MediRegs ComplyTrack Suite

Transcription

1 MediRegs ComplyTrack Suite A powerful, secure solution designed to drive compliance that is completely in-sync with your risk-management processes and enforces standards across every function of your enterprise. Designed exclusively for the health care industry by health care experts, MediRegs ComplyTrack Suite from Wolters Kluwer Law & Business delivers a cost-effective, end-to-end, integrated software solution for health care compliance, audit, and risk management. Now you can proactively audit, investigate, manage, assess, mitigate, and control compliance and enterprise risk throughout your organization. ComplyTrack allows your organization to: Maximize efficiency and reduce cost by eliminating manual, redundant processes Maintain accountability by demonstrating processes impact to your management and your board Monitor compliance risk management activities via a complete end-to-end solution Document all aspects of the compliance audit for detailed reporting purposes Using ComplyTrack s integrated workflow and modular Software as a Service (SaaS) architecture, you can oversee your enterprise risk-management program, while maintaining integrity and process efficiency. And you will be perfectly positioned to demonstrate and report quantifiable impact to both management and the board. ComplyTrack offers a scalable solution that can be configured to your business needs, using any combination of our targeted modules. Implementation supported by an industry expert and minimal training will allow you to quickly transition to a better, more efficient way of doing business. Electronic Survey Tools and Audit Templates Activity and Event Management Regulatory Risk Assessment and Remediation MediRegs ComplyTrack Suite Recovery Audit Contractor (RAC) and Claims-Based Audit Management Contract and Relationship Management Incident Activity Management Policy, Procedure and Document Management Health Care Executives Risk Managers Information Systems Managers Privacy and Security Officers Reimbursement Analysts Vendor Relations Managers Risk Assessment Manager - identify and remediate risk across the entire enterprise. - capture and manage compliance evidence with a customizable survey tool that puts you securely in control. - track and manage issues, audits, projects, and meetings comprehensively and securely across the enterprise. Contract & Relationship Manager - monitor and manage all contractual and arm s-length relationships across the enterprise. Audit Detail Manager manage the workflow required to respond to requests for all types of federal and state claims-based audits. Document & Policy Manager - create, manage, and distribute policies and procedures as well as other enterprise document types. Incident Reporter design customized electronic forms to collect, track, and manage all compliance, breach and IT incident reports from one central location.

2 MediRegs ComplyTrack Track and manage issues, projects and meetings completely and securely across the enterprise. is a powerful tool that administers your organization s compliance, audit, and risk activities from one central location. Robust documentation tools and precise workflow capabilities empower your organization with the ability to track critical issues from identification through mediation building to continuous improvement. s enhanced capabilities allow you to: Manage overall compliance functions in one secure and readily accessible workspace track trends, and report on the effectiveness of your compliance program Effectively manage audits and centralize all documentation Create concise and precise reports Import events directly from hot line vendors and incident-reporting forms Monitor employee compliance training by topic across the entire company makes it easy for you to establish and manage projects, initiatives, and audits across your entire organization, letting you maintain a consistent record of safety and security reviews, training and education programs, and financial controls across each phase of identification, reporting, investigation and resolution, including remedial education and follow-up audits. Security controls authorize each user s access only to pre-specified data. Monitor board and committee meetings from a central location by documenting minutes and ensure proper follow up of discussion items, external audits, and reviews. Additionally, track institutional review-board queries, specific grants and trials, and other research initiatives. Board of Directors Committee Chairpersons Internal Audit Privacy and Security Officers ACCOMMODATES Investigations Communications Agency Eduction Audits INTEGRATE WITH THE FOLLOWING COMPLYTRACK SUITE MODULES Risk Assessment Manager Audit Detail Manager Document & Policy Manager Contract & Relationship Manager Incident Reporter

3 MediRegs ComplyTrack Contract & Relationship Manager Effectively monitor and manage all your contractual and arm s-length relationships across the enterprise. Contract & Relationship Manager enables your organization to pro actively manage all contractor, and contract-related data in a secure, centralized location. With Contract & Relationship Manager you can: Make sure that vendors, physicians, consultants, employees, and other users have the necessary credentials, permissions, and privileges in order to comply with all relevant regulations, policies, and standards Ensure that agreements and their related sub agreement termination and notice dates stay current and in sync Set up owners and reminders to provide accountability and no lapses in terms or conditions Create a single repository for contract documents and histories Clone form agreements to eliminate data entry errors Assimilate activities and events related to specific vendors Monitor compensation and flow of funds to staff and the organization to comply with ensure regulatory and internal-policy limits Store all relationship information, whether it pertains to attending physicians, medical directors, representatives, boards, researchers, grant recipients, vendors, consultants, or volunteers. Simply create an individual record for each contact from the date of engagement to termination, including compensation and compliance information. Access your data anywhere via the internet while maintaining strict data accessibility controls, allowing you to select users for added security. Board of Directors Committee Chairpersons Privacy and Security Officers ACCOMMODATES Contract Detail Contractors Life Cycle Renewal Terms and Conditions Parties Compliance Compensation INTEGRATE WITH THE FOLLOWING COMPLYTRACK SUITE MODULES Document & Policy Manager

4 MediRegs ComplyTrack Risk Assessment Manager Assess, interpret and remediate risk across your entire enterprise. Risk Assessment Manager delivers the software tools and extensive compliance expertise you need to assess your organization s level of regulatory compliance and to uncover areas of risk within the enterprise. This tool s comprehensive and customizable library of electronic questionnaires allows you the ability to conduct interviews across topics, entities, processes, and departments. Furthermore, it allows you to monitor the progress of respondents, ping users who are delinquent in completing their assignment, interpret results, and implement risk remediation with integrated action plans. Risk Assessment Manager s powerful capabilities enable you to: Define any number of risk assessment projects Mix and match existing question sets or create your own Access the industry s largest library of regularly updated question sets Easily deploy risk assessment question sets throughout your enterprise. Monitor progress and engage obstacle participants Identify risk areas for remediation Manage the remediation process Report to management Based upon your definition of the organization s structure, Risk Assessment Manager presents a straightforward and comprehensive set of questionnaires for each entity or person in your enterprise. Easily tailor question sets to your organization s unique needs and specifications using our libraries along with questions developed by your personnel. A full range of the available features facilitates the generation of customized surveys and templates for detailed data gathering. Robust analysis and reporting tools enable you to efficiently manage the progress of your assessment. Clearly present your results to the team, management, or the board by using the graphical reporting tools available in multiple downloadable formats. Once you have completed your risk assessments, you can manage the remediation process with Risk Assessment Manager s integrated action planner, which includes suggested corrective actions you can direct to administrators, teams, and individuals. Executives Risk Managers Information Systems Managers Privacy Officers Reimbursement Analysts Vendor Relations Managers ACCOMMODATES Compliance and Risk Team Information Systems and Privacy Human Resources Conditions of Participation Community Benefit Physician Contracting Research and Grants Ancillary Services Cost Reporting Governance Vendor Relations Reimbursement Financial Controls and Audits

5 MediRegs ComplyTrack Capture and manage compliance evidence with a sophisticated, comprehensive, and customizable tool that puts you securely in control of annual survey needs. provides the essential, custom survey tools required to document evidence of compliance as a crucial component of your risk assessment processes. enables you to: Implement surveys immediately with easy-to-use survey-building tools, including more than 20 different question styles, logic for contingent questions, attachments, and upload capabilities. Customize end-user instructions, including anonymous or attributed response structures Fully manage users, from data access to system privileges Leverage built-in ComplyTrack tools, including direct s from the system Easily handle large-volume reviews or audits with multi cycle and multi-iteration processing Analyze and present findings using powerful built-in reporting and heat maps Create custom surveys for any purpose, including conflict of interest, code of conduct, chart auditing, anonymous polling, vendor compliance, or targeted department auditing. Electronically assign surveys and groups of surveys to selected users and allow respondents to substantiate their answers by securely adding documentation and comments. Analyze the results in real time with robust reporting tools. Executives Risk Managers Information Systems Managers Privacy Officers Reimbursement Analysts Vendor Relations Managers Contract & Relationship Manager Risk Assessment Manager Audit Detail Manager Document & Policy Manager Moreover, you can set up and distribute templates to auditors and reviewers throughout the enterprise to ensure consistent, rigorous data collection for contact, vendor, chart, regulatory, desktop security, information systems and other audits.

6 MediRegs ComplyTrack Audit Detail Manager Proactively manage all facets of the claims-based audit process. Audit Detail Manager is engineered specifically to handle the high-volume, time-sensitive, and complex workflow needed to satisfy record requests from audit bodies and process determination letters, as well as to navigate the rebuttal and multi-tiered appeal process. The robust capabilities of Audit Detail Manager allow you to: Maintain audit trails for all correspondence, detailing claim-level tracking from initial request through multiple levels of appeal Focus the efforts of audit response teams on the overall process, eliminate redundant manual processes, and document the audit impact for facility management and board members Detect, analyze, report on, and predict trends using standard and customized reports for every level of detail throughout the process Designed to put you in control of the complete audit life cycle, Audit Detail Manager provides the flexibility to manage audit requests from Recovery Audit Contractors (RACs), Medicare Administrative Contractors (MACs), the Medicaid Integrity Program (MIC), Zone Program Integrity Contractors (ZPICs), or commercial payer audits. Health Information Management Recovery Audit Contractor (RAC) and Quality Audit Teams Patient Financial Services Risk Assessment Manager EHR has validated the ComplyTrack Audit Detail Manager with EHR technology and reporting. Audit Detail Manager offers optional ADM Connect for clients who need fully automated workflow with EHR. Integrate the Audit Detail Manager with the following ComplyTrack modules: : Track and manage anticipator and simultaneous audits to preemptively measure dollars at risk. Also provides features to manage process remediation in the event of large take-backs. : Features tools to perform audits of any type across your organization with our flexible and robust toolset. Proactively regulatory alerts to key personnel about key changes when they happen. Risk Assessment Manager: Assess and identify key areas of risk across your entire enterprise before an enforcement body challenges you.

7 MediRegs ComplyTrack Document & Policy Manager Create, manage, and distribute documents while maintaining strict control across the enterprise. Document & Policy Manager addresses all stages of a document s life cycle. It allows you to create a new document, design a new template for your specific document needs, make changes to current policies or templates, or archive a policy that is no longer relevant all from one simple-to-use web-based product. Easily create, store, and manage all compliance-department correspondence, form letters, plans, policies, contracts, and other documents. Document & Policy Manager enables you to: Edit document text with a familiar word-processing interface Create standard style sheets for any type of document from compliance plans, to policy and procedures, to mail-merging templates Customize documents using a simple drag-and-drop approach for adding, removing, and reconfiguring document structures Edit section notes Insert links to external documents Maintain strict document-version fidelity with version control, revision control, and archiving capabilities Control access to documents for comprehensive document security Integrate with ComplyTrack to facilitate distribution to employees, vendors, and consultants and ensure certification and attestation Provide access to internal users over the corporate intranet with a companion publishing portal Keep editorial teams in the document creation workflow with built-in reminders Department Heads and Policy Writers Medical Records Specialists Recovery Audit Contractor (RAC) and Quality Audit Teams Privacy and Security Officers Contract & Relationship Manager Document & Policy Manager s built-in content-versioning system eliminates document distortion that can be the result of multiple editors. The cooperative document management system allows for check-in and check-out features across departments without compromising data integrity. No matter how many editors are involved in the process, your documents will remain relevant and up-to-date. With the multilevel security controls provided by Document & Policy Manager, you can easily delegate access to users on the basis editorial group, department, and user-defined roles. It is possible to grant or suspend access at any time, ensuring that only authorized users view, edit, and create documents.

8 MediRegs ComplyTrack Incident Reporter Proactively support your organization s incident reporting process. Created to offer an alternative, customized approach where the incident intake forms may be customized to collect the exact data necessary, Incident Reporter offers organizations a flexible, customizable web-based option to report issues, incidents, or concerns. Incident Reporter enables your organization to: Easily and securely report new incidents Support anonymous submissions Offer round-the-clock, worldwide incident submission Customize mandatory fields to ensure complete data collection Seamlessly import incidents into ComplyTrack s Create robust and detailed reports Offer full visibility into all reported incidents Reduce damage and mitigate vulnerabilities from harmful threats Incident Reporter addresses this concern, by enabling proactive management of incidents and their resolutions with confidence. By accommodating Breach and IT incident reports, it provides assistance in collecting, classifying, and properly using incident data. In addition, it can help health care enterprises mitigate harmful threats through timely and detailed reporting. Privacy Officers Chief Information Security Officers Health Information Managers Chief Information Officers Legal Counsel Risk Managers COMPLYTRACK SUITE MODULE Now anyone within the organization can report incidents, either as employees who are included in your ComplyTrack employee roster, or as anonymous submissions. These reports are then imported as incidents into ComplyTrack s, where they can be appropriately acted upon. Incident Capture Report Findings Incident Reporter Administrative Review Investigation Management