Healthcare Compliance Services

Helping your organization mitigate risk, improve outcomes, and achieve regulatory excellence.

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Empowering Healthcare Organizations to Achieve Regulatory Excellence

Healthcare organizations face complex demands from federal and state healthcare requirements, contractual obligations, internal policies, and market changes. To prioritize compliance in healthcare, you need a robust strategy. Our multidisciplinary team offers deep experience in regulatory, operational, quality, and clinical compliance. We provide solution-oriented healthcare consulting to integrate compliance across your organization. This approach can help mitigate healthcare risk, improve patient and member outcomes, and build regulatory excellence to position your organization for strategic success.

How Forvis Mazars Can Help With Healthcare Compliance

With diverse backgrounds and experience across the continuum of care, our professionals are equipped to address your organization’s unique needs. We can help you establish and maintain an effective healthcare compliance program that supports your strategic, operational, and regulatory goals.

Healthcare Compliance Program Services

What is a healthcare compliance program? It’s your framework for meeting regulatory requirements. Forvis Mazars helps you gauge if your current healthcare compliance program is effective. We work with you to help develop strategies for identifying and mitigating risks, adapting to changing standards, and improving return on investment.

Our services include:

Compliance Program Development, Improvement, Implementation, & Execution
Compliance Program Effectiveness Assessments
Corporate Compliance Assessments
Governance
Delegation & Vendor Oversight
Audit & Accreditation Readiness
Regulatory & Accreditation Surveys
Licensing

Regulatory Compliance & Risk Management

Regulatory compliance intersects with various functions across your organization. Our professionals have extensive knowledge and experience with a wide range of compliance requirements and proactive risk management strategies. We help you manage both day-to-day challenges and significant transitions.

Our services include:

Operational Compliance
Physician Compensation Compliance
340B Compliance
Fraud, Waste, & Abuse Prevention & Detection
Grants Management
Internal Audit
Contract Assurance
Forensics & Valuation

Revenue Integrity

Documentation and transparency are critical for meeting federal and state healthcare compliance, including CMS regulations. They’re also vital for reimbursement and cash flow. Forvis Mazars helps improve documentation workflows to support compliance, revenue cycle efficiency, patient experience, and outcomes.

Our services include:

Privacy, Security, & HIPAA Compliance

How do you prioritize HIPAA and healthcare compliance in a digital environment? Protecting patient data is essential. We provide services focused on HIPAA compliance, data protection strategies, and breach prevention. We help you strengthen safeguards, conduct risk analyses, and implement policies to support sensitive information security.

Our services include:

Compliance Education, Training, & Support

Forvis Mazars helps educate healthcare leaders and their teams on compliance standards and strategies through tailored workshops, trainings, webinars, FORsights™, and one-on-one communication. We also provide third-party services to help fill gaps in your internal compliance program.

Our services include:

Independent Review Organization (IRO) Services
Interim Compliance Staffing
Corrective Action Plan (CAP) Assistance
Clinical & Quality Outcomes
Clinical Documentation Integrity (CDI) Education & Training
Medicare & Medicaid Cost Report Training