Health Care Brochure


Compliance & Corporate Integrity

Health care is one of the most highly regulated industries in the United States. Thousands of health care entities have been excluded from participating in federal programs, such as Medicare and Medicaid, for violating laws. Government agencies such as the Federal Bureau of Investigation (FBI), Office of Inspector General (OIG), Department of Justice (DOJ) and Centers for Medicare & Medicaid Services (CMS) target health care fraud and abuse as high-priority areas to conduct inquiries and investigations.

BKD National Health Care Group has been assisting health care organizations with corporate compliance services since health care fraud and abuse became a top government priority. Our consultants teach compliance in conferences and seminars, write articles published in national journals and consult with health care organizations across the nation. We have developed innovative compliance tools and approaches to help organizations stay out of hot water. Each service can be customized to meet an organization’s specific needs.

Compliance Program Effectiveness Reviews

We can measure the effectiveness of your organization’s corporate compliance program, conduct risk assessments, facilitate an organizational SWOT analysis and provide your organization with recommendations to improve your compliance program. BKD National Health Care Group has developed specific tools to help health care providers evaluate the effectiveness of their compliance programs. These tools include questionnaires, checklists, surveys and other forms designed to identify gaps and flaws in compliance programs.

Program Review & Design

BKD National Health Care Group consultants have developed tools to help health care providers create an effective, customized compliance program. Our approach incorporates the OIG’s model compliance program guidance and regulatory developments. Provider programs developed before the original OIG guidance most likely need revision. BKD National Health Care Group can review your compliance plan document, recommend enhancements and draft the revised compliance plan to incorporate the OIG’s model compliance guidance and other recommended compliance provisions.

Risk Assessments

We facilitate the process of identifying potential risks to your organization and quantifying the level of risks. We also can assist in developing a work plan to define the scope of compliance work your organization will perform.

Corporate Integrity Agreements

If your organization has committed a compliance violation and is required to enter into a new Corporate Integrity Agreement (CIA), we can assist by designing compliance organizational structures and compliance processes to reduce the risk of violations from recurring and to meet the CIA requirements.

Independent Review Organization
If your organization enters into a CIA with the DOJ, it typically must contract with an independent review organization (IRO) to provide independent verification that your organization is complying with CIA terms. BKD serves as an IRO to health care organizations by combining our knowledge and expertise of corporate integrity agreements, compliance program operations and coding and billing audits to provide health care organizations with cost-effective and proven results that meet the CIA requirements.

Training & Education

BKD can help train your compliance committee, employees, management, board members and physicians on compliance issues. Examples of training include fraud and abuse, current industry developments, compliance program effectiveness, board governance and corporate responsibility and coding and billing issues.

Coding & Billing Audits

BKD’s team of credentialed and certified consultants perform independent and objective reviews to virtually all health care areas including inpatient and outpatient hospital services, skilled nursing services, rehabilitation and psychiatric services, home health and hospice services, community health centers and physician services. Our reviews can be performed using a randomly selected sample or a sample that is statistically valid.

WealthPlan is BKD's comprehensive approach to growing, preserving and protecting the successful business owner's wealth. BKD's CPAs are experienced in providing the tax, retirement, estate and personal financial planning aspects of WealthPlan. In addition, the registered investment specialists of BKD Investment Advisors, L.L.C. can help you plan and implement an investment strategy that meets your goals and advise you on your insurance coverage. Ask your advisor for more information about the following WealthPlan services:

  • Investment advise - present strategies to grow your money
  • Insurance solutions - evaluate your insurance coverage
  • Income tax planning - project consequences of wealth-planning tax tactics
  • Retirement services - project your future income needs and expenses
  • Estate planning - craft a plan for transferring your wealth
  • Personal wealth strategies - present strategies for protecting your assets and consolidating debt

More compliance-related services:

Eddie Marmouget

National Industry Partner
Consulting

Eddie Marmouget

National Industry Partner

Consulting

Health Care

910 E. St. Louis Street, Suite 200
P.O. Box 1190
Springfield, MO 65806-2523

Springfield
417.865.8701

I have used BKD at two different facilities for a full range of financial services. Their professionals have provided us with audit, tax, coding and billing and cost report services and have assisted us in operations management and revenue enhancement. Routinely, implementation of their recommendations had a positive influence on the financial outcomes of our programs.

— Brooks Miller, Executive Director
Jordan Valley Community Health Center
Springfield, Missouri

The people at BKD are a great asset. Our advisor is easy to work with and very knowledgeable. He is accessible and takes the time to teach and advise, showing he really cares about our business.

— Mina Acquaye, Chief Executive Officer
Excell Home Care
Oklahoma City, Oklahoma

Catholic Health Partners is an important client—that’s the clear message I get from BKD. From partner interaction to the hands-on involvement and accessibility of senior-level and other personnel, theirs is an adept team effort that works very well. They are highly responsive to our needs. I also appreciate the wide range of BKD services I can use for more complex business issues.

— Scott D. Schitter, CPA
Corporate Director of Reimbursement & Tax Services
Catholic Health Partners
Cincinnati, Ohio

Last year our 60-bed facility census was low, there was no reimbursement and by December we were $100,000 in the red. This is when we hired BKD for the Medicare certification and training. The following fiscal year end we were $98,000 in the black and able to keep the facility running.

— Donna Stelling, Administrator
Good Samaritan Nursing Home
Cole Camp, Missouri