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Establishing and implementing necessary structure and procedures
Medicare Compliance Officer advice and consultation
Coordination and cooperation with in-house counsel
Ongoing consultation on a retainer basis
Updating policies, procedures, and forms to meet changing regulatory requirements
Liaison and routine dealings with CMS
Medicare Compliance and Quality Improvement Committee
Performance oversight and Reporting-Legal Issues
Fraud, Waste, and Abuse Policies and Procedures and Control Programs
CMS Monitoring and Reporting Issues
State/Federal Regulatory Issues
Ongoing consultation on a retainer basis
Given the dynamic and ever-changing landscape of CMS Regulatory Guidelines, the firm highly recommends that an ongoing retainer arrangement be established with clients, defining the areas for which the client wishes continuous updates to assure regulatory compliance. This can include specified areas, such as updating of policies and procedures to keep up with amendments of law and regulations, proper operation of programs such as fraud, waste, and abuse controls, and the like.
This will assure availability of counsel in the event of an emergency or other urgent regulatory matter requiring immediate attention, and shorten or eliminate the "learning curve" associated with becoming aware of a particular client's corporate structure and personnel before beginning an emergency assignment. If the firm has already obtained familiarity with the client's corporate structure, and its policies and procedures, then the "startup" time associated with addressing a particular issue will be minimized, and proper remedial action can be taken more quickly and efficiently.