Our Firm

Compliance without complexity.
Leadership without overhead.

We partner with healthcare organizations to build compliance programs that hold up under scrutiny — without creating bureaucracy that slows your team down.

CMS Conditions of Participation
Joint Commission Standards
HIPAA & Privacy Governance
CDPH Licensing & Certification
How We Work

Our Approach

Three integrated pillars — each necessary, none sufficient alone. Together, they build a compliance posture that survives scrutiny and scales with your organization.

01

Strategic Guidance

We help leadership understand where the real risk lives — and build compliance roadmaps that are proportionate to actual exposure, not boilerplate frameworks copied from the internet.

  • Regulatory landscape assessment
  • Compliance program design
  • Board & executive advisory
  • Custom governance frameworks
02

Operational Execution

Strategy means nothing without execution. We work alongside your team to implement the policies, processes, and controls that make compliance durable — not a quarterly fire drill.

  • Policy & procedure development
  • Staff training & competency programs
  • Survey readiness & mock audits
  • Credentialing program oversight
03

Risk Governance

Risk that isn't measured is risk that isn't managed. We implement systematic approaches to identify, prioritize, and mitigate exposure — with the documentation to prove it.

  • Risk assessment & prioritization
  • Root cause analysis
  • Incident response & remediation
  • PI / QAPI program design
Our Clients

Who We Serve

We've worked with healthcare organizations across the regulatory spectrum — from independent clinics navigating their first CMS survey to multi-site health systems with decades of compliance infrastructure.

Hospital Systems

From critical access hospitals to integrated delivery networks — navigating CMS Conditions of Participation, The Joint Commission, and state survey processes with minimal disruption to care delivery.

Ambulatory Surgery Centers

ASC accreditation prep, CMS deeming authority compliance, and state licensing — with a focus on the practical workflows that keep staff compliant under real conditions.

Home Health Agencies

Medicare-certified home health compliance, OASIS review readiness, and state survey preparation — built for the unique accountability structure of community-based care.

Rehabilitation Providers

CARF accreditation, CMS compliance for IRF and SNF settings, and program integrity prep — for organizations where compliance directly affects reimbursement.

The People Behind the Practice

Our Team

Experienced compliance and risk professionals with backgrounds spanning CMS regulations, HIPAA, Joint Commission accreditation, and healthcare operations. We bring the depth of a Big Four consultancy at a fraction of the cost — with the responsiveness that only a focused firm can offer.

SL

Senior Compliance Advisor

CMS Conditions of Participation · Joint Commission · Board Reporting

15+ years designing and leading compliance programs across acute care, behavioral health, and outpatient settings. Deep experience with CDPH survey preparation and CMS enforcement response.

MR

Risk & Quality Director

Risk Assessment · PI/QAPI · Root Cause Analysis · Credentialing

Background in healthcare quality management and clinical operations with a track record of building PI programs that satisfy Joint Commission standards and drive measurable outcomes.

KT

Regulatory Affairs Specialist

HIPAA · Privacy Governance · State Licensing · Accreditation Prep

Specializes in the intersection of federal privacy requirements and state regulatory obligations — with hands-on experience supporting organizations through HIPAA audits and state licensing surveys.

Let's talk about where your organization stands.

No sales pressure — just a direct conversation about what kind of support makes sense for your situation.

Office
Los Angeles, CA — remote-first