Question 1

Why do I even need a compliance program? They cost too much and don’t make money.

Accepted Answer

Wrong. Effective compliance programs often uncover previously unrecognized or uncaptured revenue. In addition, they are required by federal law of all providers under the ACA. Finally, they save money, potentially lots of money, in today’s risky, whistleblower-driven environment.

Question 2

I can’t afford a seasoned, dedicated, full-time compliance resource."

Accepted Answer

Consider Reid to be your company’s own designated compliance resource. You get the seasoned insight you want BUT only in the amount you NEED. Some call this arrangement a “fractional” compliance officer.

Question 3

We already have a Compliance Manager.

Accepted Answer

Great. Then you may still need an independent gap analysis or program review to ensure that your program doesn’t have any big holes or is actually effective. Getting an outside opinion is recommended every three years, is a valuable exercise in itself, and also tells anyone looking at your program (ie, regulators, prospective buyers, and company staff) that you’re serious about compliance.

Question 4

We are a private equity-backed physician practice preparing to market our company for sale. How can you help us?

Accepted Answer

We understand how crucial time and costs are. We will evaluate the compliance program, identify any gaps, then work with your staff to develop and implement processes, policies and procedures to fill the identified gaps. The end result will be an effective compliance program that virtually any buyer should appreciate.

Question 5

I’m a prospective buyer in due diligence for a purchase transaction. How can you help me?

Accepted Answer

We understand how crucial time and costs are. We will evaluate the compliance program, identify any gaps to bring them to your attention, then make recommendations for how the gaps can be filled. Upon request, we can also work with you or the purchase target to remediate the gaps.

Question 6

We are an allied healthcare practice doing occupational and speech therapy. Can you help us?

Accepted Answer

We can help anyone who has or needs a compliance program. This is often driven by billing federally-paid healthcare programs, namely Medicare and Medicaid, which require them.

Question 7

I’m just a small practice or company – too small to need a dedicated compliance person.

Accepted Answer

See the first answer above. Also, the U.S. Dept of Health and Human Services Office of the Inspector General (HHS-OIG) recommends that every healthcare practice or entity have an assigned compliance point-person – someone who is accountable, knowledgeable, has authority and “owns” compliance.

Question 8

I need help conducting a sensitive investigation.

Accepted Answer

We are very experienced with delicate, objective, credible investigations, and can either guide your staff or conduct it ourselves, in either case with discretion and absolute professionalism. We can do this independently or in collaboration with your legal counsel.

Question 9

MyComplianceOfficer is a small company. Don’t I need a big company to help?

Accepted Answer

Compliance strategy and program development requires experience and insight, not lots of manpower. Of course, depending on the size of your company, program administration may require more hands.

Question 10

I am a medical school dean or residency program director. Our curriculum focus is clinical but we recognize the need for compliance education. How can you help me?

Accepted Answer

We are expert compliance educators. We can work with you to develop and present content that addresses the needs of your program. For medical schools, the focus is broad, and uses evidence-based case study approach, which parallels the clinical educational method used by most institutions. For residency programs, we also use evidence-based case studies, but they are tailored to the specialty itself.

Question 11

How are your fees structured?

Accepted Answer

Fees are typically structured either hourly or on a specific project basis.

Question 12

Where do you work and where are your clients located?

Accepted Answer

We are based in Atlanta, Georgia and will go wherever we are needed. Some work requires onsite presence. That said, we do our best to limit expenses by performing whatever work we reasonably can remotely.

Question 13

Are you billing and coding experts?

Accepted Answer

No but we are familiar with and recognize billing and coding issues, and we partner with and can refer you to experts with specialty-specific expertise.

Question 14

I see that Reid is a lawyer – does he litigate or pursue appeals?

Accepted Answer

No, Reid's focus is compliance consulting, meaning program and process. However, we can refer you to many excellent litigators as needed.