Health Care Regulatory Solutions
The health care regulatory matters cited below are generalized to preserve the nature and confidentiality of the subject matters of these services and illustrate the types of matters resolved. Matters include:
- Corporate compliance programs - Matters included development, implementation and assessment of corporate compliance programs.
- Government audits and investigations - Matters included procedures in response to federal government, states attorneys general and other third party audits and investigations. Procedures generally included analysis and investigation of allegations, error estimate, if any, and recommendations of process and procedure corrections to reduce errors in the future.
- Provider self disclosures - Matters included estimates of the value of non-compliance to federal health insurance plans in connection with provider self disclosures to the Assistant Inspector General for Investigative Operations of the Office of the Special Prosecutor for matters related to inappropriate billing practices and contractual relationships with referral sources.
- Qui tam cases - Matters included procedures in response to "whistle blower" allegation, and generally included analysis and investigation of allegations, error estimate, if any, and recommendations of process and procedure corrections to reduce errors in the future.
- Compliance to corporate integrity agreements - Matters included system, process and procedure improvements and analysis and investigation for the provider to demonstrate compliance to the corporate integrity agreements.