Healthcare Compliance and Audit Support

 

SOAProjects has introduced a full complement of healthcare audit and compliance services to meet the needs of employer groups, insurance companies, healthcare providers and businesses. With the advent of the Affordable Care Act the traditional healthcare landscape has changed. Businesses continue to experience challenges in implementation and interpretation. The subject matter experts at SOAProjects have the ability to assist healthcare business leaders in the following areas:

 

1. Compliance Risk Assessments & Corrective Action Planning
2. Compliance Effectiveness Survey’s
3. Hospital Compliance Program Design
4. Ambulance Regulatory Compliance Program Design
5. Compliance Audit Planning Development
a. HIPAA Privacy
b. HIPAA Security
c. Red Flags Rule
d. PCI
e. Pharmacy 340b Audits
f. Stark Anti-Kick Back Investigations
g. CMS Compliance
h. ACA implementation
6. Electronic Health Record Pre/Post Implementation Risk Assessments & Audit Planning
7. Departmental Quality Assurance Review preparation
8. Multi Year Audit & Resource Planning Design
9. Recovery Billing Audit Projects
10. Contract Compliance Auditing
11. Health Care Fraud Detection & Independent Investigation Services
12. IT Security Audits & Remediation Projects
13. Health Care Operations Auditing, and Health Care IT Auditing Services

 

Affordable Care Act (ACA) Compliance

 

With the advent of the Affordable Care Act the traditional healthcare landscape has changed. Businesses continue to experience challenges in implementation and interpretation and there are major impacts felt throughout the industry. Employer groups, 3rd party payers, and healthcare providers can all benefit from the subject matter experts at SOAProjects.

Services designed to directly address the effects of ACA are:

  • Employer group implementation assistance, benefit reviews and needs assessment
  • ACA risk assessment, audit and mitigation support

Benefits planning including wellness programs