Due to the complexity and regulatory oversight of the healthcare industry, compliance continues to be a high priority for our clients. Our professionals have experience in developing workplans for self-disclosures, conducting probe samples, quantifying the financial impact of identified issues and developing policies and procedures. 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