by RMC Inc. | Mar 22, 2021
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) was developed in 2002 by TMF Health Quality Institute in support of CMS’ Hospital Payment Monitoring Program. State Quality Improvement Organizations (QIOs) began distributing PEPPER to the...
by RMC Inc. | Mar 1, 2021
Across healthcare we focus on patient care and outcomes which is primary and foremost. In addition, we also focus on revenue and the revenue cycle. This will mean overpayments, which are compliance and financial risks and underpayments which are also both a compliance...
by RMC Inc. | Feb 5, 2021
The Centers for Medicare and Medicaid Services (CMS) has several programs they sponsor and/or support that target “improper payments”. One of those programs is Comprehensive Error Rate Testing or CERT. The purpose of CERT is to measure the Medicare Fee-For-Service...
by RMC Inc. | Feb 1, 2021
Each year the Office of Inspector General (OIG) publishes their healthcare workplan and this is an “opportunity” for us in review and learn from their areas of focus. The workplan can be viewed at: Work Plan | Office of Inspector General | U.S. Department of Health...
by RMC Inc. | Feb 6, 2018
The Food and Drug Administration has approved a digital pill — a medication implanted with a sensor that can indicate when the medication is taken. This is a significant advancement in the field of digital devices to monitor medicine-taking. Non-compliance with...
by RMC Inc. | Nov 3, 2017
If you are new to compliance or new to building a compliance program, you may be asking yourself “where do I start?” As an educator and compliance professional, I’ve heard this question many times and even asked it myself. Even those who have been compliance officers...
