For example, Harmony Healthcare International (HHI) uses the PEPPER Report in conjunction with the RUGs Analysis to depict areas of further review and analysis. Our clients receive monthly audits and monitoring of high risk areas which is a compliance method for preventing systemic issues which may result in False Claims and exorbitant fines. This system in itself depicts knowledge and response to metrics the governments deems risky.
In addition, the methodology of the response and the process of investigation may require client attorney privilege. This decision requires insight and discussion via the legal and compliance consulting team.
P-R-E-P-A-R-E: Prevention and Response Cheat Sheet (DRAFT) by [deleted]
Prevention and Response