Compliance Services
Medicare/Medicaid regulations continue to develop and change the world of healthcare. Keeping the pace with CMS is an ongoing challenge. We have found that policies and procedures, education and independent review are critical keys to success in Compliance.
"The evolution of the Medicare and Medicaid programs combined with the increasing complexity of CMS creates potential compliance risks for providers. As a result, the OIG has conducted numerous audits resulting in the recommendation of, and in many instances the requirement of, procuring the services of an Independent Review Organization. The CampbellWilson staff has extensive experience assisting clients in meeting their compliance needs, both pre and post OIG review." —Manie Campbell, Partner
CampbellWilson encourages providers to develop effective policies and procedures, provide regular training to all members of their organization and schedule regular reviews of processes to identify potential weaknesses.
The use of an independent third party demonstrates an intent to improve processes that is viewed favorably by the OIG. CampbellWilson can help our clients identify errors caused by inadequate processes and procedures. Our services and solutions assist providers in complying with CMS guidelines.
CampbellWilson's multidisciplinary compliance team provides comprehensive solutions to complicated issues.
We provide assistance in the following areas:
- Medicare and Medicaid Fraud Program Risk Assessments
- Corporate Integrity Agreement (CIA) Assistance
- Cost Report Training and Reviews
- Policy and Procedure Development and Implementation
- Self Disclosure Assistance
- OIG Workplan Audits
- Interim Compliance Management
- Compliance Program Development, Review and Implementation
- Comprehensive Billing, Coding and Medical Necessity Reviews
- Compliance Program Effectiveness Evaluation Tools
- Regulatory Guidance and Solution Implementation
- HIPAA Assessments and Guidance
- Compliance Charge Description Master (CDM) Reviews
- Research Compliance Assistance
- Compliance Education and Training Programs
For more information, contact us at 800.723.6492 to speak to one of our experienced consultants or email us for more information: info@campbellwilson.com.
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What Our Clients are Saying
"CampbellWilson's breadth of knowledge on regulatory and finance issues allowed us to recover lost funds and discover new income streams and apply them toward these types of health care initiatives." —Vernon Moore, Vice President, Business and Finance, UTHSC at Tyler
"This is a time when being good isn't good enough. You have to have great operations. CampbellWilson staff bring a lot of experience to the table to help us in the process, and I would hire them again and would highly recommend them to other hospitals." —Keith Barber, COO and CFO, Tomball Regional Medical Center
"We want to make sure we aren't missing anything. We don't want to leave anything on the table. ...CampbellWilson staff have a special area of expertise; this is what they do day in and day out. We are very happy with their services." —William Galinsky, Assistant Executive Director of Finance, Scott & White
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