Services - Healthcare Compliance
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
- Design and Implementation of Sunshine Act Compliance Programs
- Private Equity Governance
- Enterprise Risk Management Optimization
- Governance, Risk and Compliance (GRC) System Support
- Electronic Health Record (EHR) System Implementation
- Outsourced Audit Function Support
- Medical Risk Adjustment Compliance
(Medicare, Medicaid, Commercial) - Hot Line Management Including Reporting, Analysis and Investigations
- Policy, Procedure, Internal Control Development and Evaluation
- FedRAMP Compliance
Case Studies
HIPAA Privacy Compliance Program Assessment for Multi-State DME and Sleep Lab Providers
SunHawk was engaged by one of the nation’s largest DME and Sleep Lab Provider to assess its HIPAA Compliance Programs. To accomplish this task, SunHawk evaluated the enterprise’s policies, vendor security, internal controls, and risks across 340+ Privacy, Security, and Breach Notification Standards. SunHawk identified risks and associated corrective actions to Management and provided an executive summary to the CEO and Board of Directors. By implementing the corrective actions, the organization was able to enhance its privacy program and protect the sensitive information of its clients.
Interim Compliance Officer for a Non-Profit Regional Health System
A SunHawk expert was hired to serve as interim Chief Compliance Officer for a non-profit regional health system, tasked with leading the IA and compliance departments. Responsibilities included assessing the HIPAA privacy and security program and supporting the search process for a permanent CCO. SunHawk's expert chaired the Compliance Committee, reported regularly to the CEO and Board Audit and Compliance Committee, providing updates on her work with senior leadership to improve RAC and third-party audit tracking, reviews, and responses. She also provided HIM training and support, evaluated the effectiveness of the enterprise’s compliance program for the Board, conducted compliance and privacy investigations, and worked with senior leadership to implement corrective action plans and monitoring. SunHawk's expertise and leadership were critical to the success of the organization during this transitional period, and her contributions were highly valued by the CEO and Board.
Quarterly Audit of Claims for a Multi-State Dental Practice
A large multi-practice dental organization engaged SunHawk to perform a random sample review of claims on a quarterly basis, ensuring that documentation and billing met requirements. Based on SunHawk's review, we provided recommendations for internal practice and medical documentation, aiming to clearly substantiate that procedures were performed. Over the year-long project, the practice group initiated several small yet significant changes, which led to a decrease in the frequency of coding errors and improvements in clear, supportive documentation.
Implementation of Sunshine Act Compliance Reporting Program for Medical Device Company
An international neuroscience company engaged SunHawk to fulfill the requirements of a U.S.-based federal transparency law overseen by the Centers for Medicare & Medicaid Services (CMS), commonly known as the Sunshine Act or Open Payments. With the CMS reporting deadline quickly approaching, SunHawk successfully completed a comprehensive current-state assessment and provided a right-sized solution. SunHawk also supported the company with expert advice on the legislative complexities and nuances of the act, along with practical tips for achieving compliance. Consequently, the company was able to submit its first report ahead of the deadline and was well-positioned to maintain compliance with the act moving forward.
Helped Behavioral Health Organization Implement New EHR System
SunHawk partnered with a large, multi-faceted behavioral health organization to evaluate their current procedures, documentation, and coding as they sought a new electronic health record (EHR) system. Through staff interviews, site visits, and facility tours, SunHawk identified limitations of the existing EHR system and understood the process flow from patient intake to discharge. They distinguished necessary tasks from desirable ones in a new EHR system, which helped to eliminate or reduce the current limitations. This led to a tailored requirement list for a new EHR system, which the entity presented to prospective vendors for a customized solution.
Compliance Project for Major Utilization Management Vendor
SunHawk was engaged by one of the nation’s largest utilization management vendors to prepare policies, procedures, and reporting templates designed to ensure proper Medical Loss Ratio reporting for Commercial, Medicare Advantage and States’ Medicaid programs, including testing of quality improvement initiative expenses.
Testimonials
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SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
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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.