Healthcare Compliance
Critical Questions

Is your organization at risk? Could you survive a federal investigation right now?
Why risk incurring fines and penalties, government sanctions and even imprisonment when an effective compliance program can help you avoid them? Professional Provider Services can help. Our team of experts has worked both sides of compliance investigations. We know exactly what is required to create an effective compliance program that will stand up to the toughest government scrutiny.

Fast Facts
Did you know?

• Healthcare fraud costs the government billions of dollars each year.
• It is estimated that the Medicare program alone is currently losing an estimated $25 million a day.
• Identifying and prosecuting healthcare fraud is a top priority of the Department of Justice, second only to violent crime.
• According to the Centers for Medicare and Medicaid (CMS), ten percent (10%) of all services (hospitals, physicians, nursing homes, etc.) and forty percent (40%) of home care billings to Medicare are fraudulent.

An Effective Corporate Compliance Program
What Does It Do?

• Prevents and detects violations.
• Stands up to the scrutiny of auditors.
• Teaches employees and managers to use billing and business practices in keeping with the ethics of your organization.

Because each company is unique, Professional Provider Services tailors every individual corporate compliance program to suit a client's particular needs. A compliance program is effective only if it is designed to address specific risks and needs, and is only valuable if its effectiveness can be measured by results.

As we develop a compliance plan for your organization, we will work with your employees and get their input to help facilitate the learning process. Staff members are also more likely to be open to a program they help to develop.

Professional Provider Services will:

• Thoroughly assess your organization's specific risk areas and create a plan to address all identified risks
• Develop and structure a set of policies and procedures to prevent, detect, and address violations
• Teach your employees and managers that your values are important and that their actions must reflect those values
• Strengthen internal controls to protect company assets and encourage adherence to company policies and procedures; and test your compliance program to ensure effectiveness