Virtual Compliance Manager (VCM)

Beacon’s Virtual Compliance Manager provides your health plan with a centralized workflow and data management system allowing you access to operational and compliance data. VCM is the only solution to provide real time auditing and monitoring of transactional data allowing your organization the opportunity to correct and address issues immediately. VCM also allows a health plan to manage all regulatory guidance as published. VCM includes a state-of-the-art reporting engine for easy adhoc reporting and monitoring.  We have the right solution for you!

Proactively Transform and Maintain Your Compliance Program With VCM's Two Modules:

  • Guidance Center

  • AUDITING & Monitoring


GUIDANCE CENTER

VCM’s Guidance Center captures all regulatory guidance, as soon as they are published by regulatory oversight agencies,
like CMS, in one centralized location. Your plan will have full access to all updates, memorandums, and agency releases.

KEY BENEFITS

  MOST PLANS CAN HAVE THE GUIDANCE CENTER UP AND RUNNING IN TWO-WEEKS WITH NO ACTIVATION FEE. CALL US FOR MORE INFO.

MOST PLANS CAN HAVE THE GUIDANCE CENTER UP AND RUNNING IN TWO-WEEKS WITH NO ACTIVATION FEE. CALL US FOR MORE INFO.

  • Extensive Document Search Capabilities: View and search regulatory guidance including HPMS memos, Part C and D Manuals, Call Letters and even publications for the Affordable Care Act.

  • Designated Regulatory Libraries: Policy & Procedures and important Compliance work papers are uploaded into specific libraries.

  • Document Workspace Manager: Distribute important information, or assign group and individual tasks to ensure compliance and deadlines are met.

  • Complete Project Overview: Build and maintain a complete history of your reviews and projects, generate tasks to users, groups, or even entire departments, plus you can track document routing and approvals.

  • Exclusive Insights: All regulatory news, events & upcoming deadlines are summarized in a weekly bulletin exclusive to our clients.


AUDITING

VCM’s Audit Workflow Management tool will consolidate compliance work papers removing the need for spreadsheets, therefore improving the efficiency of your auditing program. With over 1500 corrective action plans and easy-to-use cloud based reporting tools, your plan will have total control of your Auditing Program making it easy to stay effective and compliant at all times.

KEY BENEFITS

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  • Provides customizable dashboards with real-time visibility of risk areas

  • Increases productivity and reduces costs

  • Empowers users to meet all internal and external reporting requests without IT support

  • Consolidates compliance work papers improving the efficiency of your auditing program

  • Minimizes audit errors with standardized workflow audits


MONITORING

VCM’s Automated Monitoring is essential to staying on top of non-compliant areas. This tool is specially designed for identifying and monitoring areas of non-compliance so corrective actions can be taken. Plus, you decide the sample size and frequency, we do the work. Let us help move your organization to a higher level of clarity.

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KEY BENEFITS

  • Intelligent Software: Imports operational data and leverages proprietary monitoring logic to identify areas of non-compliance. With each compliance exception, it provides you the opportunity to capture the root cause, corrective action plan and beneficiary impact. 

  • Extensive Audit Rules Library: Includes over 1000 audit rules based on CMS rules, regulations, and internal metrics. 

  • Proactive Analysis: Identifies, tracks and trends the Root Cause of non-compliance and reports those areas to you. 

  • Tracks non-compliant data for complete Beneficiary Impact Analysis reporting

  • User-friendly Dashboard Reporting: Allows users to view risk areas easily.