Regulatory Compliance
IMA Consulting offers healthcare providers a unique solution to all their
compliance related challenges, including RAC. We are uniquely qualified to
assist providers with most regulatory compliance related issues. Led and staffed
with experts, with an average of 20 years of healthcare management experience in
areas of healthcare regulatory compliance, auditing, finance and management we
are ready to assist. Our nurse-driven Clinical Auditor team has vast areas of
experiences in the coding and documentation industry, including one individual
who previously worked for a RAC.
Our engagements are managed by individuals who are nationally recognized in
their areas of expertise, including a former chief compliance officer. Our
experiences include working with the Central & Regional Offices of CMS, various
U.S. Attorneys’ offices, the Office of the Inspector General (OIG) for the
Department of Health and Human Services, various Medicare Fiscal Intermediaries
(FI’s) and Part B carriers.
IMA Consulting provides investigation support to law firms and health care
institutions that are under government investigation. We also provide
Independent Review Organization (IRO) services to those that are operating under
a Corporate Integrity Agreement (CIA).
The following list provides some insight
into the range of compliance services we offer clients.
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Coding, Billing, and Documentation Review |
Regulatory Compliance Education Services |
- DRG, MS-DRG and APC
- Physician Services
- RAC
- Rehabilitation, Psychiatry, Wound Care plus others
- Probe Reviews
- Shadow Audits
- Medical Necessity
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- Board/Governance
- Physician Documentation and Billing
- Conflict of Interest for Physicians, Board or Leadership
- Documentation Improvement
- RAC
- Staff Annual Program
- Coder Directed
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Regulatory Compliance Program Assistance
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- Conflict of Interest Education and Disclosure Process
- Compliance Committee Assistance
- Compliance Officer Assistance
- RAC Preparation Assessment and Assistance
- Independent Review Organization Services
- Corporate Integrity Agreement (CIA) Negotiation Assistance
- Expert Witness Testimony
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- Compliance Program Development, Implementation, and Re-design
- Compliance Program Evaluation Services
- Gap Analysis / Risk Assessments
- Self-Disclosure Assistance
- Utilization Review Committee Development
- Valuation Services
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Team Information
Sample Projects