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Healthcare Compliance

Are you compliant? Find out, click here.

Our Healthcare Compliance Service can help you stay in compliance with the Office of Inspector General (OIG) Guidelines on Physician Practice Compliance cost effectively. We provide information, consultation and implementation of compliance plans within your practice as mandated by the OIG.

  • On-staff Certified Healthcare Compliance Consultants stay up-to-date on the latest developments.
  • Analyze office systems, record keeping and billing procedures to develop a tailored compliance plan.
  • Certified Procedural Coder on staff to audit documentation.
  • Support for stress-free plan implementation.

Relying on our expertise may decrease your danger of being in violation of the guidelines and, therefore, the liability for the fines and penalties associated with non-compliance.

  • Compliance Program Elements
    • Establish compliance standards (written policies and procedures) including a Code of Conduct and Mission Statement.
    • Appoint a compliance officer or committee
    • Conduct training and education programs
    • Establish internal monitoring and auditing functions
    • Promote communication, develop a feedback loop
    • Develop and enforce disciplinary standards to address violations
    • Respond quickly and appropriately to violations and take corrective action
  • "Voluntarily Mandated" compliance with the following laws and regulations
    • Sexual harassment laws
    • Combined Omnibus Budget Reconciliation Act - COBRA
    • Immigration and Naturalization Service - INS Form I-9
    • Americans with Disabilities Act - ADA
    • Family and Medical Leave Act - FMLA
    • Occupational Safety and Health Act - OSHA
    • Fair Labor Standards Act - FLSA
    • Employee Retirement Income Security Act - ERISA
    • Clinical Laboratory Improvement Act - CLIA
    • Billing and Reimbursement Compliance
    • Stark I and Stark II Self referral laws
    • False Claims Act - qui tam - whistleblower
    • Civil Monetary Penalties Law
    • Federal Anti-Kickback Statute
    • Balanced Budget Act of 1997
    • Medicare Carrier Manual
    • Health Insurance Portability and Accountability Act - HIPPA
    • OIG Fraud Alerts "Nearly 20 in all"