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Our Services

Compliance & Privacy Program Gap Analysis

A compliance & privacy program gap analysis is an essential first step to evaluating program effectiveness and regulatory adherence. This analysis confirms that the elements of an effective compliance & privacy program are in place and that reporting is established to have the ability to assess program effectiveness. A gap analysis can also include site visits to validate HIPAA physical and administrative safeguards.

Compliance Program Effectiveness Assessments

A compliance program effectiveness assessment measures how effective the compliance program is. Using our proprietary framework, this assessment is driven by the Federal Sentencing Guidelines, and industry guidance published by federal regulators. The program effectiveness assessment includes a preliminary compliance program gap analysis.

Privacy & Regulatory Compliance Assessments

Privacy & Regulatory compliance assessments are audits against the laws, statutes and administrative rules that govern the healthcare industry, including HIPAA and state privacy law. These assessments will validate your compliance status with the requirements that are in-scope for your practice or organization.

Contract Compliance Assessments

Contract compliance assessments are audits against contractual obligations that your organization has agreed to adhere to. These assessments will validate your compliance status with the contract provisions.

Program Improvement Projects and CIA Support

Following an assessment, a report will be provided outlining opportunities for improvement with a recommended action plan. We offer comprehensive compliance program support that includes supporting completion of the action plan, as recommended, or a modified version. We also offer support in adhering to Corporate Integrity Agreement (CIA) obligations, resolving program deficiencies identified by the Office of Inspector General (OIG), and Transition Planning, as required.

Policy, Procedure and Privacy Notice Development

Policies and Procedures, including standards of conduct, are foundational to an effective compliance program, and heavily influence company culture. We are equipped to design, train and implement policies and procedures in healthcare organizations of all sizes.

Compliance/ Privacy Program Manager or Officer

The Compliance and Privacy leadership is essential within healthcare organizations. Whether you need a temporary Compliance or Privacy Manager, or short-term Compliance and Privacy Officer, we are prepared to fill the gap. We can support business continuity during leaves of absence, extended vacation time, or while actively recruiting for your next Officer or Manager.

Training and Guidance

A Compliance Consultation can resolve compliance-related barriers. We can advise on strategies to comply with regulatory requirements, industry standards and best practices, and help identify risk. We offer workforce training on HIPAA, state privacy requirements, and more.  We can provide compliance training on the seven essential elements of effective compliance programs to your Compliance and Privacy Officer or new staff, and a variety of resources to support ongoing learning to maintain compliance.

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