Compliance Due Diligence

  • MARK REIBOLDT

    MARK REIBOLDT

    Senior Vice President

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  • ROSALIND CORDINI, JD, MSN

    ROSALIND CORDINI, JD, MSN

    Senior Vice President/Director of Coding & Compliance Services

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When merger and acquisition transactions take place without a comprehensive due diligence program that focuses heavily on compliance, the parties involved in such deals–buyers and sellers alike–often find themselves with costly challenges. These challenges must be confronted either pre-closure or during the immediate post-merger integration process where ideally the combined organizations should be looking forward to a returned value that initially made the deal attractive. Moreover, these challenges can often entail more than just operational inefficiencies; instead, there can be major issues that pose a significant risk and potential successor liability. Transaction due diligence should encompass detailed processes related to both operational/financial analysis and compliance review. Ensuring that a compliance due diligence review occurs prior to closing the deal permits the buyer the opportunity to correct issues pre-emptively and allows for a chance to adjust the transaction.

When assisting healthcare organizations in transaction compliance due diligence, our experts examine the effectiveness of the target organization’s compliance program. This examination includes a detailed analysis to identify any major regulatory compliance red flags as well as potential threats that could become more acute if not sufficiently addressed in a reasonable timeframe. Our team of healthcare regulatory experts, attorneys, financial analysts, and healthcare management specialists evaluate OIG program compliance, governmental audits and investigations, financial relationships with physicians, and compliance with Stark Law exceptions and anti-kickback safe harbors. We also perform billing and coding audits, clinical documentation reviews, cybersecurity risk assessments, and other relevant assessments that might be required to ensure standards and documentation meet the necessary compliance requirements.

We understand that each potential transaction is unique, and the due diligence we perform informs both the viability of the deal and the future success of the newly formed or combined entities. We provide conclusions and recommendations as to current practices compared to the market, both regionally and nationally.

Contact us today for more information about our healthcare consulting services and learn how we can help your organization.

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