Overview
While development and implementation of an effective compliance program has been advisable for well over a decade, the Affordable Care Act makes compliance programs mandatory for many providers. Alston & Bird’s health care attorneys have experience with the full spectrum of issues related to compliance programs, including performing needs assessments, drafting compliance policies and handbooks, advising on the implementation and operation of compliance program efforts, and conducting audits of compliance efforts, internal investigations and, when necessary, disclosures to appropriate government agencies. One of our attorneys is certified in health care compliance (CHC) and another is certified as a procedural coder.
We have assisted clients in the following specific areas:
- Prepare comprehensive corporate compliance programs for health care systems, hospitals, physician practices, national dialysis providers, pharmaceutical companies, billing companies, blood banks and medical device manufacturers.
- Develop compliance training materials for boards of directors, health care providers, sales forces and other targeted groups within a wide range of health care industry companies.
- Currently serve as the independent review organization (IRO) for a major pharmaceutical company operating under a corporate integrity agreement.
- Assist providers in updating existing compliance programs and policies to reflect changes from the Affordable Care Act.
- Conduct internal compliance investigations.
- Prepare, submit and negotiate self-disclosures to the Office of the Inspector General, the Centers for Medicare and Medicaid Services (CMS), state attorneys general and other regulatory agencies.
- Previously served as the outside compliance officer for a clinical research program.
- Previously developed HIPAA training modules for the Georgia Hospital Association.
- Previously assisted a variety of providers and health care companies with policies related to the implementation of the Deficit Reduction Act of 2005.
- Prepare for and respond to the Recovery Audit Contractor (RAC) program.