Compliance Infrastructure That Holds Under Scrutiny

Compliance Programs & Infrastructure

• —Compliance program design and implementation
• —Internal audit protocols and monitoring systems
• —QAPI (Quality Assurance & Performance Improvement) program development
• —Regulatory gap analysis and remediation planning
• —Ongoing compliance monitoring and reporting systems

Audit & Survey Readiness

• —Pre-audit readiness assessments
• —Mock inspections and survey walkthroughs
• —Corrective action plan (CAP) development
• —Post-audit follow-up and remediation support
• —Licensing and accreditation survey preparation

Accreditation Preparation

• —CARF accreditation preparation and gap analysis
• —Joint Commission standards alignment
• —Accreditation application and documentation support
• —Survey readiness planning and staff preparation
• —Post-survey corrective action management

Policy & Documentation Systems

• —Policy and procedure manual development
• —Documentation standards alignment to payer and regulatory requirements
• —Clinical documentation audits and gap analysis
• —Staff training on compliance documentation
• —Record retention and privacy policy development

Payer Compliance & Risk

• —Payer contract compliance review
• —Authorization and utilization management compliance
• —Billing compliance and documentation alignment
• —Payer audit response and appeal support
• —Risk identification and mitigation planning

Risk Management

• —Organizational risk assessment
• —Incident reporting system design
• —Grievance and appeals policy development
• —HIPAA compliance review and staff training
• —Risk mitigation planning and implementation