Successfully Navigating Health Care Reform Vol. 1 | Page 8

Experience the

Brown Smith Wallace Difference
Regulatory
Compliance
The health care and nuclear power industries are the
two most regulated industries in the US. One key
differentiator is that the nuclear industry has a single
regulatory body, while health care has several at the
state and Federal levels. Therefore, being able to
understand the complexity of the regulations while
mitigating the related risk and striving for compliance,
is essential within the Health Care industry.

Health Care
Construction Services
Regulatory compliance can include several
operational areas including clinical, financial, and
system infrastructure either in isolation or as a
collective of the overall business enterprise. The
Brown Smith Wallace team of clinical, financial,
operational and information technology experts
are available to assist you in the development,
measurement and implementation of the following:
• Patient Protection and Affordable Care Act
(PPACA)
• Survey preparedness
• Patient Centered Medical Homes
• Accountable Care Organizations (ACOs)
• Quality measure abstraction
• Value Based Purchasing (VBP)
• Health Insurance Portability and Accountability
Act (HIPAA)
• Health Information Technology for Economic and
Clinical Health Act (HITECH)
• Healthcare Effectiveness Data and Information
Sets (HEDIS)
• Quality Assurance and Performance
Improvement (QAPI)
• Payment Card Industry (PCI)
• Physician Quality Reporting System (PQRS)
• Hospital and Physician Compare metrics

Our team of advisors works as an integral part of
the project team to effectively monitor and control
construction project costs. We take the necessary,
detailed financial review of your health care
construction project and your construction contracts
to verify that project costs are supportable, accurate
and comply with the terms of the contract.
We provide services throughout the lifecycle of
capital projects. Our expertise includes construction
audit and financial oversight, energy consulting, real
estate litigation support, specialized tax services and
outsourced accounting and financial reporting.
Throughout the pre-construction phase, we help
analyze and fine tune the construction budget
and assist in evaluating and negotiating terms
and conditions to protect the financial interest of
the owner. During construction, we serve as the
advocate for the owners and assist with financial
oversight. At closeout, we help the owners ascertain
whether the contract requirements were fulfilled. We
also provide ongoing tax and accounting compliance
beyond the end of the project.

A typical return on investment for a Brown Smith
Wallace construction audit project is 1% to 3% of
the project cost. Here are some of the issues we
address to achieve that ROI:
• Cost recovery of overcharges
• Lowering capital costs
• Reducing project risks
• Decreasing the number of open issues and
disputes
• Stronger financial controls and reporting
• Communication improvements and project
delivery
• Tightening of policies and procedures
• Clarification of contract language
• Improvement of regulatory compliance

“Brown Smith Wallace consistently performed their duties
of auditor with very high levels of poise, detail, accuracy
and precision. The financial advice and clarity applied by
their team greatly enhanced the BJC project management
program and exceeded my overall expectations. I can say
without hesitation that their overall performance will
allow us to achieve unprecedented financial results.”
Marvin Johnson
BJC Healthcare