A full-spectrum compliance practice.
Support across the compliance lifecycle — building the program, reviewing how it operates, addressing what the review surfaces, and educating the people responsible for sustaining it.
Nine areas of support.
Compliance Program Development
End-to-end program build — written standards, oversight structure, training, monitoring, and response to identified issues.
- Compliance officer and committee support
- Risk assessments and annual work plans
- Program effectiveness reviews
- Corrective action plan development
Internal Compliance Reviews
Structured review of billing, coding, documentation, and medical necessity, conducted internally so findings can be addressed constructively.
- Billing and coding reviews
- Documentation and medical necessity review
- Modifier application review
- Pre-bill and post-bill review
- Policy adherence and internal controls
Risk Assessment
Identifying where exposure concentrates, so that limited compliance resources are applied where they matter most.
- Billing, coding and documentation risk
- Operational and workflow risk
- Policy and training gaps
- Monitoring design
Corrective Action & Remediation
Structured correction once a deficiency has been identified, with education shaped by the finding and the work documented.
- Corrective action plan design and execution
- Root-cause review
- Targeted education and process correction
- Verification of understanding
- Completion documentation
Policies & Procedures
Policy libraries tailored to the organization — written to be usable by the staff who have to follow them.
- Privacy and safety policies
- Compliance manuals and handbooks
- Incident reporting policies
- Billing, coding and record retention
- Patient rights and protection
Privacy & Security Compliance
Safeguards for protected information — technical controls, access review, vendor risk, and incident response planning.
- Security rule assessments
- Access control review
- Vendor risk assessments
- Email and endpoint security
- Backup, recovery and incident response
Regulatory Readiness
Preparation for the moments an organization is reviewed — helping teams understand what will be examined and confirming the supporting documentation is organized and current.
- Survey and review readiness
- Policy and documentation readiness
- Readiness assessments and mock reviews
- Corrective action tracking
- Preparation improves readiness and documentation. Premier does not promise a particular review or regulatory outcome.
Operations Compliance
Workflow-level review connecting written policy to how the front office, intake, and revenue cycle actually operate.
- Internal controls design
- Revenue cycle compliance
- Documentation workflow
- Multi-site consistency review
Monitoring & Quality Improvement
Ongoing monitoring that turns compliance from a periodic project into a continuous discipline.
- Quality assurance programs
- Compliance metrics tracking
- Performance improvement plans
- Documentation improvement
- Trend analysis
Not sure which of these applies?
Most engagements begin with a conversation about what prompted the question. We will help identify the appropriate starting point.
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