HCS, LLC Third Party Billing Company Compliance

Billing companies are becoming a vital component of the healthcare industry. As healthcare providers take further steps to enhance and tighten their internal programs and develop compliance programs more of them are mandating their third-party billing vendors do the same. A corporate compliance program can ensure adherence with governmental requirements, promote ethical behavior and provide value as a constructive management system.

The passage of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 has resulted in the most intense scrutiny of the healthcare industry to date. The Attorney General’s commitment to combat healthcare fraud and abuse arose out of government statistics that indicated increased incidents of fraud and abuse in this field. The Department of Justice (DOJ) responded by increasing its resources, focusing investigative strategies and coordinating with law enforcement officials to combat fraud perpetrated by healthcare providers. The federal government has also reallocated its resources and has re-deployed FBI (Federal Bureau of Investigation) agents to investigate potential allegations of fraud and abuse. Along with hospitals, home health agencies and laboratories, the government for investigation has targeted third-party billing companies.

Our services are designed to help third party billing companies identify existing problematic areas as well as to recommend corrective actions. Services are tailored to the specific needs of the organization. Our primary goal is to support your organization’s compliance team.

Our objective is to assess compliance with federal regulations addressed by the Office of Inspector General for billing companies focusing on "HOT" issues and set in motion a plan of action to successfully implement appropriate controls to minimize organizational risk.

Healthcare Consulting Services, LLC (HCS), has a well-deserved reputation for attentive, timely client service. We are extremely proud of the client satisfaction we generate and our reputation in the healthcare industry.

If you are interested in our compliance services or would like additional information on the wide range of services we provide, please contact Trudy Struck at (317) 633-4708, Ext. 371 or e-mail at tstruck@hcs-healthcare.com.

[ Home ]