Tailored Compliance for Government Agencies
Practical guidance to align compliance with your mission.
CMS — Centers for Medicare & Medicaid Services: Oversees Medicare, Medicaid, and CHIP; sets reimbursement rules and healthcare quality standards.
OIG — Office of Inspector General (HHS-OIG): Investigates fraud, waste, and abuse in federal healthcare programs; issues compliance guidance.
HHS— Department of Health & Human Services: Federal department responsible for public health, healthcare regulation, and HIPAA oversight.
OCR — Office for Civil Rights (HHS): Enforces HIPAA Privacy, Security, and Breach Notification Rules.
FDA — Food & Drug Administration: Regulates drugs, medical devices, biologics, and diagnostic equipment.
DEA — Drug Enforcement Administration: Regulates controlled substances, prescriber registrations, and diversion prevention.
CDC — Centers for Disease Control & Prevention: Provides public health guidance, infection control standards, and outbreak response.
NIH — National Institutes of Health: Primary federal research organization for medical science and public health advancements.
AHRQ — Agency for Healthcare Research & Quality: Develops evidence-based guidelines and quality improvement tools.
SAMHSA — Substance Abuse & Mental Health Services Administration: Supports behavioral health programs and substance abuse treatment regulations.
ONC — Office of the National Coordinator for Health IT: Oversees EHR standards, interoperability, and information blocking regulations.
HRSA — Health Resources & Services Administration: Funds rural and underserved healthcare programs; oversees FQHC requirements.
FBI — Federal Bureau of Investigation: Investigates healthcare fraud, cybercrime, and financial crimes.
DOJ — Department of Justice: Prosecutes civil and criminal healthcare fraud and HIPAA cases.
FTC — Federal Trade Commission: Enforces consumer protection, unfair business practices, and data privacy outside of HIPAA.
IRS — Internal Revenue Service: Regulates tax law, nonprofit compliance, and worker classification rules.
DOL — Department of Labor: Enforces workplace laws including FLSA, overtime, and benefits compliance.
EEOC — Equal Employment Opportunity Commission: Enforces anti-discrimination laws in employment.
OSHA — Occupational Safety & Health Administration: Sets safety standards and conducts workplace inspections.
NLRB — National Labor Relations Board: Oversees union activity, collective bargaining, and employee rights to organize.
USCIS — U.S. Citizenship & Immigration Services: Manages I-9 compliance, work authorization, and immigration documentation.
SEC— Securities & Exchange Commission: Regulates publicly traded companies, financial reporting, and securities fraud.
FinCEN — Financial Crimes Enforcement Network: Monitors financial crime, money laundering, and corporate transparency.
CFPB — Consumer Financial Protection Bureau: Protects consumers in lending practices and credit reporting.
EPA — Environmental Protection Agency: Regulates environmental compliance and hazardous waste.
The Joint Commission(TJC): Accredits hospitals and sets safety and quality standards.
DNV Healthcare: Hospital accreditation body focused on ISO-based standards.
NCQA — National Committee for Quality Assurance: Accredits health plans and sets quality measures (HEDIS).
URAC — Accredits specialty programs including telehealth and pharmacy.
AAAHC — Accreditation Association for Ambulatory Health Care: Accredits outpatient care organizations.
CAP — College of American Pathologists: Accredits laboratories ensuring diagnostic quality.
State Medical Boards — License physicians and enforce scope of practice and discipline.
State Nursing Boards — License nurses and regulate practice standards.
MACs — Medicare Administrative Contractors: Process Medicare claims and publish coverage determinations.
AMA — American Medical Association: Publishes CPT® codes and influences billing standards.
CISA — Cybersecurity & Infrastructure Security Agency: Provides cybersecurity guidance and risk alerts for healthcare systems.