Enterprise Risk Management & Internal Audit

Effectively managing risk across the organization

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An organization's ability to proactively identify and manage risk is tantamount to success. The one constant that can be relied upon in the healthcare industry is change. As such, guarding against the complexities of regulatory compliance while ensuring financial stability, operational efficiencies and adoption of technological advancements should be top of mind for healthcare executives. Federal Sentencing Guidelines reinforce the need for an effective compliance program. A key element of which is driven by the organization's ability to demonstrate an auditing and monitoring program constructed in a manner which continually assesses, identifies and addresses risk areas specific to the healthcare entity's strategy and mission.

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A Continuous Process

Risk assessment should be a continuous process which is leveraged by management and governance in making informed decisions, implementing safeguards and controls and improving quality and safety. Relevant industry-specific high-risk areas, such as those identified in the OIG Work Plan, should be selected as focal points. Rather than a "one size fits all" boxed solution, our team:

  • Identifies risks tied to your individual organization's specialty, strategy and mission
  • Serves as an extension of your enterprise risk management department, whether for assistance to develop an annual work plan or to co-source the audit functions required to get the job done
  • Delivers independent and objective assessment and recommendations on best practices in risk identification and mitigation strategies
  • Develops a prioritized risk register based on the severity level of weaknesses and deficiencies identified
  • Provides detailed reports and presentations that can be used to build a case with executive leadership, governance and board-level audiences to gain support for corrective action and remediation efforts
  • Conducts follow-up assessments and investigations in response to internal or external allegations of risk or misconduct

With over 200 years of relevant experience in the healthcare industry, our Risk Assessment team members' credentials include:

  • Accredited in Business Valuation (ABV)
  • Accredited Senior Appraiser (ASA)
  • Certified Coding Specialist (CCS)
  • Certified Fraud Examiner (CFE)
  • Certified in Financial Forensics (CFF)
  • Certified in Healthcare Compliance (CHC)
  • Certified Healthcare Internal Audit Professional (CHIAP)
  • Certified Internal Auditor (CIA)
  • Certified Insolvency & Restructuring Advisor (CIRA)
  • Certified Information Systems Auditor (CISA)
  • Certified Professional Accountant (CPA)
  • Certified Professional Coder (CPC)
  • Juris Doctor (JD)
  • Registered Nurse (RN)