Healthcare Compliance Icon

Healthcare Compliance Service

Put our dedicated team’s knowledge of current and upcoming state and federal healthcare industry regulations at your disposal. 

In the complex, highly regulated healthcare industry, staying compliant with current laws greatly affects practice billing, coding, licensing, contracting, and more.

Numerous state and federal agencies – DEA, FDA, HHS, CMS, & OIG – all have unique and sometimes onerous requirements that medical practices must abide by to operate legally in every state. 

Partnering with Practicefirst puts our dedicated team’s knowledge of current and upcoming state and federal healthcare industry regulations at your disposal. 

With decades of experience, we have the capacity and expertise to ensure your practice remains compliant in your state and adapts to any future policy changes. 

We continually reevaluate your practice’s operations to align with evolving regulations, freeing up practice managers to focus on driving revenue.

In an environment of constantly changing regulations, we take your compliance as seriously as you do.

With Practicefirst on your side, staying compliant is a given, not a challenge. 

Fraud, waste, and abuse cases within the industry bring increasing scrutiny from government regulators and financial penalties for practices that violate those regulations.

No matter the size of your organization, all practices need to comply with the laws of the states in which they’re licensed. 

With more than six decades of industry experience, Practicefirst brings a wealth of experience and knowledge to our business partners.

We take compliance very seriously and provide dedicated resources to ensure that your practice remains compliant, regardless of any changes that may occur within the industry. 

“Staff is knowledgeable and responsive. Wonderful to work with at every level…from billing, credentialing, leadership and more. They have consistently done an exceptional job meeting and/or exceeding our expectations and needs.”

Lisa DiFrancesco

  • Coding and Billing Audits
    These audits make sure your CPT-4, ICD-10 and Modifier usage accurately reflect the services provided, and help safeguard against repeated documentation and coding errors.
  • Payer Contract Analysis
    We review the terms of your participating agreements with insurance carriers and make suggestions for contract renewal. Additionally, we evaluate agreed-upon rates and compare them with the reimbursements currently offered in your specialty and region.
  • Education and Training
    Our training programs are customized to your practice’s specific needs. They cover a broad range of topics, including Clinical Documentation Improvement, Fraud, Waste, and Abuse, as well as HIPAA Privacy & Security.
  • Compliance Program Effectiveness Evaluation
    We perform in-depth analysis of current and existing program policies and procedures, identifying issues and offering solutions to remedy them.
  • Improved Risk Management
    Reducing your risk of potential civil or legal penalties not to mention the most important goal of protecting patient health information is one of the critical goals of our compliance services. We worry about keeping your practice compliant, so you don’t have to.