Specific services provided include:

  • ​​Assisting attorneys with the identification of compliance issues through the use of probe samples, claim reviews and evaluation of policies and procedures
  • Developing approvable work plans for self disclosure protocols
  • Conducting statistically valid sampling to quantify the impact of compliance issues
  • Assisting attorneys with the documentation of compliance issues including causes, individuals involved, time periods affected and financial impact
  • Assisting with the development and implementation of corrective actions for systemic compliance issues, which also included developing policies and procedures and conducting training
  • Conducting periodic billing reviews to validate that corrective processes were being followed
  • Assisting with the development of revenue cycle compliance checklists by functional area for professional billing to assist a health system with assessing whether compliance objectives have been met
  • Assisting with inventorying physician financial arrangements to identify potential non-compliance with Stark requirements​

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Healthcare Compliance

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