HHS OIG Work Plans February 2024 Update
SunHawk Consulting, LLC is excited to announce the February 2024 updates to its HHS OIG reports. Every year HHS OIG Office of Audit Services and Office of Evaluation and Inspections conducts around 300 audits and evaluations. The OIG Work Plan outlines different...
Martin Biegelman on Conflicts of Interest
SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Phoenix Basic Compliance & Ethics Academy on February 29 in Phoenix, AZ. Don't miss out on Martin's presentation on CONFLICTS OF INTEREST. The...
Getting a Thumbs Up from the Agency CISO – A Case Study in Security Focus and Execution – Dave Fairburn
SunHawk Consultng is pleased to announce Dave Fairburn and Jennifer McCallister's Case Study in Security Focus and Execution: "Getting a Thumbs Up from the Agency CISO". The study will be presented virtually at SCCE Government Contracting Compliance & Ethics...
The Evolution of the Standards – James Rose
In January 2024, the IIA released an update to the International Professional Practices Framework, including new Global Internal Audit Standards. In this session, you will gain insights into the new Standards from James Rose, a member of the International Internal...
Corporate Integrity Agreement Summary Report January 2024 Update
The United States Government requires Corporate Integrity Agreements (CIA) for health care Providers, Payers and Life Science companies when settling allegations of false claims related to quality of care or corporate integrity issues, against various Federal health...
Martin Biegelman on Conflicts of Interest
SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Basic Compliance & Ethics Academy on November 16, 2023 in Denver, CO. Don't miss out on Martin's presentation on CONFLICTS OF INTEREST. The...
HCCA Board & Audit Committee Compliance Conference Roundup
Our experts - James Rose, Martin Biegelman, and Nancy Roht - had a fantastic time speaking at this year’s HCCA Board & Audit Committee Compliance Conference! The SunHawk team would like to thank the HCCA and all the attendees who made the conference a great...
HCCA Board & Audit Committee Compliance Conference
SunHawk Consulting, LLC is excited to announce that three of our experts - James Rose, Martin Biegelman, and Nancy Roht - will be presenting at the HCCA Board & Audit Committee Compliance Conference on October 23rd and 24th, 2023. THE SPEAKING...
Developing an Audit Engagement Scope and Approach – Transaction and Control Testing
Interested in advancing your audit skills and developing an audit engagement scope? SunHawk Managing Director James Rose, along with Sara E. Coverstone, Chief Compliance & Privacy Officer, Northern Arizona Healthcare, are presenting at HCCA on October 19!...
Consequences of Insufficient Due Diligence in Medical Practice Acquisition
SunHawk Consulting, LLC is excited to announce that Lorraine Aniello and Leah Lane will be presenting on the topic of "A Case Study in Consequences of Insufficient Due Diligence in Medical Practice Acquisition" at the Clinical Practice Compliance Conference, which is...
Ripped from the Headlines: When Boards Fail in Their Oversight Role
SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE 22nd Annual Compliance and Ethics Institute. Don't miss out on Martin's presentation "Ripped from the Headlines: When Boards Fail in Their Oversight...
Martin Biegelman on Conflicts of Interest
SunHawk Consulting, LLC is excited to announce that Managing Director, Martin Biegelman will be presenting at the SCCE Basic Compliance & Ethics Academy on September 14, 2023 in Boston, MA. Don't miss out on Martin's presentation on CONFLICTS OF INTEREST. The...
Auditing Controls versus Transactions – A Case Study
SunHawk Consulting, LLC is excited to announce that Managing Director, James Rose will be presenting at the 2023 September Auditing & Monitoring Conference on September 6, 2023 The presentation will be a case study on AUDITING CONTROLS VERSUS TRANSACTIONS You Will...
Fraud and Collaboration with Clinical and Medical Coding Teams
SunHawk Consulting, LLC is excited to announce that Lorraine Aniello and Leah Lane will be presenting on the topic of "A Healthcare Study in Fraud and Collaboration with Clinical and Medical Coding Teams" at the Clinical Practice Compliance Conference, which is being...
“RISK” in Risk Adjustment
In our previous article, we explained how Risk Adjustment is a “partnership” between the patient, the provider, the insurance plan (Plan), and the governmental entity. So, which partner in this process holds the “risk”? Governmental Entity: The governmental entity has...
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SunHawk Consulting specializes in professional consulting services and has a team of highly skilled subject matter experts with substantial backgrounds in:
* Healthcare Compliance: Statistical Sampling, Medical Coding Audits, Healthcare Compliance Programs, Evaluation of Compliance Programs and Risk Assessments, HIPAA Compliance Risk Assessments & Training, Corporate Integrity Agreement (CIA) Board Advisor, Independent Review Organization (IRO) Services, Interim Healthcare Compliance Support, Physical Security Assessment, Design and Implementation of Sunshine Act Compliance Programs, Enterprise Risk Management Optimization, Governance, Risk and Compliance (GRC) System Support, Electronic Health Record (EHR) System Implementation, Outsourced Audit Function Support, Medical Risk Adjustment Compliance (Medicare, Medicaid, Commercial), Policy, Procedure, Internal Control Development and Evaluation, FedRAMP Compliance;
* Corporate Investigations: Fraud Investigations and Forensic Accounting, Anti-money Laundering (AML), Bank Secrecy Act (BSA), Know Your Customer (KYC), Foreign Corrupt Practices Act, Third-party Due Diligence;
* Corporate Compliance: Evaluation and Design of Corporate Compliance Programs, Interim Compliance Support, Compliance Risk Assessments, Physical Security Assessment, Enterprise Risk Management, Private Equity Governance, GRC System Support, Audit Function Support, Fraud Risk Assessments, Investigations Program Assessment and Enhancements, Qui Tam Investigations, Hot Line Support;
* Litigation Disputes: Complex Litigation and Disputes, Mergers and Acquisitions: Regulatory Due Diligence, Expert Witness, Statistical Analysis, Healthcare Payment Disputes, Litigation Support, Physical Security Assessment, Neutral Party Data Analysis.