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.

KEY BENEFITS

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  • 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).

“Our Plan has been using VAM since 2015. Since using new technology can be challenging at times, we love that it is very user friendly and allows for customization. We can create our own reports and dashboards with access to support from a dedicated Beacon employee. We originally switched from MedHok based on costs but we have gained much more value in the process.”
— Grievance & Appeals Director

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!


STANDARD CONFIGURATION

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!