Policy & Procedure Gap Analysis and Compliance Alignment

06.01.26 06:33 PM

Our Process


Healthcare organizations operate under an increasingly complex web of federal, state, and accreditation requirements. Policies and procedures must not only exist — they must be current, aligned with regulatory expectations, and defensible during audits, investigations, and accreditation reviews.

Information Verification Services Inc provides a comprehensive Policy & Procedure Gap Analysis Service led by a Fellow of the International Compliance Association (ICA) and Board Certified Fraud Examiner (ACFE) with 30+ years of experience in healthcare compliance, internal investigations, and policy development.


  • Policy Collection & Mapping
    We gather all existing policies, procedures, and related documents and map them to applicable regulatory frameworks (HIPAA, CMS, OCR, OIG, state requirements, accreditation standards, etc.).
  • Gap Analysis & Risk Identification
    We identify missing elements, outdated language, conflicting requirements, and areas of operational or regulatory exposure.
  • Recommendations & Prioritization
    You receive a structured, prioritized report detailing required updates, compliance risks, and recommended corrective actions.
  • Policy Rewrite (Optional)
    If directed, we rewrite policies to ensure clarity, compliance alignment, and operational usability.

Why Healthcare Organizations Choose IVS Inc

  • 30+ years of healthcare compliance and investigative experience
  • ICA Fellow (internationally recognized compliance credential)
  • ACFE Board Certified Fraud Examiner
  • Deep understanding of regulatory expectations and audit behavior
  • Clear, actionable deliverables that withstand scrutiny

This service is ideal for compliance departments preparing for audits, responding to regulatory inquiries, onboarding new leadership, or modernizing outdated documentation.

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IVS Inc Policy & Procedure Gap Analysis Workflow

Phase 1 — Intake & Scoping

  • Initial consultation with compliance leadership
  • Define regulatory frameworks to be included
  • Identify departments, service lines, and policy owners
  • Secure document transfer method (encrypted)

Phase 2 — Policy Collection & Mapping

  • Gather all policies, procedures, forms, and related documents
  • Categorize by topic, department, and regulatory domain
  • Map each document to applicable requirements (HIPAA, CMS, OCR, OIG, state law, accreditation)

Phase 3 — Gap Analysis

  • Identify missing policies
  • Flag outdated or conflicting content
  • Assess clarity, usability, and operational alignment
  • Document compliance risks and potential audit findings

Phase 4 — Recommendations Report

  • Provide a structured, prioritized gap analysis
  • Include corrective actions, timelines, and responsible roles
  • Highlight high‑risk areas requiring immediate attention

Phase 5 — Policy Rewrite (Optional)

  • Rewrite policies for clarity, compliance alignment, and operational practicality
  • Standardize formatting and structure
  • Provide version‑controlled final documents

Phase 6 — Final Review & Delivery

  • Review findings with leadership
  • Provide final deliverables in digital and print‑ready formats
  • Offer ongoing support for implementation or future updates

Write to us for more information: Admin@IVSinc.org


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Derek Jones