Beacon Compliance Manager
Beacon Compliance Manager (BCM) is the leading solution on the market to provide real-time auditing and monitoring of transactional data, thus allowing an organization the opportunity to address issues promptly. Our solution provides your health plan with a centralized workflow, data management system, enabling you access to operational and compliance data and transforming your audit program. Government, risk management and compliance (GRC) solutions, such as BCM, have been acknowledged by CMS as a “best practice.”
Key Features
Centralized
Workflow
Enhance your plan with a centralized workflow and data management system. BCM allows you access to operational and compliance data.
Real-Time Auditing And Monitoring
BCM enables real-time auditing and monitoring of transactional data, gaining your organization the opportunity to correct and address issues immediately and drive towards an efficient process.
Updated With Regulatory Guidance
Stay current with HPMS memos and other CMS information with BCM that empowers your plan to manage all regulatory guidance as published.
Discover The Perks
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
Review Policy & Procedures along with important compliance work papers that 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 a history of reviews and projects, generate tasks for users, groups, or entire departments, and track document routing and approvals
Exclusive Insights
View all regulatory news, events & upcoming deadlines which are summarized in a weekly bulletin exclusive
Up & Running
Experience a quick and efficient guidance center set-up so you can get started with your plan right away
Add-Ons
Marketing Module
Inclusive of version controls, status tracking, routing of assignments and reporting, it helps you manage your Medicare Advantage and Part D process communications materials from review through to submission to CMS with all key required data points maintained within the system.
FDR Audit
FDR Audit helps you manage the key functions that are routinely delegated by health plans to multiple IPAs and Medical Groups including Claims (processing), UM, and Credentialing and contain letters, FDR workflows, ability to attach related documents and reporting.
Standalone Modules
Guidance Center
Effectively communicate all regulatory changes to individual users or departments, store all Policies and Procedures, and oversee your HPMS Memos and distribution efforts in the event CMS requests evidence.
Special Investigative Unit
Get the right support for Special Investigations Units with customizable workflows for managing SIU cases including standard (CMS) letters and reports specific to your plan and a centralized records retention of all SIU cases with this healthcare fraud software.
Universe Scrubber
Get automation to scrub the tables for authorizations, claims, appeals, and grievances—on demand—to validate CDAG, ODAG, and other regulatory universes in real-time.
Ready To Get Started?
Experience the power of our innovative and trusted health plan solutions
to meet regulatory requirements with confidence.
