Regulatory and Accreditation Compliance

The Joint Commission

• Centers for Medicare & Medicaid Services (CMS)
• The Joint Commission
• Recovery Audit Contractor (RAC) audit
• FTC Red Flags Rule
• Health care fraud and abuse
• "Anti-Kickback" law-Stark I and II
• ACR radiology performance measures
• ACR Appropriateness Criteria ®
• OIG- professional courtesies/vendor contracts
• EMTALA
• EPA
• Sarbanes-Oxley Act of 2002
• HIPAA

Corporate Compliance


• Program development
• Audit tools and training

• Standard survey readiness/tracer methodology
• Standard interpretation and resource tools
• Board and executive leadership training
• Leadership Structure Standards
• Leadership and medical staff relationships
• Organizational culture and system performance
• Conflict of interest
• Conflict management

Medical Staff structure evaluation:

• CMS and TJC compliance review
• Peer-review process, medical case review
• Ongoing and focused professional performance evaluation (OPPE and FPPE)

Adverse Event Disclosure
Alternative Dispute Resolution (ADR)

• Standardized adverse event disclosure process
• Disclosure simulation physician team training
• ADR strategies, benefits and early intervention strategies

• Bioethics committee program development
• Bioethics case consultation
  
• Medical staff training
  
• IRB evaluation
  
• Medical mediation and conflict resolution