What We Do · Retainer-Based

Regulatory & Compliance Oversight

Survey-ready, every day — without the management-company price tag.

Retainer-based — we’re part of your team. As an extension of your staff, we can be in the room and speak on your behalf during surveys in a way an outside firm never could.

This is the heart of what we do. We build compliance into your day-to-day operations so your ASC stays aligned with CMS, state, and accreditation standards—with no cookie-cutter checklists in sight. Because it’s retainer-based, we work as part of your team, your embedded compliance department, not an outside firm reviewing from a distance.

Policy & Procedure Oversight

  • Full annual policy manual review
  • Real-time updates based on new standards
  • Policy customization and formatting help
  • Accreditation-focused document preparation

Governing Body & Leadership Support

  • Quarterly meeting planning & participation
  • Help with agenda creation and minutes
  • Tracking board responsibilities & compliance
  • Coaching for Medical Directors and board members

Regulatory Compliance Monitoring

  • Frequent check-ins (virtual or onsite)
  • Onsite rounding & follow-up visits
  • Annual goals and corrective-action planning
  • Real-time support during CMS/state/accreditation surveys

Education & Mentoring

  • 1:1 coaching for administrators and DONs
  • Custom orientation on accreditation & CMS regulations
  • Ongoing training to interpret standards

Mock Surveys & Readiness Audits

  • Full and focused mock surveys
  • Actionable findings with remediation plans
  • Survey-readiness coaching for frontline staff
  • Follow-up loop-closure support

Who this is for

Is this you?

  • ASCs without dedicated compliance personnel
  • New administrators finding their footing
  • Centers preparing for an accreditation survey
  • Facilities transitioning away from a management company
  • Teams that want oversight without micromanagement

Ready for an embedded compliance partner?

Tell us where you are and we’ll follow up personally—no obligation.