Your Pharmacy'sCompliance Command Center

Inspectors typically check for valid licenses and permits, current HIPAA and FWA training records for all staff, an up-to-date Policies & Procedures manual, OIG exclusion check documentation, proper signage and required postings, and organized compliance records. Rxperts tracks all of these in a single dashboard so you're prepared before the knock on the door.

CMS and most PBMs require Fraud, Waste, and Abuse training at least once per calendar year for every employee involved in billing, filling, dispensing, or delivering prescriptions. This includes pharmacists, technicians, cashiers, delivery drivers, and even interns. HIPAA training follows a similar annual cadence. Rxperts tracks completion dates, sends reminders before deadlines, and generates certificates automatically.

The Office of Inspector General (OIG) maintains an exclusion list of individuals prohibited from participating in federal healthcare programs. Pharmacies must screen every employee against the OIG and GSA exclusion lists before hire and monthly thereafter. Employing an excluded individual can result in civil monetary penalties of $100,000+ per occurrence. Rxperts runs these checks automatically every month for your entire team.

Yes. Our Diamond plan includes a full PBM Credentialing Hub where you can track network applications, manage provider profiles, and monitor credentialing status across all major PBMs. We help you stay on top of enrollment deadlines and keep your documentation current so you never lose network access.

Pharmacy management systems focus on dispensing, billing, and prescription processing. Rxperts focuses exclusively on regulatory compliance - the operational and documentation requirements that inspectors and payers evaluate. Think of it as the compliance layer that sits alongside your pharmacy management system, not a replacement for it.

Your Compliance Score is a real-time number from 0-100 that reflects your pharmacy's overall regulatory readiness. It factors in training completion, document currency, OIG check status, alert resolution, and task completion progress. A score of 90+ means you're in strong shape for any inspection. Below 70 means there are gaps that need immediate attention.