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:


HIPAA PHI, ePHI, and Privacy and Security

Safety/OSHA Compliance

Coding Compliance Chart Audit:

CPT code and modifier

 National Correct Coding Edits

CMS National

Medicare Local

Order completeness

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

Risk assessment

Corporate official and Board compliance reporting system

FWA, HIPAA, safety/OSHA, and Harassment Training – new employee and annual

If the scope of your annual work plan has limitations due to the lack of competent resources, HCN can help you fortify your compliance program with expertise across all areas of regulatory compliance.