Virtual Incident Manager (VIM)
Fully Configurable Technology Allowing Plans To Effectively Document, Manage, and Report On Every Event.
Once Virtual Incident Manager is implemented, Plans will find it easier to proactively identify trends, close operational performance gaps and monitor all of their compliance-related events, regardless of the line of business, all as they happen
in real time.
BEST CASE USES FOR VIM:
Conflicts of Interests
HIPAA & HITECH Breach Investigations
Sales & Marketing Events
* Produces CMS Universes and Pre-Audit Issues Summary
Audits (scheduled and ad-hoc)*
FDR Oversight & Attestations*
Fraud, Waste & Abuse Investigations*
Corrective Action Plans*
Beneficiary Impact Analysis*
All the tools you need to track and search events without spreadsheets.
The ability to capture, document and follow incidents impacting your organization:
• Training and Education
• Vendor/FDR Oversight
• Special Investigations
• Fraud, Waste and Abuse Cases
• Marketing and Agent Oversights
Fully configurable workflows specific to the event & your way of working.
Reduce organizational compliance risk by setting alerts and flags of important events.
Ensures all steps on specific incidents are followed prior to resolution.
Ability to add your health plan’s correspondence and automatically produce letters.
Incidents and type of issues are tracked for easy reporting to CMS and Board of Trustees without IT support or data requests within the Reporting Module.
Used for cases like HIPAA, Hi-tech, and many other Audit Workflows.
Leads to improved STAR ratings, reduced number of NONC’s (Notice of Non-Compliance) and
minimize CMPs (Civil Monetary Penalties).
DOCUMENT ROOT CAUSES WITH VIM
Complete Compliance Tracers In Advance Of A CMS Audit
Identify CMS-Required Self-Disclosure Risk Areas
Produce CPE Audit Universes At The Touch Of A Button
Table 1 – First TIER Entity Auditing and Monitoring
Table 3 – Internal Auditing
Table 4 – Internal Monitoring
Table 5 – Fraud, Waste and Abuse Monitoring