Simplifying the Complex

As an augmentation to your team, we can provide the program management of the aggregate spend. This enables you to focus on other more strategic areas of your business. We can support your program using your own platform, a 3rd party or  our ownTransparenC Spend Platform. Our program management offering includes:   

• Notification and oversight when reports and registration are required for federal and state jurisdictions.  
• Detailed instructions and support for registration and submission steps. 
• Case management of anomalies or data trends that may signify compliance risk. 
• Reviewing and running the required jurisdiction reports for submission. 
• Submission of reports on your company’s behalf with attestation completed by your company officer.  
• Executive oversight and recommendations.   
• Data Clean up and Validation.
  • Confirm the content and formatting of your data.
  • Confirm appropriate recipient identification using federal and state identifiers.

Program Consulting  As experts in the area of compliance spend and data management, our principals can provide expert advice in building related programs for your organization. We can provide feedback on alternatives and risks associated with decisions based on what we have seen others in industry doing with similar situations. Program Consulting includes the following related services:   

• Program Assessment to determine where your company may be at with its compliance program and technology. We will review your spend and compare whether it is applicable for reporting to federal and state jurisdictions. 
• Program design to ensure effective resource use and tracking, while ensuring compliance and minimizing risk. We will work with your internal team or outside vendors to review the aggregate spend data collection and provide guidance on valid data collection. We will advise if the correct fields are capture, what business rules are being used to populate information and alternatives to scenarios. 
• Program Implementation of your company’s program.  
• SOP Generation and Training  

After your reports are submitted, we will continue to support your company by managing any disputes submitted by Healthcare Professionals and Institutions. We will track the activity disputed and work with your team to communicate with the correct resolution. If changes to previous reports are required, we will make the necessary updates to your reports for resubmittal.

• Notification of disputes.
• Contact and coordination with the dispute recipient.
• Advice and proactive action to close disputes.
• Management in Open Payments Platform.
• Tracking and documentation of activities on clients behalf.
• Formal documentation and tracking of dispute resolution.