Healthcare Compliance Investigations

Why You Need Compliance Investigations

Identify and Fix Your Compliance Vulnerabilities

Healthcare organizations face a wide range of regulatory responsibilities. But when a violation occurs, it can be difficult to identify the root cause of the problem and many organizations lack internal expertise to investigate the situation. 

Strategic Management Services helps you ensure no stone goes unturned. Under the direction of Richard Kusserow, former Inspector General of HHS, our compliance investigation services help organizations establish appropriate procedures for conducting compliance investigations. Under the direction of Richard Kusserow, who trained at premier investigation venues, including the FBI Academy and the Federal Law Enforcement Training Center, our investigators bring that experience to your organization.

How it Works

Everything You Need to Investigate Compliance Issues

• Expert Investigations
  We help healthcare organizations conduct detailed investigations related to high-risk compliance areas. Our expert team helps you identify and mitigate potential compliance risks:
  • Investigate violations from fraudulent billing to privacy breaches.
  • Review the validity and severity of external complaints to improve transparency. 
  • Assess the root cause of compliance gaps to help mitigate future threats.
• Internal Program Development
  Our experts help healthcare organizations develop and manage more robust internal investigations programs. Using proven compliance frameworks, we help you:
  • Conduct a gap analysis of staff, resources and policies;
  • Develop infrastructure, policies and procedures; and 
  • Conduct internal investigations with confidence.
• Internal Investigation Training
  Our team helps your staff build the skills and knowledge required to run effective internal compliance investigations. Our trainers ensure your team can:
  • Identify when to conduct an internal investigation.
  • Gather documentary and physical evidence.
  • Establish a chain of custody and confidential retention process.
  • Prepare and interview witnesses.
  • Develop formats for documenting findings.
  • Implement disciplinary actions.