Native American Healthcare Group

At Native American Healthcare Group, we understand the intricacies of healthcare provision in Indian Country. We are dedicated to helping Tribal and IHS health providers navigate the complex web of federal and state regulations that govern healthcare funding and compliance. Our experts have a deep understanding of the unique challenges faced by healthcare providers in Indian Country, where funding is often a critical issue. As such, we are committed to providing expert guidance and support to ensure that healthcare providers in Indian Country are empowered to deliver high-quality care to Native American communities.

Healthcare in Indian Country

Healthcare in Indian Country faces unique challenges, not the least of which is funding. The Indian Health Service (IHS) is the primary funding source for healthcare providers in Indian Country, but IHS funds often fall short of the full range of healthcare services needed to provide quality care to Native American communities. The Indian Health Care Improvement Act (IHCIA) has made it possible for IHS and Tribal 638 facilities to bill third-party payers, including Medicare, Medicaid, and private health insurance. This has introduced a new funding stream for healthcare providers in Indian Country, but it also presents new challenges and complexities.

Compliance in Indian Country

Compliance is a critical issue for IHS and Tribal healthcare facilities. The federal government has begun to focus on healthcare providers in Indian Country, and the results have been devastating. Healthcare providers have faced audit findings, payment reductions, and even loss of billing privileges. Compliance is a complex and nuanced issue, and healthcare providers in Indian Country require guidance and support to ensure ongoing compliance with federal and state laws, rules, and regulations.

Our Services

At Native American Healthcare Group, we offer a range of services designed to help healthcare providers in Indian Country navigate the complexities of federal and state regulations. Our team of experts has 25 years of combined experience in healthcare administration, third-party billing, compliance, and HIPAA. We provide guidance on core compliance, HIPAA privacy and security, the Federal Anti-Kickback Laws, and all other federal, state, and local laws, rules, and regulations.

Our Key Professionals

Our team of experts includes Tim Pederson, an enrolled member of the Oglala Sioux Tribe with 25 years of experience in healthcare administration, third-party billing, compliance, and HIPAA. Tim has a degree in Hospital Administration from Concordia College in Moorhead, Minnesota. He is recognized as an expert in healthcare management and has served as a healthcare billing and compliance expert witness for Thomson Reuters Expert Witness Services.

Conclusion

At Native American Healthcare Group, we believe that healthcare providers in Indian Country deserve access to high-quality care, funded by fair and equitable reimbursement. To achieve this, we offer expert guidance and support to help healthcare providers navigate the complexities of federal and state regulations. Our experienced professionals are dedicated to helping healthcare providers in Indian Country thrive in today's market-based healthcare system.