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Solutions Through Leadership

Solutions Through Leadership

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COMPLIANCE ISSUES
CORPORATE COMPLIANCE  
RISK MANAGEMENT  
EMTALA  
   
Hospitals, Laboratories, Physician Practices, Hospices, 
Third Party Billing Companies, 
Home Health Agencies
  • Compliance Plan Development
  • Compliance Code of Conduct
  • Compliance Policies Development, Implementation and Instruction
  • Review current contracts & assess exposure under Stark II and Federal & State anti-kickback and fee splitting prohibitions
  • Selected review of medical charts to assess billing compliance, medical necessity and coding rules
  • Medical Staff issues, Human Resource issues

 
Peer Review and Risk Management Assessment
  • Evaluate current risk management plan and risk management structure
  • Evaluate risk management records system
  • Development of procedures for responding to subpoenas from private parties and investigative & licensing agencies

 
Emergency Medical Treatment and Active Labor Act
  • Review policies & procedures for EMTALA compliance
  • Assess Emergency Room forms including transfer of patients
  • Selected chart review for EMTALA compliance
  • Investigation & evaluation of reported occurrences

 
  • Legal Investigations and Assessments

Contact Attorneys: H. Philip Elwood, Nathan D. Leadstrom

 

CORPORATE COMPLIANCE  
RISK MANAGEMENT  
EMTALA  
   
Hospitals, Laboratories, Physician Practices, Hospices, 
Third Party Billing Companies, 
Home Health Agencies
  • Compliance Plan Development
  • Compliance Code of Conduct
  • Compliance Policies Development, Implementation and Instruction
  • Review current contracts & assess exposure under Stark II and Federal & State anti-kickback and fee splitting prohibitions
  • Selected review of medical charts to assess billing compliance, medical necessity and coding rules
  • Medical Staff issues, Human Resource issues

 
Peer Review and Risk Management Assessment
  • Evaluate current risk management plan and risk management structure
  • Evaluate risk management records system
  • Development of procedures for responding to subpoenas from private parties and investigative & licensing agencies

 
Emergency Medical Treatment and Active Labor Act
  • Review policies & procedures for EMTALA compliance
  • Assess Emergency Room forms including transfer of patients
  • Selected chart review for EMTALA compliance
  • Investigation & evaluation of reported occurrences

 
  • Legal Investigations and Assessments

Contact Attorneys: H. Philip Elwood, Nathan D. Leadstrom

 

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