About Regulatory Compliance
Our compliance team assists clients with matters such as the creation of corporate compliance programs, compliance education and training, services and assistance with internal audits, government investigations and disclosure. We provide services for hospitals, laboratories, medical equipment suppliers, hospices, nursing homes, home health agencies, physicians, clinics, networks, joint ventures, pharmacies, and all other types of health care providers.
General Approach to Compliance
The team works with health care providers to establish and implement compliance measures and programs that are tailored to the structure and function of the organization, and designed to be consistent with applicable requirements and guidance. We focus on key compliance concerns (e.g., such as maintaining ongoing monitoring, and analyzing billing issues specific to the providers’ practice) and offer practical advice and solutions.
Internal Audit and Self-Disclosure
We assist providers and suppliers with internal audits. We assist in defining the scope of the review, conducting the internal audits and investigations, and evaluating the level of risk related to the review findings. We identify options, assess risk and assist with self-disclosure as warranted.
Assistance with Government Investigations and Audit Initiatives
We assist providers and suppliers with government investigations, internal audit and self-disclosure. We have worked closely with the U.S. Attorney’s office, the Centers for Medicare and Medicaid, the Office of the Inspector General, Medicare Audit Contractors and other government contractors, and with Medicaid agencies to resolve matters favorably and efficiently.