Virtual Appeals Manager (VAM)
Effectively navigating oversight and management of Appeals & Grievances through healthcare reforms and regulatory updates can be challenging. Beacon's Virtual Appeals Manager is a highly configurable and automated solution, designed by health plan compliance and operational experts, provides unparalleled control and transparency of cases from intake to review ensuring complete compliance with CMS. See why so many plans are switching to Beacon Healthcare Systems.
Easily configure VAM to meet your regulatory and operational requirements
Never miss a due date with status alerts and notifications
Ensure accurate case classifications with
The Wizard (see below)
Generate correspondence quickly and accurately
Save and manage each piece of correspondence for future audits
Call attention to special cases with flags
Contains intuitive and user-friendly interfaces
Delivers insights without IT support using our flexible reporting tool
MEDICARE ADVANTAGE PLANS
Configure out-of-the-box Medicare Requirements
Import CTM cases directly from CMS’ HPMS system
Submit out-of-the-box Universes, ready to go for timeliness reporting
Submit Part C and Part D reports timely
Lead to improved STAR ratings, reduced number of NONC’s (Notice of Non-Compliance) and
minimize CMPs (Civil Monetary Penalties).
THE WIZARD - INTAKE INTELLIGENCE TOOL
The Wizard is a one-of-a-kind intake intelligence tool made available to clients who have implemented Beacon's Appeals and Grievance Tool, VAM. The Wizard ensures case type and category accuracy for every client to prevent misclassification.
It's just one more added benefit that only Beacon can offer!
Ask us about Standard Configuration of Appeals and Grievances based on current CMS rules and requirements, we can help you with those needs as well!