The Remote Monitoring/Virtual Care Management Compliance Assessment

Testimonial_rpm expertise_NGL.png

We tailor our compliance assessment to your company’s specific needs so that you can accelerate customer acquisition, attract venture capital investment, prepare in advance for audits, and confidently operate in compliance with federal healthcare laws and regulations.

The Office of Inspector General for the Department of Health & Human Services issued a report in September 2024 recommending increased scrutiny of Remote Patient Monitoring companies. In our practice, we have already seen a number of audits and Civil Investigative Demands involving companies that facilitate RPM and other Virtual Care Management services like Chronic Care Management (CCM), Principal Care Management (PCM), and Behavioral Health Integration (BHI).

The best way to prepare for or respond to an audit or investigation is to identify potential gaps in compliance and be proactive in mitigating those gaps. Our comprehensive compliance assessment does just that. A typical scope may include a review of:

  • Billing Practices and Requirements for Reimbursement

  • Customer Onboarding Protocols

  • Patient Onboarding/offboarding processes

  • Clinical Staff Licensure and Scope of Practice

  • FDA Compliance (software platform and devices)

  • Core Documents (Customer Agreements, Terms of Use, Privacy Policy)

  • Privacy Protections and Protocols

  • Marketing Materials

We provide a written analysis and recommendations for risk mitigation strategies and pre-emptive reporting of potential false claims, along with a follow-up meeting to review the analysis and our recommendations.