Compliance Overview

Alturnative offers an array of compliance and ethics services to Managed Care Organizations, Health Insurance Marketplace organizations, healthcare providers, and wellness organizations and employee wellness programs.   

For our healthcare clients, our services include risk management, program assessments, compliance program development, policy and procedure development, managing and responding to regulatory actions, staff and executive level compliance training development. Some of our services may be offered remotely.  When required, we serve as an onsite compliance team member, interim compliance officer, or facilitator of onsite face-to-face training.

We assist employers in developing compliant worksite wellness programs. Our services encompass initial design, compliance reviews of existing programs, advisory services related to program operations, and the development of policy and procedures to ensure compliance.

Compliance Services

Privacy Services

Assessment - HIPAA and MARS–E Readiness and Gap Assessment 

Drafting - HIPAA Policy & Procedure Development, and important documents for management of breaches. 

Business Associates - Development of guidelines and protocols for management of Business Associate relationship, including agreements, tracking, oversight, training, and transmission of data.

Training - HIPAA/Privacy Training 

Monitoring – Design and Implement Privacy Monitoring Program 

Staffing - Interim or Part-time Privacy Officer

Compliance & Ethics Program Services 

Assessment - Compliance & Ethics Risk Assessment 

Program Development and Enhancement - Compliance Program Development and Implementation, and Compliance Monitoring 

Drafting - Compliance Policy & Procedure Development, and Code of Conduct and Ethics Development 

Training – Compliance and Fraud, Waste & Abuse Training 

Monitoring – Design and Implement Compliance Program Monitoring Program 

Delegated Entity Oversight – Evaluate, Structure and Implement Development of Delegated Oversight Committee and Program; Compliance with CMS Delegation  Regulatory Requirements

Technology Solutions- Compliance Technology Solutions Advisory Services 

Staffing - Interim or Part-time Compliance Officer (Manage day to day compliance functions, conduct complaint investigations, establish a culture of compliance, prepare board reports and conduct compliance meetings) 

CAP, Audit and Readiness Services 

Assessment – Audit Readiness and Gap Assessment 

Audit - Audit Oversight and Readiness Assessment 

Management - Corrective Action Plan Development, Management and Implementation 

Staffing – Regulatory Liaison