R-Squared routinely assists healthcare and life sciences organizations - including pharmaceutical, medical device and biotechnology companies, as well as hospitals, health systems and health plans - that need to solve difficult compliance issues, forestall potential problems in the future, and devise processes and systems that help assure compliance across the enterprise.
Our approach is to make compliance part of everyday good business practices. Depending on your particular situation, R-Squared consulting is there for you.
Our compliance back-office can help fulfill your operational needs by working with our time-tested templates and research databases in order to develop and write policies and procedures, training programs and audit work plans.
We can even grant you access to our legislative database, which includes, bills, laws, regulations, forms and guidance for topics ranging from DME licensure to state and federal aggregate spend reporting and gift bans.
We operate at the intersection of legal requirements and technology. By focusing on this nexus, R-Squared can help you answer questions such as:
Are there any gaps in your compliance programs or internal controls?
What is the most expedient, effective way to rectify those gaps while improving performance?
What data and documentation will you need to meet evidence compliance?
What is the most efficient way to gather and deliver such documentation?
What processes or practices will you need to satisfy existing and upcoming state and federal regulations?
As technology is becoming more and more critical in modern compliance programs, R-Squared can help you create software and automation solutions that make it difficult (or impossible) for employees and agents to unknowingly or accidentally violate regulations and laws.
R-Squared also can help you automate most of the administrative and record-keeping tasks involved with compliance -- while delivering real-time data and analytics to aid in decision-making in the enterprise. We call this compliance with a return on investment (ROI).
To help your field agents and employees avoid potentially risky situations and activities, R-Squared can work to:
Develop online training libraries and content;
Conduct training presentations for sales and other organizational meetings; and
Craft training modules for new hires, new regulations, new arrangements and settlements.
R-Squared has a RAC (Review Audit Contractor) readiness and response team that can work with your organization to prepare for and assist with impending RAC audits. R-Squared has been instrumental in the successful appeal of over $10 million dollars in assessed overpayments. We help our provider and supplier clients defend rightfully earned reimbursment.
If you’re a medical device or pharmaceutical manufacturer, R-Squared can help with coding coverage and reimbursement strategies for new products. We can also help develop new, innovative ways to contract with health plans to ensure favorable access and reimbursement. Alternatively, our experts are knowledgeable and experienced to provide a defense of their parties in instances such as appeals.