Dealing with complex regulations is a significant challenge for health care providers.  Proper compliance with governmental regulations can mean the difference between success and failure of a physician practice, hospital, or other health care organization.  In some cases, noncompliance can mean hefty fines and penalties.

The health care industry is highly regulated by a myriad of state and federal agencies such as the Centers for Medicare and Medicaid Services, Internal Revenue Service, Department of Justice, and the Office of Inspector General, to name just a few.  Navigating the waters of governmental requirements demands an in-depth knowledge and experience with health care providers and the regulatory environment.  Wipfli health care professionals understand the business of health care, and are uniquely experienced to assist with regulations pertaining to the following key areas:

• Health care Fraud and Abuse
• Anti-Referral regulations (Stark)
• Anti-Kickback regulations
• Tax exempt status
• Billing and reimbursement for health care services
• Health Insurance Portability and Accountability Act (HIPAA)
• Employee benefit plans
• Compliance plan development and implementation
• Sarbanes-Oxley Act of 2002