Healthcare Compliance Program Experience

Over 18 years experience with 5 years as a Corporate Compliance Officer for largest private DME or medical equipment provider
Compliance and Due Diligence on-site audits throughout the United States
Experience with Corporate Integrity Agreements as well as responses to OIG
Work with top level executives to supply recommendations to improve the cash flow in the organization
Develop Corrective Action Plans and follow up
Develop various training programs and perform the in-service programs for all employees
Develop and perform training programs for additional Compliance Department staff
Investigate all allegations including OIG, DOJ, Medicare, Medicaid, and individual hotline calls
Compile formal reports; providing research and proper document guidelines including implementation dates to prepare for adequate defense
Meet with outside counsel and top level executives to discuss investigation results
Publish monthly compliance newsletters including articles on regulation changes, company requirements, and continuing compliance education

Unbiased, conservative, & confidential healthcare billing compliance, HIPAA privacy, and due diligence audits with a conservative corrective action plan
Compliance Program Development and Training for medical equipment companies
Knowledgeable and trained professionals to complement your staff
Updates of ever-changing medical claims billing requirements
Setup annual audits to ensure proper Federal claims filing requirement compliance for Medicare, Medicare, and other insurance carriers (The OIG recommends annual audits)
Compliance program analysis specific to your needs
Improves accounts receivable collections!
Improves your chances of selling and some brokers require it prior to the buyer’s due diligence (80% of all deals blow-up due to compliance)
It’s a small price to pay for peace of mind, reduced over payment risk that will cost much much more later, a higher sale price, which will close faster
Healthcare business brokers are confident in my ability to provide excellent service

Unbiased, conservative, & confidential, healthcare billing compliance and investigational audits to assist with healthcare defense cases for medical equipment companies
Independent audit of records to ensure correct medical billing
Thorough reporting and documentation to legal counsel in the format requested
Assist with on-site provider interviews
Assist with acquisitions and mergers to comply with licensure and Medicare requirements to ensure to lapse of billing and collections

We work with you as a team to find the most cost effective solution to resolve your issues and turn collections around the fastest way possible. If you are having collection problems, it does not mean you need to buy a new software system which is costly.
We look at your business and don’t recommend anything we would not do if it was our own business.
We have former Medicare Ombudsman, Benefit Integrity Auditors, Nurses, Pharmacists, Physicians, Billing Experts that work with your organization as needed

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