Healthcare Compliance, Medicare, Medicaid
has extensive experience in the healthcare management consulting industry in both the public and private sectors. During her 37 years of providing management assistance to healthcare organizations she has worked with all provider types, with state and local government, and with managed care insurance providers, specializing in Medicaid and Medicare delivery systems and programs. Ms. Adams’ combination of formal education in financial and healthcare administration, coupled with hands-on experience addressing a broad spectrum of industry initiatives and services, provides her with a unique set of skills and subject matter expertise to deliver effective solutions for a diverse array of client challenges.
Ms. Adams provides consulting services to assist healthcare providers, community service agencies, and state and federal government clients on healthcare related service delivery, financing and operations. Initiatives are focused on health system transformation and implementation of new and existing policy guidelines for all payers, with an emphasis on Medicaid and Medicare systems and approaches, including organizational effectiveness, Medicaid reform, payment transformation and revenue cycle management.
Ms. Adams expertise includes healthcare policy research and analysis, program integrity and compliance, healthcare reimbursement, program management, and process improvement.
"SunHawk was an outstanding partner in the provision of interim leadership in compliance and internal audit for our organization. They provided seamless coverage and advancement of our compliance and internal audit functions. As CEO, I had no concerns or worries during our engagement. They were true partners for us!"
Alfred E. Pilong
President and CEO
"James and the SunHawk team have been an invaluable resource for our Compliance Office - they are a reliable, well experienced, trusted and knowledgeable team of professionals who at a moment’s notice will take your calls or respond to your emails.
Their advice helped us navigate the ever evolving, highly regulated healthcare industry! Whether it’s discussing report methodology or determining appropriate repayment, SunHawk provides the reassurance and confidence that you are doing the right thing!
We are honored to have partnered with SunHawk and will continue to do so in the future!"
Vice President/Chief Ethics, Compliance and Privacy Officer
Community Health System
"SunHawk’s professionals are leaders in the compliance and risk industries. Over the years I have worked with a number of their professionals on a series of projects/issues and learned SunHawk’s professionals are problem/solution-oriented and great coalition builders.
SunHawk Professionals get the job done and are a pleasure to work with. Commitment, Experience, Professionalism, and Integrity; that's what SunHawk Professionals brings to the table."
Vice President/Chief Ethics, Compliance and Privacy Officer
Phoenix Children's Hospital
"Jim Rough is among the most conscientious professionals I have encountered. When he says he is going to do something -- he does it. Jim has a broad range of experience gained over decades in leading organizations.
Now as the founder of his own firm, Jim will be enabled to provide the same high-quality service to his clients in a setting that allows greater customization to his clients' financial circumstances."
Frank M. Placenti
Chair, US Corporate Governance & Securities Regulation
Practice, Squire Patton Boggs
"SunHawk Consulting's HIPAA Check Program provided us with an invaluable third-party review of our HIPAA policies and practices. The tracking tool SunHawk includes with the Program has become an integral part of our continued monitoring for HIPAA compliance.
Jan Elezian's extensive hands-on compliance experience was evident during site visits and staff interviews as she translated difficult subject matter into practical use scenarios and provided quality feedback. Thank you SunHawk team!"
Vice President, Compliance
Chicanos Por La Causa, Inc.
"SunHawk provides an array of dynamic professionals, each with significant subject matter expertise and a problem-solver approach. Beyond their knowledge and conscientious work ethic, however, is a team of caring individuals who strive to furnish individualized, tailored assistance with a personal touch.
Jim Rough's dedication to the success of SunHawk clients is evidenced by his strategic and prospective thinking complemented by his ability to truly anticipate the needs of a company in the midst of the complicated compliance climate. I highly recommend SunHawk for companies of any size seeking actionable solutions and measurable results."
Vice President and Chief Compliance Officer
Paragon 28, Inc.
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2550 E Rose Garden Ln.
Phoenix, AZ 85050
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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.