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REGULATORY, COMPLIANCE & AUDIT READINESS

Navigating and keeping current with regulatory requirements can be difficult and time-consuming. Mistakes can be very costly. Early preparation and expertise are crucial for success. RPM Consulting has helped many organizations achieve timely and successful submissions to avoid penalties and receive maximum reimbursements. All of our projects are conducted with audit preparation in mind at the very beginning of the Initiation & Planning phases. Our regulatory and compliance due diligence was especially critical during the COVID-19 pandemic in order to keep current with the rapidly changing federal and state compliance requirements.

  VACCINATION SERVICES COMPLIANCE  
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Vaccine Administration Protocols & Immunization Registry Compliance
  • Provider enrollment & vaccine management plan
  • Vaccine storage & administration protocols
  • Immunization registry authorization & reporting
  • Project management, logistics & full turnkey services compliance
  • Documentation & audit
  REGULATORY QUALITY REPORTING  
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Quality Payment Program
APMs (Alternative Payment Models)
MIPS (Merit-based Incentive Payment System)
  1. Quality
  2. Promoting Interoperability (PI)
  3. Improvement Activities (IA)
  4. Cost
Hospital Quality Reporting
  • Inpatient Quality Reporting (IQR)
  • Ouptatient Quality Reporting (OQR)
  • Inpatient Psychiatric Facility Quality Reporting (IPFQR)
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HEDIS and Performance Measurement
(Healthcare Effectiveness Data & Information Set)
  • Patient-Centered Medical Home (PCMH) Recognition
  • ACO Accreditation
  • Diabetes Recognition Program (DRP)
  • Heart/Stroke Recognition Program (HSRP)
      ACCREDITATION & COMPLIANCE    
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Surveys/Renewals & Quality Reporting
  • Survey/renewal preparation & readiness
  • Project management
  • Quality reporting & continuous improvement program management
  • Policies, procedures, employee training
  • Ongoing maintenance & support
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Risk & Compliance Assessments
  • Risk assessments & documentation
  • Self-audits
  • Remediation plans
  • Policies, procedures, employee training
  • Business associate management
  • Incident management, breaches & response
  AUDIT PREPARATION & READINESS   
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GEMA
COVID-19 & Disaster Events
  • Policies, processes, guidelines & protocols
  • Good stewardship & appropriate usage of resources
  • Legal & ethical
  • Financial accounting
  • Mitigation strategies
  • Financial recovery
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