Healthcare Compliance and Monitoring

Healthcare Compliance and Monitoring

Healthcare Compliance and Monitoring Services have been in increasing demand since the enactment of the Bankruptcy Abuse Prevention and Consumer Protection Act of 2005 (BAPCPA), which provided additional protection to patients of nursing homes, hospitals, clinics, and other health-related entities which have filed for bankruptcy relief. Section 333 of the U.S. Bankruptcy Code now requires that the Office of the U.S. Trustee appoint a “disinterested” patient care ombudsman for every “health care business” in Chapter 7, 9, and 11, unless the court finds appointment unnecessary “for the protection of patients under the specific facts of the case.”

As the appointed Patient Care Ombudsman (PCO) and the PCO’s Medical Operations Advisor, our Professionals provide quality, detailed monitoring and reporting on the quality of patient care. Our Professionals have a unique combination of forensic, operational, and clinical care experience to properly determine the appropriateness of patient care, which serves as a foundation for the comprehensive monitoring of patient care provided by the Debtor.

Our knowledge and experience in the health care industry provides the Court, as well as all interested parties, an understanding of the quality of care of each Debtor by:

  • Evaluating the quality of patient care at each of the Facilities.
  • Assessing the Debtors’ ability to maintain quality care, licensing, and accreditation, as well as their continued diligence.
  • Understanding the impact of state and federal legislation.
  • Providing critical analysis of current health care reimbursement to the Debtors’ financial condition
  • Providing a concise and clear understanding of the impact of the pending bankruptcy on the Debtors’ operations.
  • Comprehensive reporting to the Court and interested parties.