Pharmacy Compliance Made Easy 

Keeping your independent pharmacy in compliance is a full-time job, but you’re already spread thin enough as it is.
Trust R.J. Hedges to handle compliance, so you can focus on supporting your patients. 

 

Overcome the Friction of Pharmacy Compliance

If you’re an independent pharmacy owner, you’re not alone in struggling with compliance. With the sheer number of regulations that pharmacies are subjected to, compliance itself is practically a full-time job. 

That’s where R.J. Hedges comes in. We offer a complete range of compliance services, and we customize them to meet the unique needs of your pharmacy. Plus, we offer a variety of resources to keep you educated and free of stress. 

You’ll have a dedicated project manager who will guide you through the entire compliance process, and we offer a Compliance Portal where you can easily stay up-to-date on everything. Plus, if you and your team require training, we’ve got you covered.   

Simplify the Process with The Compliance Portal® 

compliance-portal

The hardest part about pharmacy compliance is understanding what you need to do, why you need to do it, and when you need to have it completed. The second hardest part is keeping it updated and knowing where to find it. Our Compliance Portal® simplifies all of this and gives you a bird’s-eye view of your compliance status. 

No more guessing, no more missed deadlines, and no more friction. Our Compliance Portal provides a library of all your Policies & Procedures, Support Documents & Forms, Compliance Tools & Resources, and makes it easy for you to stay in touch with your dedicated Project Manager, who is always available to assist with any questions or problems you may have.

Pharmacy Compliance 

We create and update policies, support documents, training, and other items required for compliance with DEA, FDA, and state board of pharmacy.

policies-procedures

Policies and Procedures

Although most pharmacies have guidelines for how they operate, most do not have the specific policies requested by regulatory bodies. Our Pharmacy Compliance Program includes 55+ policies and procedures and 90+ customized forms that ensure your pharmacy is always covered. 

training

Training 

If you or your team requires training, R.J. Hedges is here to help. We offer web-based training, webinars, and one-on-one personal support to ensure you’re never in the dark when it comes to your facility’s compliance.  

100percent-customized

100% Customized

Our Pharmacy Compliance Program is 100% customized to meet your pharmacy’s needs. We do the hard work for you, so there are no surprises and no “fill in the blanks.” Policies, procedures, forms, plans, and more will be written and documented by our team and delivered to you in a completed format. 

DMEPOS Compliance 

Perfect for pharmacies wanting to obtain and maintain accreditation 

dmepos-becoming-accredited

Becoming Accredited

Obtaining DMEPOS accreditation can be a daunting journey. This program ensures you have all the necessary documentation to ensure your compliance with Medicare's stringent standards. 

dmepos-maintaining-accreditation

Maintaining Accreditation 

Reaccreditation occurs every three years, and CMS is known to change or update requirements often. Our DMEPOS Compliance Program keeps you current with all CMS requirements, so you never need to worry about slipping out of compliance and losing your accreditation. 

Dispensing-Documentation

Dispensing Documentation

While we are not a billing company, we do provide many documents needed for billing.  Detailed Product Descriptions are needed when dispensing DMEPOS items.  This program has 45+ commonly dispensed DMEPOS items complete with HCPCS Codes, Modifiers and LCD guidance, items such as Nebulizers, Ostomy Supplies, Wheelchairs, Glucose Monitors to name a few.

Compounding Compliance 

Ideal for non-sterile pharmacies seeking to meet insurance and PBM credentialing 

compounding-meets-regulatory-reqs

Meets All Regulatory Requirements 

Compounding practices are regulated by USP, state boards of pharmacy, the FDA, and state environmental agencies, which can be overwhelming for pharmacists. Our Compounding Compliance Program is designed to meet the guidelines and standards for all of these regulatory bodies, and even written to meet ACHC Compounding Accreditation Standards.

compounding-holistic-program

A Holistic Compounding Program

The R.J. Hedges Compounding Program outlines responsibilities for the pharmacist, the compounder, the pharmacist in charge, and the compounding tech. In addition to having policies for setting up a compounding program, lab, and a process for compounding, this program also includes requirements for labeling, packaging, formulary, and documentation. 

RJH-ACHC-Program-Certification-1

R.J. Hedges is the 1st to receive ACHC Program Certification for Non-Sterile Compounding

This means, the product certified currently contains the necessary elements and/or fields that correspond to the items set forth in the ACHC Accreditation Standards for which the product certified is intended to be used (the “Applicable Accreditation Requirements”); (ii) the product certified has the ability to collect, store, and report the data necessary under the Applicable Accreditation Requirements for review by ACHC during a survey; and (iii), if the product certified is used correctly by you, it could improve or expedite your survey experience with ACHC.

HIPAA Compliance

A turnkey, easy-to-follow HIPAA compliance manual and program, prepared for implementation

hipaa-youre-safe

You’re Safe with R.J. Hedges 

Did you know that 90% of HIPAA audits lead to enforcement action? Failing to be in compliance could result in a $1.5 million fine for your pharmacy. Luckily for you, no discrepancies have been found during audits of R.J. Hedges’ clients. 

hipaa-all-necessary-policies

All Necessary Policies and Procedures 

The R.J. Hedges team will write all of your policies and procedures, notice of privacy practices (NOPP), disaster recovery plan, risk analysis, risk management plan, and more.  Files will be updated for you when regulations change, or when you add/subtract team members. All items are ready to implement.

FWA Compliance 

Ensures you’re in compliance with Medicare Parts B, C, D, Medicaid and third-party payors 

fwa-save-time

Save Time Each Month

R.J. Hedges provides a platform that allows your monthly exclusion verification to be completed in seconds for all of your employees and entities! This is significantly more efficient than having to manually enter the data every month in two different databases. 

fwa-comprehensive-program

A Comprehensive Program

Our FWA Prevention Program includes policies and procedures for anti-kickback, conflict of  interest, false claims, OIG exclusion verification, GSA exclusion verification, general compliance, whistleblower protection, and fraud waste and abuse training. 

Immunization Compliance

This program helps generate more traffic and profit for your pharmacy 

inmunization-increase-profit

 Increase Profits

Offering immunizations to patients picking up prescriptions is a great way maximize patient care and increase the bottom line. Our program enables you to offer clinics out in the community, extending your business beyond the walls of your pharmacy.  It also helps drive traffic to your pharmacy which will, in turn, increase OTC, retail, and prescription sales. 

inmunization-complete-documentation

Complete Documentation

Our immunization program provides you with all of the paperwork you need for offering vaccines. This includes everything from standing orders to the notice to send the patient’s physician that immunization has occurred. With a travel vaccine section you’ll be equipment to help all your international travelers from colleges to church groups, honeymooners, to business travelers.

Diabetic Shoes 

This program can provide all paperwork need to get full reimbursements on diabetic shoes yielding pharmacies over $200 profit per pair

diabetic-shoes-give-business-boost

Give Your Business a Boost 

A diabetic shoe program establishes an additional revenue stream for your pharmacy, and it also keeps patients returning to your location. Medicare patients are eligible for one pair of shoes and three custom inserts annually, resulting in an average profit of $200 per pair for pharmacies. Certain insurance companies even allow a new pair of shoes every six months. 

up-to-date-documentation

Up-to-Date Documentation 

Since diabetic shoes are a high-profit reimbursement from Medicare, a program comes with a high chance of audits. The hardest part of running a successful diabetic shoe program is keeping up with new regulations and ensuring proper documentation. That’s where R.J. Hedges can help! Our step-by-step process not only guides your staff through the process of gathering the correct information, but provides the customized documents needed to properly document from start to finish.  

Medicare Enrollment Programs

Submitting Medicare CMS-855B and CMS-855S applications has never been so easy 

submitting-medicare

Submitting Medicare CMS-855B and CMS-855S applications has never been so easy 

The 855S application is 27 pages and the 855S is almost 50 pages. Knowing which pages to skip, when to pay duplicates, and what extra forms you need to complete can be frustrating. Luckily, we know exactly what needs to be submitted and what pages need to be completed based on your needs. 

speed-up-the-process

Speed Up the Process 

Did you know these applications can take over 6 months to get processed? And, if you filled something out incorrectly and need to resubmit, that waiting period begins again. R.J. Hedges will get it right on the first try, and our team can your application within 5 business days.

USP <800> Hazardous Drugs 

A variety of resources to help you implement USP <800> 

hazardous-drug-program

Hazardous Drugs Program 

This program includes policies and procedures along with support documents to implement all USP <800> requirements in a retail or LTC pharmacy. Additionally, this program offers a hazard communication plan, assessment of risk, hazardous drug designee, hazardous drug inventory, hazardous drug training, best practices, and dispensing final dosage forms. 

other-resources

Other Resources 

We also offer a hazardous drug spill kit, hazardous drug labels, and 125+ completed assessments of risk. We understand the difficulties of keeping up with regulations, so we do everything in our power to simplify the process for you. 

Testimonials

I must commend you on your continuous efforts to keep us all abreast regarding the continuous stream of regulatory changes and responsibilities! I cringe with my daily fatigue at simply trying to do my “job” as a pharmacist. 
Jeff Mustovic,
Evans City Pharmacy
As an independent pharmacy owner R.J. Hedges allows me to spend more time caring for my customers and not worrying about compliance issues. I welcome any auditor who wants step into the ring with a R.J. Hedges client.
Cole Sandlin
Pharm D., Fred's Pharmacy

FAQs

  • First and foremost is the desire to be compliant. Compliance isn’t a fun topic and most people don’t like it, however most facilities understand that they have to follow rules and keep up with regulations. If you have the mindset that you are going to get your store in compliance and maintain it, your life will be much easier. At R.J. Hedges, we understand that an owner's day-to-day is often spent balancing thousands of tasks making it difficult to prioritize compliance. We make staying in compliance as simple as possible as we guide you on what you need to know and what you need to do. 

  • Jeff Hedges, President and CEO of R.J. Hedges & Associates is what we like to call a walking compliance encyclopedia. Jeff has an amazing ability to read and dissect laws and turn them into easy-to-understand content and forms. We work with several state and national organizations to ensure that our clients have the most up-to-date resources. 

  • Our compliance strategists would be happy to schedule an appointment to discuss your compliance questions. They can also provide recommendations on compliance solutions you may already have access to. Click here to sign up and schedule a 1-on-1 session. 

Resources

View All Case Studies