Today's healthcare compliance environment is complex and often confusing to even seasoned professionals. The rules and regulations regarding ethical billing practices can change on a daily basis which makes keeping up with the latest guidelines a challenge. However, Pro Medical is as committed as ever to creating a "corporate culture" of compliance wherein each member of the Pro Medical team knows, understands, and complies with all known state and federal compliance regulations which pertain to their specific work activity. In addition, Pro Medical is actively taking measures to assist our Partner/Clients in their efforts to achieve this same goal.

Many of our compliance documents are available for your review here.
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Compliance Committee
The Office of the Inspector General recommends the formation of a Compliance Committee to perform many compliance related activities. Pro Medical has an active Compliance Committee whose duties are outlined in this document.

Exclusion List Process
The purpose of this document is to outline the process whereby Pro Medical will determine the Medicare/Government program eligibility for participation of all Partner/Clients and all employees.

Sanction List Process
The purpose of this document is to outline the process whereby Pro Medical will determine if any potential and/or current employees are on the "Sanction List" compiled by the Office of the Inspector General.

Notice of Privacy Practices
As required by the Health Insurance Portability and Accountability Act (HIPAA), this document outlines how Pro Medical in its capacity as a clearinghouse may and may not use a patient's Protected Health Information (PHI).

  Performance Enhancement and Risk Reduction through a Comprehensive System of Audits
This document outlines how Pro Medical utilizes a comprehensive system of audits to enhance internal performance as well as reduce potential compliance related risk areas.

Comprehensive Health Insurance Portability and Accountability Act Plan
Charting a New Course With HIPAA
This document is designed to give you an overview of the Health Insurance Portability and Accountability Act and the compliance steps Pro Medical will need to take for the future.

Sample Business Associate Agreement
This is a sample Business Associate Agreement which may be utilized by Pro Medical to specify how PHI may and may not be used by those defined in the HIPAA regulations as our Business Associates.