Health and Human Services

//Health and Human Services
Health and Human Services2017-01-04T11:53:21+00:00

Our health and human services consultants have broad experience in advising and guiding health and human services organizations in a wide array of operational and strategic matters.  We understand the complex environment in which health and human services organizations operate. Navigating through the complexities can be daunting. Through a disciplined approach, we lend our experience to assist you in addressing your needs while avoiding common pitfalls and problems.

Our Services Include

Our Background and experience is ideal to assist you with:

  • Affordable Care Act Compliance
  • Corporate compliance
  • Debt and equity capitalization
  • Electronic information and record retention policies and procedures
  • Financial transactions
  • Governance and board development
In addition, our consultants have advised and assisted  in the evaluation, design and implementation of many strategic structural changes for our health systems, hospitals, nursing homes, home health care agencies, urgent care centers, assisted living facilities, agencies serving children and families, and other proprietary and non-profit health and human services providers.

  • Acquisitions
  • Affiliations
  • Corporate organizations and reorganizations
  • Divestitures
  • Joint Ventures
  • Mergers
Healthcare is a heavily regulated industry. A compliance program is an important and often required tool in ensuring that a health care entity follows applicable federal and state laws and avoids fraud and abuse concerns. HB Solutions assists health care entities of various sizes to create, implement, maintain and evaluate the effectiveness of compliance programs.

In addition to fulfilling compliance responsibilities, an effective compliance program will assist in identifying potential compliance concerns. HB Solutions assists health care entities in investigating, analyzing and responding to potential violations. We work closely with compliance officers and any compliance personnel within the health care entity to support their compliance efforts.

HB Solutions provides comprehensive compliance services, including the following:

  • Drafting an effective compliance plan, including Code of Conduct and policies and procedures that enable organization to meet its legal and regulatory obligations
  • Supporting compliance officer in administering compliance plan to identify and correct, as well as prevent, illegal, unethical or improper conduct
  • Supporting compliance officers in training new employees, contractors and board members in compliance and with on-going training through creation of compliance training program
  • Performing risk assessments and assisting in monitoring high risk areas
  • Developing compliance work plans based in part on Office of Inspector General (OIG) and Office of Medicaid Inspector General (OMIG) work plans and on risk assessment
  • Auditing areas in compliance work plan
  • Reviewing agreements to identify and work to eliminate improper inducements, kickbacks and potential fraud
  • Assisting in ensuring that services performed are reasonable and necessary
  • Assisting with establishing various means of contacting the compliance officer, including an anonymous reporting mechanism (a hotline)
  • Working with compliance officer to promote compliance program and ways to report suspected compliance issues, existence and role of Code of Conduct, and continued compliance training
  • Drafting and assisting with implementation of whistleblower policies
  • Assisting in evaluating potential compliance issues
  • Working with legal department or outside attorneys on self-disclosure, if self-disclosure is appropriate or required
  • Consulting with compliance officer to address complex compliance issues
  • Developing corrective action plans when issues are identified
  • Supporting compliance officer and senior management with reporting on the compliance program to the Board

 

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