Our approach to Compliance Program implementation is unique! There are always 7 elements in a Compliance Program but there is a better, more efficient and successful methodology for execution than is generally accepted in the health care industry. No matter where you are in the spectrum of implementation, we have a distinct approach. Whether you are starting from scratch, have some pieces in place, or need to bolster a partially developed program, we can assist. If you don’t know where to start or what to do next, Wild Consulting can help. We have implemented programs from the ground up and supported countless others over the last 22 years for a wide range of health care entities. We have learned there is a more strategic and efficient method to the development of a sustainable program that we can share with you.

To assist health care entities in assessing the current status of their Compliance Program, we perform Compliance Program Effectiveness Reviews (or a gap analysis) based upon recommended guidances provided by the Centers for Medicare and Medicaid Services (“CMS”), and the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”).

Implementing a health care Compliance Program has, historically, been voluntary. In 2010 this changed with the passing of the Affordable Care Act which contained a provision that deemed Compliance Programs mandatory as a condition of enrollment in Medicare, Medicaid, and other federally funded health care programs. And, while CMS and the OIG have long acknowledged the criticality of organizations establishing an “effective” Compliance Program, no further requirements or guidance has been provided.

Wild Consulting has created a practical, evidence-based tool - a detailed assessment questionnaire - that incorporates regulatory guidances and other reputable industry best practice standards. Through the use of this tool, we perform a “Compliance Program Effectiveness Review” to evaluate your implementation of the seven (7) elements of a Compliance Program to determine if your current Program meets regulatory guidance and other industry standards.

The findings of the Effectiveness Review are summarized and presented in a Narrative Report, along with clear recommendations for corrective actions (Action Plan) to address any areas of identified deficiencies. Wild Consulting also summarizes your findings into a written Executive Summary and aggregates the findings into a Dashboard Report format to support presentation of the Effectiveness Review to senior leadership and/or your governing board.

Overall, the objective of the Effectiveness Review is to determine if your Program is helpful in achieving compliance with federal and state rules and regulations to protect your organization’s reputation and financial interests. The results of our Effectiveness Review assists your organization in aligning internal resources to streamline compliance operations, and to strategically move your Compliance Program forward.

Over the years, we have come to realize that Compliance Officers often need “hands on” support or just a certain level of assistance to help fill the gaps. Others have been thrown into their position with little education and experience. Wild Consulting can serve in a meaningful capacity to provide practical mentorship to your role, or as a reliable compliance resource for a defined number of hours per month, to help meet your organization’s specific goals or to help with individual projects or initiatives, etc.

Well-developed policies and procedures are a core element of every Compliance Program. With decades of experience drafting, implementing, and revising countless Compliance Program and regulation-specific (such as HIPAA) policies, Wild Consulting offers a realistic approach to getting your policies and procedures up to par.

Wild Consulting has provided services as an Interim CCO on many occasions. We are able to step in and “hold the reins” of your Compliance Program while you are performing a search for a permanent position, or work with you to set and obtain specific program goals while your organization itself is in transition.

To be effective, Compliance Program education must be upbeat, and applicable and interesting to your staff. Compliance Education does not have to be boring and stale!! We provide vibrant and engaging face-to-face training programs, or can assist with drafting online educational modules targeted to your organization’s needs. We will work with you to develop content describing your Compliance Program or to cover any number of regulation- specific topics, such as HIPAA Privacy and Security. We can also help provide effective and focused education to your employees, your Board of Directors, or your medical staff.