Regulatory & Compliance

    Navigate Healthcare Regulations with Confidence

    Stay compliant, avoid penalties, and maximize incentives. Our regulatory experts help you operate in healthcare of healthcare compliance requirements.

    Compliance Areas We Cover

    HIPAA Privacy & Security

    MIPS/MACRA

    OSHA Compliance

    OIG Compliance

    State Licensing

    Payer Audits

    Why Compliance Matters

    Healthcare regulations are becoming more complex and enforcement more aggressive. Non-compliance can result in significant financial penalties, reputational damage, and even exclusion from federal healthcare programs.

    At the same time, quality reporting programs offer significant incentive opportunities for practices that understand how to optimize their performance.

    HIPAA Violation Penalties

    Up to $1.5 million per violation category, per year

    MIPS Negative Adjustments

    Up to -9% payment adjustment for poor performers

    MIPS Bonus Opportunity

    Exceptional performers can earn positive adjustments

    Compliance Services

    Comprehensive compliance support to protect your practice and optimize performance.

    HIPAA Compliance Audits

    Comprehensive HIPAA assessments that identify vulnerabilities and ensure your practice meets all privacy and security requirements.

    What's Included:

    • Privacy Rule compliance review
    • Security Rule assessment
    • Risk analysis and management
    • Breach notification readiness
    • Business Associate Agreement review
    • Staff training and awareness programs

    Quality Measure Reporting

    Expert guidance on MIPS, HEDIS, and other quality reporting programs to maximize incentives and avoid penalties.

    What's Included:

    • MIPS score optimization
    • Quality measure selection strategy
    • Improvement activity documentation
    • Promoting Interoperability support
    • Cost category management
    • Performance feedback and improvement

    Accreditation Preparation

    Prepare for and maintain accreditation from AAAHC, JCAHO, and other accrediting bodies with confidence.

    What's Included:

    • Gap analysis and readiness assessment
    • Policy and procedure development
    • Mock surveys and preparation
    • Staff training and competency
    • Documentation review and organization
    • Post-survey action plan support

    Risk Adjustment Optimization

    Improve HCC coding accuracy and risk adjustment factor scores to ensure appropriate reimbursement for your patient population.

    What's Included:

    • HCC coding education
    • Chart review and auditing
    • Documentation improvement
    • Provider feedback and coaching
    • RAF score monitoring
    • Annual wellness visit optimization

    Wondering how we structure engagements?

    Start with a low-risk discovery assessment, no long-term commitment required.

    Learn How We Work

    Is Your Practice Compliant?

    Schedule a discovery call for a complimentary compliance assessment and identify potential risks before they become problems.

    Get Your Compliance Assessment