A La Carte Projects

$6,500

Full Comprehensive Practice Systems and Compliance Assessment/Audit

 

A comprehensive practice health assessment of your mental health practice's HR, payroll, clinical compliance, operations, financial positioning, hiring readiness, and overall regulatory standing. This audit identifies risk areas, compliance gaps, and system weaknesses so you can make informed decisions about next steps.

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Includes: Comprehensive Practice Systems and Compliance Assessment

This assessment provides a structured review of:

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HR and employment compliance A review of your obligations as an employer across federal employment law and applicable state requirements. Covers required postings, meal and rest break compliance, pay stub requirements, final pay rules, and documentation obligations. Includes an examination of existing employee files to establish a clear baseline of what is in place.

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Worker classification A review of all employment and contractor relationships to determine whether they are properly classified, documented, and legally defensible under IRS standards and applicable state law.

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Licensure and supervision compliance An assessment of your supervision structure for associate clinicians, including whether agreements are documented, hours are being tracked in a board-ready format, and your role as qualifying supervisor is properly protected under your state's licensure board requirements.

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HIPAA and data security A review of privacy officer designation, Notice of Privacy Practices, Business Associate Agreements with all vendors handling protected health information, and whether client data handling meets federal requirements across your practice environment.

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Billing and credentialing compliance A review of provider credentialing under your group NPI, billing practices relative to federal and state supervision requirements, and whether your insurance panel relationships are accurately documented across all payers.

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External partnerships and specialty services A review of any external partnerships, referral relationships, and specialty service arrangements to identify whether they carry documentation, liability, or compliance obligations that are not yet formally structured.

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Clinical documentation and regulatory alignment A review of intake forms, informed consent, Telehealth documentation, supervision agreements, progress notes, and record-keeping practices relative to applicable licensure and regulatory requirements.

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Operational systems and workflows A review of SOP coverage, document management, intake workflows, training tracking, performance documentation, and administrative infrastructure. This establishes the operational baseline that would inform any build work that follows.

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Financial performance snapshot An operational review of how money moves through the practice: payer mix, fee-for-service volume by provider, overhead costs, and whether the current revenue model can support the team and the practice's growth goals. Behind the Couch is not a CPA firm and does not provide tax advice. This review surfaces whether the practice structure is sustainable and what may need to shift.

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Hiring readiness outlook A forward-looking review of staffing capacity and financial readiness to support sustainable hiring in the near term, based on current workforce structure and revenue patterns.

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Business regulatory compliance status A review of business registration standing, required state and federal filings, and multi-state compliance considerations to identify gaps, lapses, or maintenance risks.

Consultation and deep dive sessions Dedicated consultation time to go beneath the documents and understand how the practice actually operates. Your insights, your context, and your concerns are part of the audit. These sessions are where the real picture comes together.

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You will receive a written summary of findings, identified vulnerabilities, and prioritized recommendations for improvement. No policies, handbooks, or implementation are included in this phase. What you receive is yours to keep and act on, regardless of what you decide to do next.

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Why it matters: Most practice owners do not discover compliance gaps, documentation risks, or operational weaknesses until they become expensive problems. A licensing board inquiry. A wage claim. A billing audit. By that point, the cost of addressing the problem is far greater than the cost of knowing about it in advance. This assessment gives you a complete, honest picture of where your practice stands so you can make informed decisions about what needs to be built, fixed, or addressed before any of that complexity becomes a crisis.