Compliance Services

HP3 understands the complex compliance & regulatory landscapes related to:

• False Claims Act
• Stark
• Anti-Kickback
• Medical Record Documentation Requirements for Inpatient, Outpatient, and Professional Fee
• Fiscal Intermediary and Carrier Disputes
• Attorney-Client Privilege/Work Product Privilege
• The Importance of Compliance to Hospital Executives and Board Members

HP3's compliance services include:

• IRO/CIA engagements
• Statistical Sampling Methodologies, including RAT-STATS
• Data Analysis/Review of Utilization Patterns
• Fiscal Intermediary/Carrier Disputes
• General & Specific Education (HP3 University)
• Audits including Evaluation of Medical Necessity, Clinical documentation, Services Order, Provided, Billed, and Reimbursed
• Shadow Audits
• Targeted DRG Reviews
• Voluntary Self-Disclosure
• Clinical Documentation Improvement