EIDBI Compliance Services — Service Comparison
Tier 1

Administrative Compliance Support

For agencies with internal compliance leadership that need structured, operational support. Our team assists with policy documentation, training logistics, and compliance materials, without attorney oversight or a formal audit program.

Best for: Agencies with a qualified in-house compliance lead seeking structural backup.
Tier 2

External Compliance Officer
Attorney-Led Oversight

Our office serves as your statutorily required External Compliance Officer. An attorney provides ongoing oversight of your compliance program, interprets Medical Assistance requirements, conducts the rolling annual audit schedule across four core domains, and guides your agency through regulatory risks and corrective action planning.

Best for: Agencies that need to satisfy the ECO mandate and maintain a documented, attorney-supervised compliance program.
Most Comprehensive
Tier 3

External Compliance Officer+
Enhanced Audit Coverage

Everything in the ECO engagement, plus expanded audit coverage of areas that standard compliance programs typically leave unmonitored: facility safety, incident and grievance trend analysis, governance obligations, and deeper billing and clinical record verification. Designed for agencies seeking maximum audit preparedness in a high-risk regulatory environment.

Best for: Agencies that want full-scope coverage aligned with their own policy manual, not just minimum statutory requirements.
Service Feature Administrative
Support
External Compliance
Officer (ECO)
ECO+
Enhanced Coverage
Program Structure
Attorney-led oversight
Designated External Compliance Officer Satisfies MN Stat. § 256B.04 Subd. 21(g) mandate
Compliance program design & ongoing oversight
Regulatory interpretation MN Stat. § 256B.0949, § 245C, 42 C.F.R. Part 455
Core Compliance Services
Policy drafting and updates
Training coordination support
Checklist-based documentation reviews
Organizational compliance materials support
Incident response guidance & corrective action planning
Audit readiness preparation & regulatory risk assessment
Standard Rolling Audit Schedule (44-Item Annual Program)
Clinical Records audit ITP/CMDE cycles, progress notes, authorization matching
Supervision & Credentials audit Licensure, background studies, supervision log compliance
Billing & Claims Compliance audit Claims accuracy, authorization review, denial tracking
ECO program reviews Compliance effectiveness, staff training, corrective actions
Enhanced Audit Coverage (ECO+ Only)
Facility Safety monitoring Layered inspection program: daily walk-throughs, monthly safety checks, quarterly drills, annual certifications
Incident & Grievance trend oversight Quarterly pattern reviews, post-critical incident structured review, grievance log analysis
Governance compliance audits Conflict of interest disclosures, records retention review, organizational chart verification
Supervision & performance management (expanded) Competency assessments, caseload ratio reviews, performance evaluation tracking for all staff
Billing process-level verification (expanded) 100% pre-billing review process audit, remittance reconciliation timeliness, quarterly billing metrics reporting
Clinical records expanded review Semi-annual family progress report verification, CSSP completion and timeliness audit, QSP data review compliance

This comparison is provided for informational purposes only and does not constitute legal advice. Service scope is subject to engagement-specific terms. For questions about which engagement is appropriate for your agency, contact our office directly.

To ensure quality and accountability, onboarding occurs in limited monthly cohorts. Agencies begin with a preliminary inquiry, followed by a brief compliance questionnaire and a structured discovery call. This process allows us to assess fit, regulatory posture, and operational scale before engagement.