Health Care Regulatory Services
Health care regulatory services help provider executives manage risk, detect errors, report detected errors, react and respond to third party audits and investigations, implement remedial steps to respond to investigations and fix broken systems, processes, procedures and controls. The health care industry has unique regulatory requirements, including, but not limited to, contracting with service providers and referral sources, billing, collections and reporting.
Health care regulatory services focus on the financial, operating and systematic matters generally related to:
- Incorrect reimbursement payments from third party payors
- Identified reimbursement or other errors that should be self reported
- A notice of audit or investigation from a third party payor
- Implementing or operating under a corporate integrity or certification of compliance agreement
Health care regulatory consulting clients may require other supporting business advisory services including, planning, accounting systems and internal controls, business strategy and risk management to strengthen the company’s systems, processes and procedures.
I have diversified health care business experience through positions as a professional advisor, a vice president of finance of a Fortune 500 company and health care provider, an audit partner and practice group head with a Big Four public accounting firm and a medical facilities regulator for the New York State Department of Health.
Health Care Regulatory services include the following:
Contact Ralph P. Perrino, CPA, LLC for more information on health care advisory services.