Compliance & Auditing

Protect your practice with comprehensive compliance and auditing services covering HIPAA, coding accuracy, billing integrity, and OIG compliance programs to prevent fraud, reduce risk, and ensure regulatory adherence.

Proven Results

Common Challenges

HIPAA Compliance Gaps

Evolving HIPAA regulations create compliance blind spots that expose practices to breach notifications, OCR investigations, and fines up to $1.9 million per violation category.

Coding Accuracy Concerns

Without regular coding audits, systematic errors go undetected, leading to overpayments that trigger recoupment demands and potential fraud allegations.

Billing Integrity Risks

Improper billing practices such as upcoding, unbundling, or billing for services not rendered create significant legal and financial exposure.

OIG Compliance Requirements

Practices lack formal compliance programs meeting OIG guidance, leaving them without the framework to detect, prevent, and correct compliance violations.

Documentation Deficiencies

Insufficient clinical documentation fails to support billed services, creating vulnerability during payer audits, RAC reviews, and government investigations.

Staff Compliance Knowledge Gaps

Front-line staff lack training on current compliance requirements, creating risk through uninformed actions and failure to recognize red flags.

Our Solutions

Comprehensive HIPAA Audits

Thorough HIPAA compliance assessments covering administrative, physical, and technical safeguards with detailed remediation roadmaps.

Coding & Billing Audit Programs

Systematic coding and billing audits identify errors, quantify risk exposure, and implement corrective measures before external auditors do.

OIG Compliance Program Development

Design and implement formal compliance programs meeting all seven elements of OIG guidance for individual and small group practices.

Corrective Action & Training

When issues are identified, structured corrective action plans and targeted training ensure lasting compliance improvements.

Service Features

HIPAA Compliance Audits

Full-spectrum HIPAA assessments covering privacy, security, and breach notification requirements with actionable findings.

Coding & Documentation Audits

Expert review of coding accuracy and documentation completeness to ensure compliance and optimize reimbursement.

Fraud & Abuse Prevention

Proactive programs to identify and prevent fraud, waste, and abuse before they result in investigations or penalties.

Compliance Training Programs

Comprehensive training programs ensuring all staff understand their compliance obligations and can identify potential violations.

Client Testimonial

After an OIG audit flagged several compliance concerns, we engaged Medtransic for a comprehensive review. They identified gaps we didn't know existed, implemented a formal compliance program, and trained our entire staff. We passed our next audit with zero findings, and we now have confidence in our compliance posture.

Key Services

Contact Medtransic today for expert compliance auditing services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.