Developing an Audit Engagement Scope and Approach – Transaction and Control Testing
Interested in advancing your audit skills and developing an audit engagement scope? SunHawk Managing Director James Rose, along with Sara E. Coverstone, Chief Compliance & Privacy Officer, Northern Arizona Healthcare, are presenting at HCCA on October 19!...
Consequences of Insufficient Due Diligence in Medical Practice Acquisition
SunHawk Consulting, LLC is excited to announce that Lorraine Aniello and Leah Lane will be presenting on the topic of "A Case Study in Consequences of Insufficient Due Diligence in Medical Practice Acquisition" at the Clinical Practice Compliance Conference, which is...
Ripped from the Headlines: When Boards Fail in Their Oversight Role
SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE 22nd Annual Compliance and Ethics Institute. Don't miss out on Martin's presentation "Ripped from the Headlines: When Boards Fail in Their Oversight...
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...
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...
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...
“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...
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...
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 June 8, 2023 in San Diego, CA. Don't miss out on Martin's presentation on CONFLICTS OF INTEREST. The...
Leah Lane on “Assessing your Anti-Fraud Program” and “Investigation Guidelines: A Practical Tool for Investigators”
We are excited to announce that Director, Leah Lane will be presenting at the ACFE Global Fraud Conference in Seattle, WA. Leah will be doing a pre-conference session on Sunday June 11th on Assessing your Anti-Fraud Program. On June 12th she will be presenting...
Are You Ready For The 2024 Risk Adjustment Model?
This article, as part of the SunHawk Consulting team’s Medical Risk Adjustment compliance as well as statistical sampling & coding audit services, gives a high level overview of some upcoming changes for 2024 in the CMS Risk Adjustment model, V28. The CMS-HCC Risk...
Developing an Audit Engagement Scope and Approach – Audit Skills 2.0
Interested in advancing your audit skills and developing an audit engagement scope? SunHawk Managing Director James Rose, along with Sara E. Coverstone, Chief Compliance & Privacy Officer, Northern Arizona Healthcare, are presenting later this month at HCCA...
Corporate Integrity Agreements (CIAs) and How to Mitigate Burgeoning Risks – by Nancy Roht
As the Department of Health and Human Services' (HHS) Office of Inspector General (OIG) continues to ramp up its enforcement efforts, SunHawk Consulting had prepared a summary report to help organizations stay informed of the latest trends in Corporate Integrity...
Top 5 Considerations for Your NetSmart Avatar Implementation – by James Rose
The NetSmart myAvatar platform provides a modern physical and behavioral health electronic health (EHR) record solution. As with all EHR implementations, there is a lot to consider before upgrading your environment, including how much of the heavy lift of the...
Conflicts of Interest: Martin Biegelman Presenting at the SCCE Basic Compliance & Ethics Academy
We are pleased to announce that our Managing Director, Martin Biegelman, will be presenting next month at SCCE Basic Compliance & Ethics Academy in Nashville, TN on the topic of Conflicts of Interest. Highlights Conflicts of interest are some of the most...
Get In Touch
SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
[email protected]
Sign up for Our Newsletter
Your information is private and will NEVER be shared outside of SunHawk Consulting.