Navigating the complexities of federal and individual state healthcare regulatory environments is an evolving challenge. ProPeer recognizes a solid, informed compliance program is crucial for every client, in every market we serve, in every location across the nation. Experienced compliance program leadership is essential for ensuring that all processes comply with all applicable regulations.
Leave your compliance worries to our team of compliancy experts. ProPeer’s in-house compliance team is comprised of industry experts with backgrounds in federal, state, and accrediting body compliancy. Our team tracks and monitors the regulatory landscape to ensure our clients are apprised of all best practice, legislative, rule, and regulatory updates before they make an impact.
Cybersecurity is a significant challenge in the industry. Our clients choose ProPeer because of our longstanding commitment to protecting PHI. ProPeer is one of the few IROs in the nation to obtain HITRUST CSF Certification, one of the top tier information security credentials in the nation. Our security framework comprehends ISO, NIST, PCI, COBIT, and HIPAA to provide a complete set of security controls. This allows our clients peace of mind knowing their data is always secure with ProPeer.
Clinically, ProPeer utilizes the most current edition(s) of commercially available, nationally recognized review criteria, such as MCG, InterQual, or equivalent, etc., that is required by state/regulatory agencies, and/or client provided clinical decision-making criteria.
ProPeer strives for excellence in all areas because clients trust our solutions for their managed care and clinical review programs.
When selecting a clinical review partner, the choice goes well beyond the reviews and reports – the quality behind the solution directly impacts the outcome for patients, providers, and payors. Our goal is to offer the highest quality and trusted solution to each and every client.