The healthcare industry is experiencing seismic shifts as technology, policy, and transaction activity ebb and flow. With these upheavals comes the need for modernized compliance practices that reduce healthcare organizations’ risks of penalties while empowering strategic growth and sustainable operations. Staying ahead of the changing compliance landscape means significant savings, audit risk reduction, successful transactions, and efficient quality reporting.
VMG Health offers comprehensive compliance services—from FMV opinions and coding audits to transaction support and staff training—backed by experienced experts and technology-driven strategies that reduce costs and align operations, finance, and regulation. Because our firm is focused solely on healthcare, we are uniquely qualified to support healthcare organizations through compliance challenges across all sectors.
The Cost of Non-Compliance
Noncompliant billing, coding, and documentation can lead to more than just financial penalties: Healthcare organizations may face reputational damage, operational disruption, and compromised patient care. Even with strong internal effort, outdated compliance processes can create significant financial strain.
For example, an academic institution found itself incurring significant financial losses due to ineffective compliance practices. VMG Health stepped in, armed with Compliance Risk Analyzer®, to provide a statistical analysis of the organization’s audit risk for 100% of claims submitted by physicians. With Compliance Risk Analyzer and VMG Health’s team of coding and compliance experts, the initiative led to estimated savings of $310,000 for the institution.
Cases like these emphasize the importance of proactive (not reactive) compliance strategies.
Business Valuation: Transaction Support & FMV
Valuations for mergers and acquisitions, joint ventures, and equity arrangements must withstand regulatory scrutiny and be consistent with FMV. Our experts’ specialized healthcare knowledge is essential for determining defensible valuation opinions. Without industry- and sector-specific expertise, transaction valuations are more vulnerable to risk, regulatory audit, and even losing the ability to provide Medicare services.
VMG Health’s lifelong dedication to only healthcare means our clients can expect unmatched quality, expert guidance, and responsiveness. We support healthcare organizations across regulatory compliance, reimbursement, technology, market trends, and more. Using income, market, and cost approaches, we deliver precise, defensible valuations aligned with your strategy and regulatory requirements.
FMV & Commercial Reasonableness Analyses: Compensation Arrangement Risk
Healthcare compliance goes beyond billing and coding. Ensuring physician compensation and service arrangements align with fair market value and commercial reasonableness is paramount to maintaining compliance. Physicians and organizations must understand that they enter into financial agreements at their own risk. Stark Law is a statute that does not require intent to result in a violation, which poses risk even for those acting in good faith.
VMG Health’s team of experts has designed FMV-MD,® a cutting-edge software backed by hands-on, expert guidance to streamline compliance and reduce risk. FMV-MD standardizes the valuation management process with transparent valuations and risk modeling technology that empowers healthcare leadership with confidence in their provider arrangement process, an expanded compliance bandwidth, and streamlined compensation models.
Coding Audits: Precision Matters
VMG Health understands that hospital management is rife with repetitive tasks that open the door for costly mistakes. Our healthcare compliance consultants provide a personal touch to your compliance needs, offering a holistic approach with suggestions tailored to each client’s unique needs. We provide a thorough review of our clients’ billing, operational, and documentation processes, identifying areas for improvement and implementing workflow strategies that boost productivity and ensure optimal efficiency.
At VMG Health, we empower our clients to unlock success and move forward with confidence. That’s why our experts provide customized staff training and AI-powered solutions like Compliance Risk Analyzer for lasting change that drives operational efficiency, maximizes revenue integrity, and helps your organization face compliance with confidence.
Turning Risk Into Resilience
In a healthcare environment undergoing significant upheavals, maintaining compliance is as much a strategic investment as it is a financial one. While revenue integrity and avoiding costly mistakes and penalties is crucial, so too is the need for scalable and sustainable solutions that power strategic growth and operational efficiency. At VMG Health, we embed compliance into everyday operations. Our mission is to build tailored compliance programs that give healthcare organizations the actionable insights they need and a partner they can trust.
With 30 years of dedication to only healthcare, VMG Health is the trusted partner supporting clients in mitigating risk and achieving sustainable success.
