Compliance Services

Core Compliance Services

• Compliance Program Development

  • Building workplans, audit plans, risk assessments, and compliance infrastructure.

  • Establishing effective reporting systems and accountability processes.

• Policy & Procedure Development

  • Drafting and tailoring policies to meet HIPAA, Medicare/Medicaid, payer, and state requirements.

  • Aligning your policies with your actual operations to make compliance practical and sustainable.

• Staff Training & Education

  • Designing and delivering training for compliance, privacy, documentation, HIPAA, FWA, and specialty topics.

  • Ensuring your staff understand not just the “what,” but the “why” behind compliance requirements.

• Risk Assessment & Work Plan Development

  • Identifying and prioritizing compliance risks through structured assessments and visual risk heat maps.

  • Developing annual work plans that align your compliance goals with your organization’s priorities.

• Compliance Audits & Monitoring

  • Independent audits to identify risks, test controls, and verify compliance.

  • Establishing monitoring processes to maintain ongoing oversight and accountability.

• Regulatory Readiness & Audit Support

  • Preparing for CMS, OCR, Medicaid, or accreditation audits.

  • Conducting mock audits, organizing documentation, and guiding your response during reviews.

• Incident Management & Corrective Action

  • Establishing protocols for identifying, investigating, and resolving compliance incidents.

  • Leading root-cause analyses and developing corrective action plans to prevent recurrence.

Privacy & Security Services

• HIPAA Privacy & Security Assessments

  • Reviewing safeguards, breach reporting, and OCR readiness.

• Breach & Incident Response Support

  • Investigation, documentation, reporting, and remediation guidance.

• Privacy Program Development

  • Building privacy compliance systems for healthcare providers and nonprofits.

  • Developing privacy policies, notices, and training programs tailored to your operations.

Billing, Coding, & Documentation Compliance

• Documentation Audits

  • Reviewing clinical documentation and claims to ensure compliance with payer and regulatory requirements.

  • Providing actionable feedback to strengthen defensibility and accuracy.

• Billing & Coding Compliance Reviews

  • Evaluating billing and coding practices for Medicare, Medicaid, and commercial payers.

  • Identifying patterns of risk and helping you implement corrective actions.

Licensing & Accreditation Services

• Licensing & Accreditation Support

  • Helping med spas, ASCs, and other providers meet state Department of Health and accreditation body requirements.

  • Preparing documentation, policies, and staff training for inspections and renewals.

• Government Contract Compliance

  • Reviewing state, county, or managed care contracts to ensure compliance with healthcare and funding requirements.

Specialized Industry Services

• Healthcare Technology Compliance

  • Supporting tech and software companies with XXXX, interoperability, and HIPAA compliance.

• Medicare & Medicaid Compliance Expertise

  • Conducting readiness assessments for DSNP, CHIP, and Medicaid managed care programs.

  • Supporting payer and provider organizations through state and federal audit processes.

• Compliance Due Diligence for Mergers & Acquisitions

  • Conducting pre-transaction compliance reviews for acquisitions, mergers, or investments.

  • Identifying regulatory, billing, privacy, and licensing risks that affect valuation and post-close success.

  • Providing practical remediation strategies to support confident decision-making.

• Not-for-Profit Compliance Support

  • Helping community-based and nonprofit organizations navigate healthcare and privacy requirements tied to grants, Medicaid funding, or county contracts.

  • Developing privacy programs, compliance frameworks, and reporting systems that promote trust and sustainability.

Fractional & Ongoing Support

• Fractional Compliance Officer Services

  • Acting as outsourced compliance support for organizations without internal resources.

• Compliance Program Oversight & Monitoring

  • Ongoing support to keep programs current, effective, and aligned with regulatory change.

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