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...
Evaluation of Compliance Programs: How to get the most out of your confidential hotline
The February 2023 issue of the SCCE Compliance and Ethics Professional (CEP) Magazine is featuring one of our Directors, Scott Moritz, with an article on How to get the most out of your confidential hotline. Preview the article below and click HERE to read the full...
Corporate Integrity Agreement Summary Report January 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...
James Rose Co-Presenting at the General Audit Management Conference
SunHawk Consulting, LLC is excited to announce that Managing Director, James Rose will be co-presenting at the General Audit and Monitoring Conference on March 14th! Don't miss out on his presentation on Exploring the Standards- Managing Internal Audit and Ethics. ...
Martin Biegelman Presenting at the SCCE Basic Compliance & Ethics Academy
SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Basic Compliance & Ethics Academy on March 2nd, 2022, in Scottsdale, AZ. Don't miss out on Martin's presentation on Conflicts of Interest. Topics...
James Rose Presenting at the SCCE’s Aerospace, Defense & Government Contracting Compliance & Ethics Conference
SunHawk Consulting, LLC is excited to announce that Managing Director, James Rose will be presenting at the SCCE's Aerospace, Defense & Government Contracting Compliance & Ethics Conference on February 21st! Don't miss out on his presentation on Establishing...
Establishing an Enterprise ERM/GRC Strategy with Compliance in Mind at the HCCA 2023 Managed Care Compliance Conference
Managing Director, James Rose will be presenting on Establishing an Enterprise ERM/GRC Strategy with Compliance in Mind at the HCCA Managed Care Compliance Conference on January 31st through February 2nd, 2023! Click HERE to register for the HCCA Scottsdale...
Martin Biegelman Presenting at the SCCE Basic Compliance & Ethics Academy
SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Basic Compliance & Ethics Academy on January 26th, 2022, in Orlando, FL. Don't miss out on Martin's presentation on Conflicts of Interest. Topics...
Helping Board Members Evaluate Their Capacity to Prevent and Detect Fraud
SunHawk Consulting, LLC is excited to announce that Managing Director Martin Biegelman will be featured in the November 2022 issue of the HCCA Compliance Today Magazine! Be sure to pick up your copy of Compliance Today to read the article, Questions to Help Board...
SunHawk’s HHS OIG Audit Summary Reports – Provider and Payer March – August 2022 Update
HHS OIG Office of Audit Services and Office of Evaluation and Inspections issues approximately 300 audits and evaluations a year. The findings and recommendations provided herein are extracted from the specific audits included in this report and referenced by their...
How to Establish an Enterprise ERM/GRC Strategy with Compliance in Mind
SunHawk Consulting, LLC is excited to announce that Managing Director, James Rose will be presenting at the HCCA Scottsdale Regional Healthcare Compliance Conference on November 4th, 2022! Don't miss out on his presentation on Establishing an Enterprise ERM/GRC...
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