
Custom Healthcare Compliance Solutions, Inc.
About CHCS

The healthcare industry is constantly changing with increasing scrutiny and stringent regulations related to healthcare fraud and abuse compliance. We can help you manage your risk and reach your compliance goals through our breadth of knowledge, experience and expertise within the healthcare industry.
We create personalized global compliance programs to help manage risk related to both US (federal and state) and international healthcare laws applicable to your company. These include fraud & abuse laws such as the Anti-Kickback Statute, anti-bribery laws, Health Insurance Portability and Accountability Act (HIPAA), the US False Claims Act, and transparency laws such as the US & France Sunshine Acts. We also maintain compliance with as guidelines such as the AdvaMed Code on Interactions with Healthcare Professionals, and the OIG guidance on measuring the effectiveness of compliance programs.
Our proactive approach and customized services will provide you with the resources and support to keep you abreast of all applicable laws, rules, and regulations necessary to be compliant.
Meet the Team

Meghan Hamilton-Piercy
Principal Consultant and Owner
An attorney by training, Meghan began her career in Healthcare Fraud and Abuse compliance at a public medical device company while they were operating under government monitorship.
She has over 15 years of experience working with life sciences companies of all sizes to advise on building and maintaining compliance programs, implementing related technology solutions and optimizing related business processes.
She is experienced in all aspects of healthcare fraud and abuse compliance programs - from Board presentations, to risk assessments, auditing and monitoring, to creating data analytics and delivering training.
She has also supported several teams through implementing Healthcare Professional Interactions and Transparency Reporting systems.
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Carla Ruiz Montero
Director
For the past decade, she has advised pharmaceutical, biotech, and medical device companies on Corporate Ethics and Compliance, bringing robust experience as a Compliance Officer.
She has designed and implemented comprehensive compliance programs, ensured adherence to transparency reporting and FCPA requirements, and led the deployment of technology solutions to automate and streamline compliance operations.
Her work is grounded in more than 20 years of legal experience as Regional In-House Corporate Counsel for multinational companies across Latin America.

Sarah Ibrahim
Director
With academic foundations in pharmacology and business, Sarah built her career in Healthcare Fraud and Abuse compliance across the life sciences sector. She brings 10 years of experience advising global clients on designing, enhancing, and operationalizing compliance programs, with a particular focus on international frameworks and global transparency requirements.
Her work spans the full lifecycle of compliance program development — from conducting risk assessments and shaping policy frameworks, to supporting auditing and monitoring activities, to delivering practical training and guidance to cross‑functional teams. She has deep experience helping organizations navigate complex, country‑specific transparency and HCP interaction requirements, and has partnered with clients worldwide to implement scalable processes and technology solutions that strengthen compliance and enable business objectives.

Rahema Imtiaz
Associate Consultant
Rahema joined CHCS with a strong interest in the intersection of law and healthcare, and has since supported a range of compliance initiatives within the life sciences industry.
Working across multiple clients, she has gained experience in policy and program development, system implementation, training and documentation support, due diligence, risk assessments and monitoring, and data analytics. She is particularly interested in how psychology and decision-making influence behaviour in the healthcare sphere and is keen to continue exploring this field.
Outside of work, she enjoys pottery, crochet, reading and is always looking to try a new craft.

Susan Stewart
Associate Consultant
As an Assocaite Consultant, Susan's main responsibilities revolve around transparency reporting. She also supports with compliance program set up and ongoing support, with particular interest in conducting risk assessments, audits, and monitoring. She considers herself lucky to advocate for appropriate patient care and promote ethical practices within the healthcare community in this role.
Her previous professional experience lies in system implementation and ongoing support for a healthcare technology company. This company's mission was to mitigate the spread of antibiotic resistance, one of many causes Susan is particularly passionate about. She strives to build a career focused on promoting equity within the healthcare system.
In her free time, Susan enjoys tap dancing, playing the clarinet, swimming, biking, yoga, and reading. She is also an aunt to the most wonderful kids on the planet.

Neelima Rajesh
Associate Consultant
With over three years of consulting experience, Neelima's background spans risk monitoring, policy adherence, and data-driven analysis across complex and regulated environments.
She has worked with life sciences companies on governance and compliance processes across regions, healthcare funding oversight, policy and training support, and compliance-focused system implementations.
Her experience centers on bringing clarity to complex data, improving documentation and reporting, and supporting teams in aligning operational needs with regulatory expectations and established standards.

Christelle Harb
Associate Consultant
With a deep expertise in Monitoring, Evaluation, and Learning (MEL), Christelle has spent nearly a decade guiding international organizations through complex project lifecycles.
Her portfolio spans global regions, where she has specialized in synthesizing complex data into actionable insights and authoring strategic documents to drive high-impact results.
Throughout her career, she has managed large-scale regional teams and directed comprehensive consultations to enhance project effectiveness, efficiency, and sustainability.

Pratyusha Varma
Independent Contractor
Pratyusha is an Independent Contactor supporting CHCS. She supports system implementation initiatives and manages platforms that facilitate interactions with the healthcare community. Her work focuses on optimizing workflows, delivering user training, and strengthening data management to improve overall operational effectiveness.
Prior, Pratyusha worked in Human Resources with a focus on recruitment, where she improved hiring processes in a fast‑paced environment, and built strong relationships with candidates and hiring managers. Her experience in process optimization, and ability to build strong connections and collaborate with clients continue to shape her approach as a consultant.
Pratyusha is driven by a commitment to global health and policy, and is passionate about the intersection of technology, governance, and health systems. She aims to build a career contributing to sustainable, tech‑enabled solutions that improve health outcomes on a global scale.
She holds a degree in Sociology from the University of Waterloo.

Cheryl Mullen
Office Manager
Cheryl joined Custom Healthcare Compliance Solutions with many years of life and work experience.
During her mid-twenties, she graduated from the Community College of Vermont with a degree in Accounting and Business Management while simultaneously working full time and raising a family.
She was an insurance agent for over fifteen years, focusing on health and life insurance. Afterwards, she was a legal secretary, office manager, jane of all trades for a small law firm for over twenty years.
She is also a mother and grandmother, which are her most important jobs, and the ones she loves the most.

Alexander Ludy
Executive Operations Manager
Alexander jumpstarted his career in 2014 by working as an Administrative and Personal Assistant for a local law office. After graduating from George Mason University with a bachelor’s degree in Government and International Politics, Alexander went on to cultivate his skills in healthcare and administration, working as an Assistant Program Coordinator for the cardiothoracic surgery residency and fellowship programs at the University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania.
After moving from the United States to Québec in 2023, Alexander continued to work in administrative and healthcare positions before joining Custom Healthcare Compliance Solutions in 2025.
In addition to his interest in healthcare, law, and administration, Alexander enjoys weightlifting, spending time with his husband and three cats, and is a passionate advocate for social justice.

Sean Collins
Associate Consultant
Sean is a compliance and transparency consultant with 9 years of experience supporting life sciences companies in designing, implementing, and operating global Healthcare Professional (HCP) transparency programs.
He has worked across medical device and biotech organizations to manage U.S. and international disclosure requirements, support audits and regulatory inquiries, implement transparency systems, and establish strong data governance and reporting controls.
Sean partners closely with Legal, Compliance, Finance, and IT teams to translate complex regulatory requirements into practical, scalable processes that support sustainable compliance programs.
He brings a pragmatic, data-driven approach to transparency and compliance.
Why Compliance
Ensuring compliance with fraud and abuse laws is not just crucial for large corporations; it's equally vital for small and medium-sized enterprises. While some smaller companies may assume they can fly under the radar of enforcement actions, recent trends suggest otherwise.
Maintaining a robust compliance program not only shields companies from potential legal repercussions but also enhances their appeal as investment or acquisition targets. When evaluating risk, larger companies prioritize compliance as a key aspect of their due diligence efforts. This heightened scrutiny is driven by the fact that post-acquisition, any enforcement actions stemming from past offenses can result in substantial fines for the acquiring entity.
Compliance fosters trust among stakeholders, mitigates legal risks, and ultimately safeguards the reputation and sustainability of healthcare entities. In today's dynamic landscape, prioritizing compliance is not just a legal obligation but also a strategic imperative for success in the healthcare industry.