Provident Management Consulting (“Provident”) provides comprehensive compliance solutions to keep healthcare organizations ahead of the curve in today’s complex regulatory environment, including compliance program review (design and implementation), compliance risk assessment, and compliance program effectiveness assessment. Our solutions are tailored to your needs based on our pre-project planning process.
OVERVIEW
Provident’s compliance solutions provide an objective review of program structure and effectiveness, as well as risk analysis, to facilitate compliance in today’s evolving regulatory environment. Our compliance assessment and implementation services result in improved effectiveness, optimal controls and performance, and a greater sense of comfort for the entire institution that the right issues are being addressed by the right people and at the appropriate time.
A COMPREHENSIVE APPROACH
The current healthcare environment has significantly increased the need for well-designed and effective compliance programs. The ever-increasing focus on fraud and abuse enforcement makes an organization- wide culture of compliance and defined controls essential. Provident’s solutions allow clients to meet these new imperatives with maximum effectiveness and efficiency.
Compliance Program Review
Our compliance program review focuses on program design and inputs, assessing the structure, resources, skills, tools, and procedures necessary to meet today’s increasing compliance demands. For both new and existing programs, we work with clients to design structure and approaches that are tailored to the organization and meet government requirements and expectations such as those specified in Office of Inspector General guidance and the U.S. Federal Sentencing Guidelines. This work answers the questions of whether the organization has the right resources in the right places with the necessary tools to implement the compliance program.
Compliance Risk Assessment
Our organization-wide approach to risk assessment allows clients to identify, evaluate, and respond to existing and evolving risk areas. This approach considers reputational, financial, and legal risks, facilitates assignment of risk levels and prioritization, and provides a customized roadmap to guide improvements as well as auditing and monitoring activities. This work focuses the compliance program on the most salient risk issues affecting the organization to ensure that the appropriate internal controls exist to mitigate risks.
Program Effectiveness Assessment
The effectiveness assessment involves detailed evaluation and measurement of the results of the compliance program with recommendations for improvement. The assessment is designed to determine whether the structures, policies, procedures, controls, resources, and tools are actually effective in quickly identifying, deterring, and remediating the noncompliant behavior they were designed to prevent.
WHAT SETS US APART
The Compliance team offers hands-on experience with healthcare compliance programs across the nation, along with professional backgrounds in provider organizations, law firms, and government agencies.
We have implemented compliance solutions across the spectrum of healthcare settings, from single hospitals to healthcare systems and academic medical centers, and physician practices, allowing us to bring best practices to each new engagement.