Search Results: compliance expert
Arrangements Reviews
In the complex regulatory and enforcement environment, healthcare organizations seek Strategic Management’s services to ensure their arrangements with physicians are compliant with the Federal Anti-Kickback Statute, Stark Law, and other legal authorities. We work with healthcare organizations and law firms to review and analyze their existing arrangements with physicians and their systems to identify potential risks.
Independent Review Organization Services
Healthcare organizations are often required to select an Independent Review Organization (IRO) as part of their compliance obligations under a Corporate Integrity Agreement (CIA). Strategic Management provides healthcare IRO services, including conducting reviews of claims, arrangements, transaction, unallowable costs, marketing practice and compliance. Strategic Management also conducts mock IRO reviews to help prepare healthcare organizations in meeting their CIA obligations.
Healthcare Due Diligence Reviews
Evaluating potential or actual compliance risks is necessary for any healthcare organization during a merger and acquisition. Strategic Management’s due diligence reviews assist healthcare organizations and purchasers to identify compliance risks that must be properly accounted for in any merger and acquition transaction.
Suzanne Castaldo
Suzanne Dallas Castaldo, JD, is a certified Healthcare Compliance Professional (CHC, CHPC), qualified in the development, implementation, and evaluation of compliance programs for the health care industry. She has assisted a variety of health care providers including hospitals, physician practice groups, skilled nursing facilities, clinical laboratories, managed care organizations, and pharmacies.
Al Bassett
Professional Experience Al Bassett has more than 15 years of experience in assisting numerous health care organizations in the development,…
Catie Heindel
Catie Heindel is an attorney who is certified in Healthcare Compliance (CHC), Healthcare Privacy Compliance (CHPC) and Healthcare Privacy and Security (CHPS). She has over 11 years of experience in the health care compliance industry and performs regulatory risk assessment and management services for clients, both general in scope, as well as more tailored towards specific risk areas.
Carrie Kusserow
Carrie Kusserow, CCEP, CHC, CHPC, has over 15 years of experience in health care compliance. Ms. Kusserow specializes in compliance advisory services including corporate compliance program development and implementation, evaluation of compliance program effectiveness, compliance risk assessments, policy and procedure development, investigations, and hotline operations and issue management.
Jillian Concepcion
Jillian Concepcion is a highly experienced compliance consultant, having provided advisory services to clients in the development, evaluation, and improvement of their compliance and privacy programs. Ms. Concepcion specializes in working with health care organizations to implement CIA requirements, including development of the CIA implementation report, general and specific compliance training, policies and procedures and sanction screening process.
Richard P. Kusserow
Richard P. Kusserow established Strategic Management Services, LLC, after retiring from being the DHHS Inspector General, and has assisted over 3,000 health care organizations and entities in developing, implementing and assessing compliance programs.
About Us
Highly Qualified Experts Strategic Management’s leaders and key personnel have worked both in the highest levels of private sector health…
HIPAA Designated Privacy Officers
Under HIPAA (Health Insurance Portability and Accountability Act of 1996) every HIPAA covered entity must have a designated Privacy Officer.…
CRS Releases Summary Report on the SUPPORT Act Provisions Affecting Medicare
The Congressional Research Service (CRS) recently released a report on the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment…