Compliance

ZHSG’s reimbursement-auditing program is unrivaled in the industry, offering the most efficient and productive solution to the Affordable Care Act’s compliance requirement. While many of our audit engagements are “routine” in nature, our experience has qualified ZHSG as an approved “Independent Review Organization” for healthcare providers operating under Corporate Integrity Agreements with the Office of Inspector General.

Our audits utilize the OIG RAT-STATS statistical software to ensure a randomly selected sample, while our reporting “Quantifies” the “Qualitative” elements of compliance, enabling our clients to measure improvement and benchmark performance against their peer group of providers (download our compliance-auditing brochure for an example of our outcomes reporting).

Audits are scaled to meet the individual profile of each facility that we service – and our program is not limited to skilled nursing. We regularly audit other provider types as well – recent engagements have covered an array of entities including ancillary service companies, freestanding clinics and physician groups.

Beyond auditing, we are available to ensure that any clinical or management program you establish fully satisfies the complex regulatory requirements that define the healthcare industry.

ZHSG’s Compliance services include:

• Routine Reimbursement Reviews
• Formal Audit Protocols
• Independent Review Organization
• Comprehensive Training Programs
• Regulatory Assessment
• Third Party Audit Defense