Compliance Program Development
We design and support implementation of customized compliance program structures aligned with CMS Conditions of Participation and applicable state regulations.
Services include:- Policy and procedure development
- Compliance program structure and oversight frameworks
- L-Tag crosswalk alignment
- Staff education and implementation support
Regulatory Audit Preparation and Response Support
We assist organizations in preparing for surveys and responding to audit activity using a structured, risk-based approach.
Services include:- Mock surveys and readiness assessments
- TPE, UPIC, and ADR response support
- Identification of documentation and operational risk areas
- Corrective action planning and tracking
Clinical Documentation and Chart Review
We perform structured reviews of clinical documentation to evaluate accuracy, completeness, and alignment with regulatory requirements.
Services include:- Eligibility and certification documentation review
- Plan of Care and IDG documentation review
- Pre-bill and post-bill documentation review
- Identification of documentation-related risk areas
Compliance Statement: All reviews are conducted for compliance and documentation purposes and do not replace physician judgment or clinical decision-making.
QAPI Program Design and Advisory
We assist organizations in developing and maintaining QAPI programs that are structured, measurable, and aligned with regulatory expectations.
Services include:- KPI development and tracking
- Performance monitoring frameworks
- Root cause analysis and corrective action support
- Governing body reporting structure
Operational Assessments and Risk Reviews
We evaluate operational processes to identify areas of compliance risk and opportunities for improvement.
Services include:- Workflow and process review
- Staffing and productivity evaluation
- Revenue cycle and documentation alignment review
- Identification of operational risk areas
Compliance Reporting Line
We provide a structured Compliance Reporting Line designed specifically for hospice organizations, offering a confidential, independent channel for employees, contractors, and stakeholders to report concerns related to patient care, workplace practices, and regulatory compliance.
Reporting may include:- Patient neglect, abuse, or exploitation
- Fraud, waste, and abuse
- Workplace violence, harassment, or HR-related concerns
- Compliance or ethical concerns
- Operational or safety issues
Key features include:- Independent, third-party reporting channel
- Confidential and anonymous reporting options
- Multi-channel access (phone, online portal, and other options as configured)
- Structured workflows to route concerns to appropriate leadership
- Documentation and tracking to support follow-up, QAPI integration, and compliance monitoring
Program support includes:- Policy and procedure alignment for reporting and non-retaliation
- Integration with compliance and QAPI programs
- Development of tracking logs and documentation practices
- Leadership guidance on oversight and response processes
- Customizable employee communication materials to support program rollout
Leadership, Staff Development, and Training
We provide practical, role-specific training and leadership development designed to strengthen accountability, support compliance, and improve day-to-day operational performance.
Formats include:- Webinars and virtual sessions
- On-site training
- Leadership and governing body education
Areas of focus include:- Survey readiness and regulatory expectations
- Documentation standards and role-specific accountability
- QAPI responsibilities and performance oversight
- Workflow optimization and interdisciplinary coordination
- Compliance fundamentals and risk awareness
- Role clarity, job expectations, and accountability structure
- Leadership development for administrators, directors, and managers
- Integration of clinical, administrative, and billing functions
- Staff onboarding processes and training program development
On-Site Consulting Support
We provide on-site consulting services for organizations seeking focused support with compliance, documentation, and operational processes.
Services may include:- Compliance-focused review of clinical documentation
- Staff education and coaching
- Survey preparation support
- Implementation of corrective action plans
- Development of tracking tools and audit logs to support compliance monitoring
- Guidance on maintaining required documentation and evidence for survey and audit review
- Support in establishing documentation that reflects governing body and leadership involvement
Services Scope Statement
Hospice Compliance Partners provides structured consulting services including compliance program development, documentation review, audit preparation support, QAPI advisory, and operational assessments.
Services are advisory in nature and are designed to assist organizations in identifying areas of risk, strengthening internal processes, and improving regulatory alignment. Services do not involve direct patient care or patient interaction.
Hospice Compliance Partners does not assume responsibility for the organization's compliance program, billing practices, clinical decision-making, or regulatory outcomes.