Health Care

Securing sensitive personal and medical information demands a holistic HIPAA compliance program seamlessly integrated into the organization's operations. Our proactive approach, grounded in decades of hands-on experience, provides tailored HIPAA compliance solutions. This includes program development, audits, assessments, investigations, and thorough training.

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With a blend of legal acumen and practical know-how, our consultants have guided clients through HIPAA compliance since the regulations' inception in the late 1990s. We emphasize that a mere "check-the-box" approach is insufficient.

 

BG Pivot is recognized for crafting robust HIPAA compliance programs, conducting personalized audits, and assisting in breach investigation and remediation. Thanks to our proactive approach, our clients experience fewer investigations and violations compared to other entities. We take pride in our track record, as virtually all clients facing complaints

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HIPAA Trainings

Achieving HIPAA compliance requires a dual approach, combining top-down and bottom-up strategies. Training serves as a pivotal driver in fostering a culture of compliance. We offer comprehensive training opportunities, both onsite and virtually, ensuring that our clients' workforces thoroughly grasp and adeptly implement HIPAA policies and procedures.

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Our training options encompass general HIPAA courses for the entire workforce and specialized courses tailored for employees closely engaged in daily compliance management. We deliver in-depth training for HIPAA privacy officers, focusing on their pivotal role in overseeing individual rights processes, managing the training program, and handling breach investigation, notification, and remediation.

We support health care providers across the nation in upholding medical staff compliance. Our services range from establishing accurate governance structures and implementing effective quality processes to supporting fair hearing procedures and providing educational assistance. By navigating evolving laws, we ensure our clients maintain compliance while optimizing their resource utilization.

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Medical Staff Documents

We collaborate closely with medical staff leadership and administration, facilitating a tailored and compliant document creation process for each hospital or health system. Our expertise extends to addressing health system-specific challenges, ensuring consistency in documents, processes, and the establishment of joint committees.

Our consultants assist clients with the following:

• Review and modify medical staff bylaws, policies, and procedures for compliance with Medicare conditions, relevant laws, and accrediting entity standards.

• Conduct system-wide assessments of medical staff governing documents and processes.

• Recommend standardization across system hospitals.

• Offer critiques for internal work plans to discuss and revise bylaws and policies.

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Fair Hearing Support

Our consultants possess extensive expertise in managing medical staff affairs and conducting fair hearings. With a deep understanding of the intricacies of medical staff bylaws, fair hearing processes, procedural due process standards, and citizenship expectations, we offer comprehensive services:

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• Provide impartial guidance to physician hearing panels

• Negotiate, mediate, and manage conflicting interests to ensure an objective and defensible process

• Coach and educate various stakeholders, including practitioners, medical staffs, advanced practice providers, office professionals, and quality staff, on individual roles and hearing process expectations

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In addition, our presiding and hearing officers assist clients with the following:

• Manage the entire hearing process in line with medical staff bylaws and relevant laws

• Coordinate with medical executive committee attorney representatives, medical staff, and quality offices

• Conduct onsite hearings

• Prepare reports, recommendations, or other required documents