Services

Healthcare Information Management and Medical Records

• Statistical Sampling
• Medical Coding Audits
• False Claims, CMS Overpayment Analysis, Qui Tam
• Hospice Medical Coding
• Medical Risk Adjustment Compliance
  (Medicare, Medicaid, Commercial)
• Electronic Health Record (EHR) System Implementation

Healthcare Compliance Programs

• Healthcare Compliance Program Development
• Compliance Program Effectiveness
• Compliance Risk Assessments
• Corporate Integrity Agreement (CIA) Board Advisor
• Independent Review Organization (IRO) Services
• Design and Implementation of Sunshine Act Compliance Programs

Healthcare Privacy and Security

• HIPAA Compliance Risk Assessments & Training
• Physical Security Assessment
• FedRAMP Compliance
• Technology Assessment

Governance and Interim Support

• Enterprise Risk Management Optimization
• Policy, Procedure, Internal Control Development and Evaluation
• Governance, Risk and Compliance (GRC) System Support
• Interim Healthcare Compliance Support
• Interim Internal Audit Function Support
• Internal Global Audit Standards Peer Review
• External Regulatory and Financial Audit Coordination
• Governance Functions Organizational Design
• Project and Program Management
• Private Equity Backed Organization Support
• Hotline and Code of Conduct Implementation
• Healthcare Quality

• Evaluation and Design of Corporate Compliance Programs
• Interim Compliance Support
• Special Investigations Unit (SIU) Compliance
• Insurance Regulatory Compliance
• Compliance Risk Assessments
• Physical Security Assessment
• Enterprise Risk Management
• GRC System Support
• Audit Function Support
• Fraud Risk Assessments
• Investigations Program Assessment and Enhancements
• Qui Tam Investigations
• Hot Line Support