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Guess Compliance Consulting LLC
Guess Compliance Consulting LLC
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  • Stay Ahead in Compliance
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  • Free Compliance Checklist
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Services

Services are delivered in phases, starting with discovery and risk review.

Small and midsize healthcare practices face overlapping compliance expectations from CMS, OIG, OCR (HIPAA), and state regulators. We help teams stay audit-ready, document consistently, and manage risk without a full compliance department.


Discovery & Risk Identification

This service is designed as the recommended starting point for most practices, providing clarity on risk areas and priorities before moving into deeper compliance support or remediation.

Discovery Call

Free

Take the first step toward stress-free compliance. In this complimentary call, we’ll discuss your practice’s unique compliance concerns, review where you might be most at risk, and share a couple of quick wins you can put into action right away.

This short conversation helps you:

  • Identify your top compliance priorities (HIPAA, Medicare, Medicaid, or all three).
  • Learn about common red flags small practices often face.
  • Decide whether a deeper assessment or mini-audit is right for your team.


Mini HIPAA Risk Assessment

$495

Personalized consultation to review HIPAA compliance, identify risks, and give your small practice clear next steps.

Medicare Mini Audit

$795

Our Medicare Compliance Mini Audit reviews key compliance areas to help identify issues before CMS or OIG. Designed to be affordable, practical, and actionable — giving you peace of mind.


What’s Included:

  • Review of one core area (formulary management, documentation, or grievance handling)
  • 1-hour virtual consultation to discuss findings
  • Written summary highlighting audit risks & recommendations
  • Optional add-on: Compliance checklist tailored to your Medicare processes

Mini Medicaid & Medicare Compliance Assessment

$995

Our Mini Medicaid & Medicare Compliance Assessment is designed to give your practice peace of mind by identifying potential gaps before regulators do. We review your current processes, policies, and billing practices to ensure they align with federal and state requirements.


What’s Included:

  • Review of claims and documentation for accuracy and completeness
  • Assessment of policies and procedures related to Medicare/Medicaid billing
  • Identification of compliance risks and red flags commonly flagged by CMS

Birth Center Mini Compliance Assessment

$950

A short-form compliance service designed for birth centers seeking clarity on foundational compliance elements. This assessment focuses on core infrastructure, operational alignment, and documentation practices, with clear, practical next steps. It is limited in scope and is not a full compliance assessment or audit.


What’s Included:
• Review of foundational compliance practices
• Identification of common risk areas
• Practical recommendations for next steps
• Live or written summary of findings

Compliance support focuses on reasonable, good-faith efforts appropriate to the size and complexity of the practice. Services do not guarantee regulatory outcomes.

Core Compliance Support

Core compliance support is most effective once key risks have been identified and is intended for practices ready to strengthen documentation, workflows, and internal compliance processes.

HIPAA & Privacy Compliance Consulting

Protecting patient information is essential, but HIPAA rules can feel complex. We simplify compliance so teams can show awareness, meet expectations, and reduce audit risk and key documentation gaps.


We Can Help With:

  • HIPAA risk assessments
  • Policy and procedure creation or review
  • Business Associate Agreement (BAA) support
  • Staff training on PHI handling
  • Privacy and security incident planning

 Pricing:

  • Basic Review: $1,200 – $2,000
  • Full Compliance Program : $3,000 – $5,000
  • Annual Maintenance: From $750/mont

Medicare/Medicaid Compliance

CMS, OIG, and State rules change often and staying compliant takes time. Preparation support for practices facing audits, reviews, or compliance inquiries so your team is audit-ready.


We Can Help With:

  • Compliance assessments and gap reviews
  • Documentation and policy audit
  • Medicare Program requirement
  • DME compliance support
  • Corrective action planning
  • Ongoing oversight and internal reporting


Pricing:

  • Compliance Review: $1,500 – $2,500
  • Full Compliance Program: $3,500 – $6,000
  • Monthly Oversight: From $950/month

Audit Readiness, Support, and Response

Support for healthcare practices navigating audits and compliance inquiries, including preparation, response guidance, documentation review, and remediation.


CMS audits
Medicare Part D
State reviews
OCR investigations as applicable


We Can Help With:
Pre-audit readiness reviews
Mock state audits
Corrective action planning
Audit response preparation
Post-audit support and follow-up


Pricing:
Basic Readiness Review: $850 – $1,200
Mock Audit and Gap Analysis: $1,500 – $2,500
Full Audit Support: $3,000 – $5,000+

Policy and Procedure Development and Alignment

Support for healthcare practices developing or updating policies and procedures so documentation reflects operations and applicable compliance requirements.


HIPAA and Privacy
Medicare and Medicaid requirements
State regulatory standards


We Can Help With:
Policy and procedure review
Policy updates and refinements
Alignment of documentation with workflows
Organization of policies in an audit-ready format


Pricing:
Limited Policy Review: $1,250+
Comprehensive Policy Alignment: $2,500–$4,500


Ongoing Compliance Coaching

Ongoing compliance support is scoped separately and typically follows an initial assessment or core compliance engagement to ensure advisory support is targeted and aligned with identified needs.

Compliance Coaching Bundles

Ongoing compliance support for small healthcare teams that want consistent guidance without crisis-driven consulting. Includes monthly or quarterly oversight, workflow guidance, and support as regulations, staffing, or operations change.


Pricing:
Monthly Coaching: $350–$750 per month
Quarterly Oversight: $900–$1,500 per quarter


Training and Workshops

Training offerings are educational in nature and may be delivered as standalone sessions or as a complement to other compliance services, depending on practice needs.

HIPAA and Operational Readiness Workshop

A practical workshop that helps small healthcare teams understand how HIPAA requirements show up in daily workflows. Focuses on documentation habits, staff roles, incident awareness, and operational consistency.


Pricing:
Virtual: $750–$1,250
Onsite: $1,250–$2,000

OCR Right of Access Readiness Workshop

A focused workshop addressing HIPAA Right of Access requirements and current OCR enforcement trends. Helps practices prevent access complaints through clear processes, timelines, and accountability.


Pricing:
Virtual: $495–$850
Onsite or extended session: $850–$1,250

Staff Compliance Training

Role-based compliance training designed to help staff understand privacy, security, and reporting responsibilities in real-world scenarios. Ideal for onboarding, refreshers, or practice growth.


Pricing:
Virtual: $500–$1,000
Onsite: $1,000–$1,800


Tools and Resources

Clear tools to support consistent compliance

Templates, kits, and logs to support compliance

Practical tools to support consistent compliance workflows and documentation. Includes policy templates, documentation kits, checklists, and logs for risk assessments, training, incidents, and vendor management. Best used alongside coaching or training.


Pricing:
Policy Template Pack: $195–$350
Compliance Documentation Kits: $295–$495
Checklists and Logs: Included with services or by request

Our services provide compliance support, education, and documentation guidance. They do not provide legal interpretation or representation before regulatory agencies.


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