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...
Corporate Integrity Agreement Summary Report January 2024 Update
The United States Government requires Corporate Integrity Agreements (CIA) for health care Providers, Payers and Life Science companies when settling allegations of false claims related to quality of care or corporate integrity issues, against various Federal health...
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...
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...
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...
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...
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