Private Equity and Investors
Healthcare has proven to be one of the most lucrative and competitive markets for PE Firms and Investors. Regulatory compliance due diligence is now an essential part of the acquisition process. But the process is complicated and requires unique vertical skills and knowledge of government and payor regulations.
HCN’s three-plus decades on the frontlines of physician and medical practice regulatory compliance has given us the experience to assist investors with understanding risks and value in the due diligence process.
Pre-Acquisition Due Diligence Services
This assessment provides an analysis of the current state of the acquisition target related to their Compliance Program, HIPAA Privacy and Security, and safety/OSHA compliance.
In-depth analysis of the current state of compliance.
General Compliance Status with Policy & Procedure Review for:
CMS and OIG/DOJ
HIPAA PHI, ePHI, and Privacy and Security
Coding Compliance Chart Audit:
CPT code and modifier
National Correct Coding Edits
Appropriate ICD-10 codes
Post-Acquisition Compliance Continuity
Maximizing investment value and protecting assets
Compliance as a Profit Center (CAPC)™
New sources of profit and bottom-line growth
Full payment for billed services
Bill for all delivered services
Participation in value-based care and at-risk plans
Co-Sourced Compliance Officer
Build, implement, manage effective compliance program
Culture of compliance
Operations, policies, and procedures
Corporate official and Board compliance reporting system
FWA, HIPAA, safety/OSHA, and Harassment Training – new employee and annual