Compliance Managed Services
In today’s ever-evolving regulatory landscape, maintaining compliance can be overwhelming, especially for organizations without a dedicated Chief Compliance Officer (CCO) or Quality Assurance (QA) team. At Atlantic Health Strategies, we offer comprehensive compliance and regulatory support that fills this critical gap, ensuring your organization stays compliant with payer requirements, state and federal laws, and accreditation standards—all while reducing operational costs.
Ongoing Compliance Oversight
We provide ongoing oversight for organizations of all sizes, so you don’t have to hire an in-house CCO. Our team will:
- Conduct regular audits of documentation and billing practices.
- Ensure compliance with federal and state regulations, including HIPAA.
- Stay ahead of payer audits and credentialing requirements.
- Monitor compliance with accreditation standards, such as JCAHO or CARF.
Regulatory and Payer Audit Support
Navigating regulatory and payer audits can be daunting, but Atlantic Health Strategies is here to help. We specialize in preparing for audits and mitigating risks, ensuring your organization successfully navigates the complexities of:
Replacing In-House Compliance Team
When a national behavioral health provider faced mounting compliance costs with their in-house team, they turned to Atlantic Health Strategies. By outsourcing their compliance needs to us, the provider saved over $400,000 annually. Our team handled everything, from audit preparation to accreditation maintenance, while increasing the efficiency of their compliance program.
Successfully Exiting a Cigna Audit
One of our clients was facing a potential $3 million recoupment after a Cigna audit. With our expertise, we conducted a thorough internal review, identified gaps in Cigna’s review, and presented a compelling case of provider compliance to the payer. As a result, we helped the client exit the audit with no financial penalties and retained full payer accounts receivable eligibility.
Chief Compliance Officer Services Without the Overhead
Our team members bring an average of 20 years of experience managing complex regulatory environments. Atlantic’s expert leadership ensures your organization is equipped to meet the highest standards of compliance, even without a full-time compliance team. Our team of experts offer:
- Expertise in payer audits and recoupment avoidance
- Hands-on support through accreditation and regulatory audits
- Tailored compliance solutions designed to meet your organization’s needs
Accreditation Support:
In addition to ongoing compliance, Atlantic Health Strategies provides end-to-end support for JCAHO and CARF accreditation. Achieving accreditation is a vital step in demonstrating your commitment to quality care, and we make the process seamless:
- Preparation for accreditation audits
- Policy and procedure creation and review
- Staff training and readiness assessments
With Atlantic Health Strategies, you get the support of a seasoned compliance team without the overhead of full-time hires. We ensure your organization stays compliant, audit-ready, and fully equipped to navigate today’s regulatory environment.
Proven cost savings
Deep expertise in payer audits
Comprehensive accreditation support
Contact Us for a Free Consultation
Ready to strengthen your compliance program? Contact us today for a no-obligation consultation and discover how we can support your regulatory needs.
