Products and Services
The van Halem Group’s experience provides our clients with the benefit of remaining compliant and knowing how to navigate government and private healthcare payors and their complex processes. In addition to the services below, we also provide assistance with enrollment issues, compliance investigations, on-site assessments, Corrective Action Plans, expert and consulting witness services, hospice medical review, and more.
Proactive Services
Our proactive services are designed to prepare and protect your business from risk. These types of services include prescreen claim reviews, audits, risk assessments, education and training, and monthly compliance packages. Learn More
Reactive Services
Our reactive services are designed to help resolve and correct issues while minimizing any negative impact on your organization. Reactive services include, but are not limited to audit response solutions, appeal preparation, enrollment issues, compliance investigations, on-site assessments, Corrective Action Plans, expert and consulting witness services, and more. Learn More
HIPAA Compliance
The van Halem Group offers a variety of HIPAA Compliance support services to ensure your organization is compliant with HIPAA rules and regulations. Whether you need to implement a HIPAA compliance program, complete a Security and Risk Assessment (SRA), audit your current HIPAA compliance program, or even need assistance with an Office for Civil Rights (OCR) audit or investigation, our team can help. Learn More
Competitive Bidding Consultative Services
If you are interested in the program and want to determine if a bid submission is right for your organization we can help! The van Halem Group offers consultation services related to Competitive Bid topics. Learn More
PDAC Verification Requests
Submitting a request to the PDAC for coding can be a complicated process. The van Halem Group makes it simple. Our team of experts can provide guidance and assistance as you navigate the PDAC Coding Verification process. Learn More
New DMEPOS Provider Services
Is your home medical equipment business new to DMEPOS? The van Halem Group has services to help you get started in the industry. Learn More
Due Diligence Audits
The van Halem Group offers a two-pronged approach to due diligence reviews. The first is an independent external audit for our clients who want to be certain their investments are sound and the target organization is compliant with Medicare, Medicaid, or commercial payor coverage policies. The second prong is an assessment of the target’s HIPAA and Reimbursement compliance activities to assure that their compliance program is well-designed and being applied earnestly and in good faith. Our due diligence reviews are an excellent tool to assess transaction risks, identify best practices, internal controls, and corrective actions.
Revocation Assistance
Compliance with supplier standards is essential to protect your Medicare enrollment and payor agreements. Revocation of your billing privileges, exclusion from the Medicare and Medicaid programs, and even denials to enrollment are all potential outcomes a provider can encounter if they fail to report changes or update required information.
The van Halem Group is committed to offering services that address these concerns and protect your organization. Our team of experts can help you manage your provider enrollment, address, and resolve compliance and audit issues, and even provide education and training to your staff so that they better understand the importance of properly managing licensure and accreditation.
And if your organization is in trouble, we can help! Our team can develop a corrective action plan (CAP) to correct identified deficiencies and, when appropriate, submit a Reconsideration to the provider enrollment contractor.