Compliance and fraud defense for healthcare and life sciences.
Providers, payers, and life-sciences companies face HIPAA, billing-integrity, and anti-kickback exposure where the financial-crime and regulatory risks overlap.
Regulatory landscape
Healthcare organizations must protect patient data, bill with integrity, and avoid improper financial relationships — under aggressive enforcement.
- HIPAA / HITECH
- False Claims Act
- Anti-Kickback (AKS)
- Stark Law
- Billing Integrity
- FDA / GxP
- Medicare/Medicaid
Sector risk hot-spots
The exposures we see most often in this sector.
- Billing and coding fraud and overpayment exposure
- Improper referral and kickback arrangements
- PHI privacy and breach risk
- Third-party and vendor integrity
Watchdog + consultant. We both detect issues through independent oversight and advise on building the controls that prevent them.
How NRCCG helps
Billing Integrity
Detection and prevention of billing and coding fraud.
Privacy & Security
HIPAA program assessment and remediation.
AKS / Stark
Controls over financial relationships and referrals.
Audits
Independent compliance audits and corrective action.
Strengthen compliance in Healthcare
Get a sector-specific read on your regulatory and financial-crime exposure.
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