At Cardinal Consultants, we specialize in delivering compliance and ethics services designed to strengthen healthcare organizations' compliance programs and ensure long-term adherence to federal healthcare regulations. Our expertise helps organizations navigate complex legal and regulatory frameworks while mitigating risks and enhancing operational integrity.
Regulatory Compliance & Risk Management
Arrangement Reviews
Healthcare organizations must ensure their financial relationships with physicians comply with the Federal Anti-Kickback Statute, Stark Law, and other regulatory requirements. Cardinal Consultants collaborates with healthcare organizations and legal teams to assess existing arrangements, identify potential risks, and implement corrective actions to maintain compliance and operational transparency.
Compliance Auditing & Monitoring
Ongoing audits and monitoring are essential for identifying and addressing compliance risks. Cardinal Consultants provides structured compliance audits and monitoring solutions, equipping organizations with systematic controls to prevent regulatory breaches. Our experts work closely with compliance and internal audit teams to develop and implement effective compliance oversight strategies.
Healthcare Compliance Advisory Services
Compliance Program Development & Implementation
A well-structured compliance program is fundamental to regulatory adherence. Cardinal Consultants designs and implements customized compliance programs tailored to an organization’s specific needs, ensuring alignment with the standards set by the U.S. Department of Health and Human Services Office of Inspector General (HHS OIG), Centers for Medicare & Medicaid Services (CMS), and the U.S. Sentencing Commission. We support a diverse range of healthcare entities, including hospitals, physician groups, managed care organizations, and post-acute care providers.
Compliance Program Effectiveness Evaluations
Regular assessments of a compliance program’s effectiveness are crucial for sustained regulatory compliance. Cardinal Consultants conducts in-depth program evaluations using a structured methodology based on industry best practices and federal guidelines. Our collaborative review process identifies strengths, weaknesses, and areas for improvement, ensuring organizations meet compliance expectations.
Compliance Surveys
Gathering workforce feedback is essential for evaluating compliance culture and program effectiveness. Cardinal Consultants provides validated survey tools that help healthcare organizations measure staff awareness, adherence to compliance policies, and areas requiring improvement.
Corporate Integrity Agreement
& Due Diligence Support
Corporate Integrity Agreement (CIA) Compliance Assistance
Organizations under a Corporate Integrity Agreement (CIA) face strict compliance obligations and reporting requirements. Cardinal Consultants provides expert guidance on managing and fulfilling CIA commitments, ensuring timely adherence to federal compliance expectations. Our team has extensive experience assisting organizations in meeting CIA deadlines and operational requirements.
Healthcare Due Diligence Reviews
Compliance risks must be carefully assessed during mergers, acquisitions, and other healthcare transactions. Cardinal Consultants conducts thorough due diligence reviews to identify compliance concerns, mitigate risks, and ensure regulatory readiness for successful business transactions.
Independent Review Organization (IRO) Services
Healthcare organizations subject to a CIA often require an Independent Review Organization (IRO) to oversee compliance obligations. Cardinal Consultants serves as a trusted IRO, conducting objective assessments of claims, financial arrangements, marketing practices, and other critical compliance areas. We also offer mock IRO reviews to help organizations prepare for formal federal reviews.
Compliance Staffing & Investigations
Interim & Outsourced Compliance Staffing
Healthcare compliance departments often face resource limitations that hinder program effectiveness. Cardinal Consultants provides interim and outsourced compliance staffing solutions, including serving as a designated or temporary Compliance Officer and offering specialized compliance support services to bridge staffing gaps and maintain program continuity.
Healthcare Compliance Investigations
Internal investigations are crucial for identifying and addressing compliance concerns before they escalate. Cardinal Consultants conducts objective, thorough investigations into healthcare compliance matters, ensuring organizations can respond effectively to internal or external inquiries. Additionally, we provide training programs to help organizations build internal investigative capabilities.
Regulatory Risk Assessment & Management
A proactive approach to risk assessment is vital for maintaining compliance in the ever-evolving healthcare landscape. Cardinal Consultants offers a structured regulatory compliance risk management framework that includes:
- Risk Assessment: Identifying and evaluating compliance vulnerabilities.
- Remediation Planning: Developing corrective action plans to address identified risks.
- Monitoring & Auditing: Implementing continuous oversight measures to prevent future risks.
- Regulatory Reporting: Ensuring proper documentation and reporting to meet compliance obligations.
Partnering for Compliance Excellence
Cardinal Consultants is committed to helping healthcare organizations navigate regulatory complexities with confidence. Our customized compliance solutions, expert insights, and data-driven approach empower clients to proactively manage risks, strengthen internal controls, and sustain long-term compliance success.
Let Cardinal Consultants be your trusted partner in achieving regulatory excellence and operational integrity.