WE OFFER A VARIETY OF SERVICES

At Comprehensive Compliance Concepts, we like to say, “Finance makes the money; however, Compliance allows you to keep it.”

We believe that an effective Compliance Program can increase revenue by identifying instances of unrealized reimbursement due to poor and/or inappropriate coding or documentation.   Why not allow your compliance efforts work for you?

If you would like to ensure your organization is receiving all the reimbursement it worked so hard to obtain please contact us.

We offer our clients the ability to outsource their compliance, HIPAA, risk management and fraud waste and abuse responsibilities thus, reducing cost and improving efficiency.

Our team performs the following functions for our clients on an outsource bases.

  • Compliance Officer
  • Privacy Officer
  • Risk Manager
  • Oversight of Special Investigation Units (SIU)
  • Coding/Auditing

In addition, we also provide the following services:

  • Compliance Program Design/Implementation/Risk Assessment/Program Review
  • HIPAA Program Design/Implementation/Risk Assessment/Program Review
  • Fraud, Waste and Abuse Program Design/Implementation/Risk Assessment/Program Review
  • Compliance Manuals
  • HIPAA Manuals
  • OSHA Manuals
  • Chart Audits
  • Risk Assessments

Comprehensive Compliance Concepts compensation is based on quality, not time.

background-and-drug-screening

Background Screening

  • USCRL (Nationwide)
    • Current Name
    • US Criminal Record Locator database check that searches over 800 million records nationwide to develop additional searchable jurisdictions
  • Federal/County Criminal Search
    • Current Name
    • 7 year address history
  • SSN Trace
    • SSN Trace serves as a locator device that helps develop additional jurisdictions where a subject may have lived, worked, or gone to school.
  • NSOR
    • Current Name
    • National Sex Offender Registry (excl. CA, NV)
  • FACIS L3
  • Employment Verification
    • Nationally
    • Inter-nationally
  • Motor vehicle
  • Education
    • International
    • US
  • Professional Licensure
    • Nationally
    • Inter-nationally

Drug Screening

  • Fee includes lab/collection fees and MRO review
  • Urine Drug Test that includes identification of Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Methadone, Opiates & Marijuana

Exclusion Screening

Comprehensive Compliance Concepts (CCC) exclusion monitoring program screens all employees and vendors on a monthly, quarterly, or annual basis.

CCC Sanctions Screening program verifies that anyone you are employing and/or reimbursing (with federal and/or state healthcare dollars) is not excluded from any federal and/or state healthcare program.

 

  • Additional services available upon request.

Compliance-Program-Design

Our team performs the following services:

  • Compliance Program Design/Implementation/Risk Assessment/Review
  • Compliance Training
    • Web Based
    • On-Site
    • CEU’s available
  • Compliance Officer (In-house/outsource)
  • Privacy Officer (In-house/outsource)
  • Risk Manager (In-house/outsource)
  • Coding/Auditing
  • Compliance Manuals
  • Chart Audits
  • Exclusion Screening
  • Hotline Reporting
  • Fraud, Waste and Abuse
  • OSHA Audits
  • OSHA Manuals
  • Risk Assessments

fraud-waste-and-abuse

Our team performs the following services:

  • Perform detailed claim audits and medical record audits
  • Review TPA/Provider contracts
  • Perform detailed financial analysis to identify errant payments
  • Perform business/relationship analysis in order to identify anomalies
  • Detect changing behaviors
  • Recover errant/fraudulent payments
  • Reduce/Prevent errant and/or fraudulent payments
  • Contingency based fees
  • No upfront costs
  • No impact to employees, patients or members
  • $5 return on every $1 invested guarantee

If we do not perform, you do not pay.

Contact us for more information.

HIPAA-Program-Design

Our team performs the following services:

  • HIPAA Program Design and Implementation
  • HIPAA Security Risk Analysis
  • HIPAA Privacy Risk Analysis
  • HIPAA Security Compliance Assessment
  • HIPAA Privacy Rule Compliance Assessment
  • HIPAA Manuals and P&Ps
  • Data Security – Hacking and Penetration Testing
  • Application Source-Code Review
  • Server and Network post-compromise forensic analysis
  • Remediation planning, consulting and resolution services

Contact us to learn how.