AuditsEnsuring regulatory compliance in a time of uncertainty.

business, office, law and legal concept - picture of man and woman hand signing contract paper

Checks & balances to better manage risk

The transformation of healthcare continues in an ever-changing regulatory environment. Organizations must continually re-examine processes to ensure regulatory and contract compliance. Physician alignment is a major area of concern for hospitals and health systems as new physician arrangements and the complexity of contracts can significantly elevate risk.

Physician compensation is among one of the most common risks related to regulatory compliance. Problems often arise due to poorly designed or inefficient internal controls. Contract terms may not be satisfied, resulting in legal issues related to Stark Law, anti-kickback, fraud and abuse statutes. Financial, legal and reputational consequence can arise as well.

With the intense scrutiny on physician compensation arrangements by the DOJ and OIG, random audits of physician contracts, which include pay for performance dollars, can identify vulnerabilities and opportunities to better mitigate risk. Dynafios provides objective, credible and timely auditing to assess and mitigate compliance risk. Our multi-disciplinary approach provides thorough and complete oversight and direction to internal processes. Dynafios analyzes internal processes and controls to identify inefficiencies in workflows—inefficiencies that misalign with strategy and contract terms. We then provide recommendations to bridge gaps to reduce risk and improve contract compliance.

Dynafios takes a structured approach to:

  • Randomly select a statistically significant number of pay for performance contracts to audit
  • Clarify workflows, roles and responsibilities
  • Ensure completeness and alignment of all documentation (e.g.; contracts, payments, supporting documents, fair market value)
  • Review and reconcile all supporting documents and physician payments
  • Link physician performance and payments to contract terms
  • Report findings including detailing issues and recommendations for improvement

Don’t let risk manage you; rather, implement controls to elevate compliance. Contact Dynafios about our auditing services to ensure you and your organization are fully compliant. Call 887.858.3282 today.

How can we help you?

Contact Dynafios by calling 877.858.3282 or submit an inquiry online.

“We had longstanding issues with our cardiac surgeons practicing independently instead of as a team. Each had their own practice patterns. With the help of Dynafios, we achieved a common set of supplies and orders which improved our overall performance.”

Edmundo Castaneda
President, Mercy General Hospital
LIMITED TIME OFFER!
Get a FREE Consultation
For a limited time, we will help you gain an inside look into your clinical and financial performance metrics.
GET CONSULT
Your information is safe with us, we promise!
close-link
EXCLUSIVE ACCESS!
Get a FREE 4CAST Demo
For a limited time, we will help you gain an inside look into your clinical and financial performance metrics.
REQUEST DEMO
Your information is safe with us, we promise!
close-link
EXCLUSIVE ACCESS!
Get a FREE TRACE Demo
For a limited time, we will show you step-by-step how you can save time, money and ensure compliance with your physician agreements.
REQUEST DEMO
Your information is safe with us, we promise!
close-link