Compliance That Protects Your Practice — Before and After the Audit Call
From HIPAA and OIG risk assessments to ZPIC, CERT, and RADV audit defense — we build compliance programs that hold up under scrutiny and keep your team focused on care.
If any of these sound familiar, your practice may be more exposed than you think:
We Protect You Before and After the Audit Call
Most compliance consultants show up after the damage is done. Healthcare Inspired builds the infrastructure that prevents exposure — and stands with you when you need defense.
Reactive-Only Compliance
No program in place until a payer knocks. Scrambling to respond, with no documentation trail and no clear process.
- No written policies or procedures
- Staff unaware of current OIG priorities
- Coding and billing done without audit oversight
- Audit arrives with no prepared response strategy
- Recovery takes months and thousands of dollars
Healthcare Inspired Compliance Partner
A living compliance program — built for your specialty, monitored continuously, and backed by certified experts ready to respond the moment a letter arrives.
- Customized compliance plan and policy framework
- OIG Work Plan monitoring and risk alerts
- Regular internal audits catch issues before payers do
- ZPIC, CERT, RADV, RAC audit response support
- Staff education woven into the compliance cycle
Compliance Services
Every service is tailored to your specialty, payer mix, and risk profile. No generic checklists — just targeted, practical compliance support.
Compliance Program Development
Build or rebuild your compliance program from the ground up — aligned to OIG guidelines, CMS requirements, and your specialty's specific risk areas.
- Policies & procedures tailored to your practice
- Compliance officer support and infrastructure
- Reporting pathways and accountability framework
OIG Work Plan Monitoring
We track OIG annual work plan updates and assess your practice's exposure — so you're never caught off guard by a newly identified risk area.
- Ongoing OIG priority tracking
- Risk alerts specific to your specialty
- Corrective action planning when needed
Policy & Procedure Development
We write, update, and organize your compliance, HIPAA, and billing policies — ensuring they're current, documented, and actually followed.
- HIPAA Privacy & Security policies
- Billing and coding compliance procedures
- Annual review and update cycle
Compliance Risk Assessments
Identify your vulnerabilities before a payer or regulator does. We review your coding patterns, documentation, and billing workflows to surface your highest-risk areas.
- Coding pattern and outlier analysis
- Documentation gap identification
- Prioritized risk report with action steps
Coding Compliance Audits
Systematic reviews ensuring your coding aligns with payer policies, CMS guidelines, and OIG priorities — before a payer review finds the problems first.
- Modifier usage and medical necessity review
- E/M, procedure, and facility coding accuracy
- Detailed findings with corrective action plan
Staff Compliance Training
Educate your entire team on HIPAA, billing compliance, documentation requirements, and your practice's specific policies — delivered virtually or on-site.
- Role-specific HIPAA training
- Billing and coding compliance workshops
- New hire and annual refresher sessions
HIPAA Privacy & Security Compliance
Privacy officer support, HIPAA risk analysis, breach response guidance, and staff training — everything needed to maintain a defensible HIPAA compliance posture.
- HIPAA Security Risk Analysis (SRA)
- Privacy officer consulting support
- Breach notification guidance
Ongoing Compliance Monitoring
Recurring reviews, real-time alerts on regulatory changes, and quarterly check-ins to keep your compliance program current and your team accountable.
- Quarterly internal audit cycles
- Regulatory change alerts and updates
- Compliance performance reporting
Incident Response Support
When a compliance issue arises — a billing complaint, HIPAA concern, or internal fraud allegation — we provide immediate expert guidance to protect your practice.
- Rapid response and issue assessment
- Documentation and reporting strategy
- Corrective action and re-education
CIA — Corporate Integrity Agreement Support
A Corporate Integrity Agreement (CIA) is a formal obligation entered into with the OIG/HHS to resolve a compliance investigation. If your organization is under a CIA or approaching one, our CPCO-certified staff provide the structured final assessment and ongoing support required to meet your obligations.
- CPCO-certified professionals with CIA experience
- Final compliance assessment aligned to CIA requirements
- IRO-ready documentation and reporting support
- Compliance program gap remediation
- Staff training to meet CIA education obligations
How We Build Your Compliance Program
A structured, four-step approach that gives you a working compliance program — not just a stack of documents.
Discovery & Risk Assessment
We review your current compliance posture, coding patterns, documentation, and workflows to identify your highest-risk areas.
Program Build & Policy Writing
We develop customized policies, procedures, and a compliance framework aligned to OIG guidelines and your specialty's requirements.
Team Training & Implementation
We educate your staff on the new policies, HIPAA requirements, and billing compliance — virtually, on-site, or through recorded sessions.
Ongoing Monitoring & Support
Quarterly audits, regulatory change alerts, and real-time support keep your compliance program active and your team accountable year-round.
Compliance Built by Coding & Documentation Experts
Our compliance consultants aren't just policy writers — they're certified coders and auditors who understand how documentation, billing, and regulatory risk connect in the real world.
Certified & Experienced Team
CPC, CPMA, CPCO, CCS, and RHIA-credentialed consultants with deep specialty and regulatory expertise.
Audit-Informed Compliance
We conduct real audits, so our compliance programs are built around what payers and regulators actually look for — not just theory.
Specialty-Specific Knowledge
From orthopedics to behavioral health, we know the specialty-specific risk areas, modifier nuances, and documentation requirements that matter most.
Living Programs, Not Binders
We build compliance programs that are actively monitored and updated — not documents that collect dust on a shelf.
Rapid Audit Response
When a ZPIC, CERT, or RAC letter arrives, we move fast. You'll have experienced support from day one — not weeks into the process.
Transparent, Flexible Engagements
Project-based, retainer, or ongoing partner — we work the way you need, with clear deliverables and no long-term lock-ins.
Compliance Program Pricing
Choose the level of support that fits your practice. All engagements are customized — no generic templates, ever.
A focused compliance risk assessment to identify your biggest exposure areas and set a clear path forward.
one-time assessment
- Compliance risk assessment & gap analysis
- OIG Work Plan review for your specialty
- Coding pattern and billing workflow review
- Written findings and prioritized action plan
- 1-hour debrief call with consultant
Everything you need to have a fully operational, defensible compliance program — built and implemented for your practice.
one-time project
- Everything in Risk Assessment
- Custom policies & procedure manual
- HIPAA Privacy & Security documentation
- Staff compliance training (virtual)
- Reporting and accountability workflows
- 90-day follow-up audit included
A dedicated compliance partner who monitors your program, keeps you current, and stands ready when a payer letter arrives.
per month
- Everything in Full Program Build
- Quarterly internal audits
- OIG and regulatory change alerts
- Annual policy review and updates
- Priority audit response support
- Dedicated compliance consultant
- Unlimited staff compliance Q&A
All pricing is a starting point — final investment depends on practice size, specialty, and scope. Request a custom quote →
Compliance Starts With Education
A compliance program is only as strong as the people behind it. Your coders, billers, physicians, and clinical staff need to understand why compliance matters — not just follow a checklist.
Healthcare Inspired pairs compliance program development with targeted staff education — so your team knows exactly what's expected, what's changed, and how to stay protected. From HIPAA training to specialty-specific billing compliance workshops, we close the gap between policy and practice.
Team-Wide Training
Role-specific sessions for physicians, coders, billers, and admin staff
Virtual or On-Site
Flexible delivery — wherever your team works
AAPC & AHIMA Certified
All sessions led by credentialed coding & compliance experts
Compliance-Integrated
Education built around your compliance program priorities
Join Us at a Virtual Event
Healthcare Inspired hosts specialty-focused virtual seminars, summits, and conferences designed for coders, billers, and healthcare professionals.
GS/GI Coding Summit 2026
Precision coding for the OR. A full-day virtual event dedicated to general surgery and gastroenterology coding — practical, specialty-specific, and CEU-eligible.
Register NowBone and Joint Summit 2026
Specialty-focused orthopedic and musculoskeletal coding education — covering joints, fractures, surgical procedures, and complex coding scenarios in ortho and spine.
Register NowEvaluation & Management Symposium 2026
A deep dive into E/M documentation, MDM, audit risk, and coding accuracy — updated for 2026 AMA guidelines. Essential for coders, auditors, physicians, and APPs.
Register NowInspired Compliance Seminar 2026
A full-day virtual event dedicated to healthcare compliance in 2026. Essential for coders, billers, compliance officers, and practice managers.
Register NowNot sure where your compliance gaps are?
We'll help you find out — fast. Reach out and we'll point you in the right direction. No commitment required.