Regulatory Compliance

Safeguarding Your Organization Through Proactive Oversight

With HIPAA enforcement, medical coding changes, and payer audits on the rise, compliance is no longer optional. Dagger Healthcare builds and maintains audit-ready, risk-reducing compliance strategies tailored to your healthcare organizational delivery model.

  • Medical Coding Audits

    Ensure Accuracy. Minimize Risk. Protect Revenue.

    Accurate clinical coding drives compliance, proper reimbursement, risk adjustment accuracy, and audit readiness. We provide independent, in-depth audits using a two-tier review process to assess provider, practice, or facility documentation against current coding and regulatory standards. All audits are performed by certified professionals—each with over five years of experience and credentials including CPC, CPMA, and CRC.

  • Documentation Improvement

    Stronger Documentation. Better Defense. Higher Reimbursement.

    Clinical documentation directly impacts coding, compliance, and quality scores. Our Documentation Improvement services are led by certified professionals who help your team create records that support medical necessity, coding accuracy, and precise risk scoring. With credentials such as CPC, CPMA, and CRC, our experts ensure your documentation meets regulatory standards and enhances performance outcomes.

  • Compliance Services

    Leadership When You Need It Most.

    Dagger Healthcare Solutions supports organizations in meeting the seven elements of an effective compliance program, as outlined by the OIG and Federal Sentencing Guidelines.

    Our Certified Healthcare Compliance professionals help develop and implement policies, procedures, and ongoing activities that meet regulatory and payer requirements. We also offer Fractional and Interim Compliance Officer services—providing expert leadership without the need for full-time staffing.

  • Credentialing & Re/Credentialing

    Keep Your Contracts Active. Keep Your Revenue Flowing.

    Credentialing and recredentialing are critical to maintaining payer contracts and ensuring uninterrupted revenue streams. Dagger Healthcare Solutions simplifies this complex, time-consuming process for providers, facilities, and pharmacies.

  • Internal Auditing & Monitoring Tools

    Real-Time Visibility. Continuous Readiness.

    Compliance isn’t a “one-and-done” effort. Dagger Healthcare Solutions equips you with internal auditing and monitoring tools to maintain compliance visibility across all departments—year-round.

  • Training & Education Programs

    Empower Your Team. Strengthen Your Compliance Culture.

    An educated team is your first line of defense against compliance breaches. Our customized Training & Education Programs deliver practical, role-specific learning that empowers your providers, coders, administrators, and leadership teams.

Don’t Let Compliance Issues Keep You Up at Night

Compliance gaps don’t just create risk—they can stall growth, strain departments, and damage your reputation. At Dagger Healthcare Solutions, we identify vulnerabilities, resolve issues, and put safeguards in place—before fines, audits, or lost revenue threaten your operations.

  • No dedicated Compliance or Privacy Officer on staff

  • Cited for documentation or coding errors

  • Missed revenue from credentialing revalidation delays

  • Uncertainty around required compliance training and updates

Let us help you stay compliant, confident, and focused on care.