HCS, LLC Corporate Compliance

Healthcare Consulting Services, LLC (HCS), can assist your healthcare organization in either establishing or supplementing your corporate compliance program. Our services are designed to assist healthcare providers in complying with complex Medicare program regulations and establishing controls to ensure that claims are not improperly submitted for reimbursement.

At HCS, we use our experience gained in working with other healthcare entities and provide compliance review services in the following areas:

Medicare and Medicaid - coding, 72 hour rule, fraud and abuse, medical necessity, false claims act, Stark I and Stark II

Operations - conflicts of interest, purchasing and procurement, Board of Directors training, JCAHO and state surveys, contract administration, EPA, OSHA, clinical laboratories

Finance - internal financial controls, bond indenture covenants, employee compensation within reasonable limits, IRS intermediate sanctions, unrelated business income, community service benefit, property and income tax exemptions

Human Resources/Labor - wage and hour administration, Americans with Disabilities Act, Family Medical Leave Act, benefits administration

HCS has staff with experience in each of these areas and is able to provide the level of service desired by the organization. Our typical corporate compliance review consists of three levels:

Level One – Overview of Compliance Systems: General overview of Corporate Compliance program to include Board of Directors’ issues, risk review, major issue identification and completion of general questionnaire.

Level Two – Testing of Compliance Systems: Appropriate testing of risk areas identified resulting in a qualified opinion on the overall compliance system and a determination of whether each system is operating as designed.

Level Three – Audit of Compliance Systems: Detailed testing and research regarding specifically identified items to gain the necessary understanding and assurance for each item. Examples of areas that may require detail review include chargemaster, admitting/business office, home health agency, physician practices, skilled nursing facilities, cost reports, etc.

Our healthcare consultants are experienced in working with providers of all types and sizes. If you are establishing a corporate compliance program or are desiring specific services to support your current program and would like to discuss how HCS can assist your Facility, please contact Kam McQuay at (317) 633-4708, Ext. 311 or e-mail at kmcquay@hcs-healthcare.com.

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