Hoffman Einiger & Polland PLLC has extensive experience in preparing individualized corporate compliance programs for healthcare providers based on the size, the nature, and the prior history of the particular organization. A sound, well-planned compliance program is an investment of sorts, as implementing one prior to a governmental fraud investigation may very well preclude potentially disastrous federal and state enforcement actions afterwards.

We implement Compliance Plans and Audits for Health Care Providers which are consistent with The Office of Inspector General?s guidelines. The Firm believes that the existence of a Compliance Program provides evidence that the Health Care Provider has made reasonable efforts to comply with the Health Care fraud and abuse regulations. The Compliance Program demonstrates that the Provider has attempted to identify potential mistakes and has implemented a method of addressing them. It has been our professional experience that a Compliance Audit or Plan of a Provider?s practice can identify potential problems with respect to contractual relationships, medical billing patterns and medical record documentation. The firm has created a Compliance Plan that incorporates a legal review under the applicable fraud and abuse regulations, a billing and coding review and a medical records review which analyzes patterns of practice when properly adopted by the provider entity assists in ensuring compliance with the law and professional ethics.

A compliance issue that is of increasing concern to health care providers today are the Administrative Simplification provisions of The Federal Health Insurance and Accountability Act of 1996 (HIPAA), which call for administrative restructuring in order to meet new privacy standards as well as new guidelines for electronic claim submissions. The regulatory compliance department at HEP is well-versed in all matters relating to HIPAA and offers a program designed to assist healthcare providers in attaining HIPAA compliance.

Our attorneys are well-versed in the regulatory exceptions to the Federal Anti-Kickback statute (?Safe Harbor Regulations?), the ?Special Alert? Bulletins, and numerous Advisory Opinions issued by the OIG. We often structure a provider?s financial arrangements to ensure timely compliance with this regulatory scheme. HEP provides legal assistance on all aspects of regulatory compliance, including but not limited to:

• Preparation of individualized compliance plans meeting federal and state laws and regulations
• -Representation in Office of Inspector General (OIG) investigations, as well as regulatory investigations and health care litigation.
• Development of corporate policy addressing issues such as: code of conduct, duties of
  compliance officers, employee training, reporting of noncompliance, records management, patient confidentiality, etc
• Training on regulatory compliance policies as well as continued guidance to supplement training.
• All areas concerning HIPAA compliance.

We have also negotiated and implemented Corporate Integrity Agreements (?CIA?s) with the Government, and work closely with several health-care consultants and accounting firms whose personnel have acted a Compliance Officers for our clients. Hoffman Einiger and Polland PLLC Develops and reviews maintain all Compliance Policies, Procedures, Standards of Conduct, and employee compliance handbooks for our Compliance Plan clients.