patient, the provider, the insurance plan (Plan), and the governmental entity. So, which partner in this process holds the “risk”? Governmental Entity: The governmental entity has...

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Risk Adjustment Is a Partnership???

Risk Adjustment Is a Partnership???

Under the risk adjustment (RA) model, reimbursements to the insurance companies (Plans) are based on the member’s level of severity of illness rather than the number and types of interventions the member receives throughout the year. This reimbursement model is based...

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SunHawk Consulting

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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, Medical Coding Audits, 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, Design and Implementation of Sunshine Act Compliance Programs, Enterprise Risk Management Optimization, Governance, Risk and Compliance (GRC) System Support, Electronic Health Record (EHR) System Implementation, Outsourced Audit Function Support, Medical Risk Adjustment Compliance (Medicare, Medicaid, Commercial), Policy, Procedure, Internal Control Development and Evaluation, FedRAMP Compliance;

* 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,  Neutral Party Data Analysis.

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