Compliance

 

CMS Compliance

Compliance with the Centers for Medicare and Medicaid Services is vital for providers and suppliers alike. Because the rules and regulations of CMS compliance are extensive, it can be difficult for health providers and suppliers to successfully submit Medicare Advantage risk adjustment data. This can lead to complications that may result in revenue loss for the provider or supplier.

PopHealthCare is dedicated to providing accurate Risk Adjustment Processing System (RAPS) submissions that comply with CMS rules and regulations. We are highly proficient in CMS compliance and are able to appropriately submit RAPS files before each CMS submission deadline.

For additional information visit:

Current CMS Payment Rate

Customer Service and Support Center

 

HIPAA Compliance (Health Insurance Portability and Accountability Act of 1996)

As the health care industry moves toward electronic health records and nationwide health information networks, HIPAA compliance has never been more important. Through our proprietary systems, we are able to deliver Protected Health Information (PHI) and ensure complete HIPAA compliance.

We offer health plans a truly comprehensive solution for HIPAA-compliant medical record recovery by delivering medical records to each plan in the most confidential and secured way.

Download a copy of the Health Insurance Portability and Accountability Act of 1996