Virtual Compliance Manager (VCM)
The Beacon HCS Virtual Compliance Manager provides your health plan with a centralized workflow and data management system allowing you access to operational and compliance data.
Auditing & Monitoring
Real-time & Powerful
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 analytics engine for easy ad hoc reporting and monitoring.
Guidance Center
VCM’s Guidance Center captures all regulatory guidance, as soon as it is published by regulatory oversight agencies, like CMS, in one centralized location. Your plan will have full access to all updates, memorandums, and agency releases.
Experience the Benefits
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 to 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-and-Running
Experience a quick and efficient guidance center set up so you can get started with your plan right away.
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 easy-to-use cloud based analytics tools, your plan will have total control of your Auditing Program making it easy to stay effective and compliant at all times.
Experience the Benefits
Flexible
Use customizable dashboards with real-time visibility of risk areas
Efficient
Increase productivity and reduces costs with our Virtual Compliance Manager
Powerful
Empower users to meet internal and external analytics requests without IT support
Integrated
Consolidate compliance work papers to improve the efficiency of your auditing program
Accurate
Minimize audit errors with VCM’s standardized workflow audits
Easy-to-Use
Experience complete control with our simple cloud based analytics tools
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’s move your organization to a higher level of clarity.
Experience the Benefits
Intelligent Software
Import operational data and leverage proprietary monitoring logic to identify areas of non-compliance.
Extensive Audit Rules Library
Access over 1000 audit rules based on CMS rules, regulations, and internal metrics.
Proactive Analysis
Identify and track the root cause of non-compliance and view reports of those areas.
User-friendly Dashboard Reporting
View risk areas easily and track non-compliant data for complete Beneficiary Impact Analysis reporting.
Virtual Incident Manager (VIM)
Virtual Incident Manager helps plans to effectively document, manage, and report on every event. Once implemented, plans will find it easier to proactively identify trends, close operational performance gaps and monitor all of their compliance-related events as they happen in real time.
Best Use Cases for VIM
*Produces CMS Universes and Pre-Audit Issues Summary
Experience the Benefits
Experience the ability to capture, document and follow incidents impacting your organization: training and education, Vendor/FDR Oversight, special Investigations, fraud, waste, and abuse cases, plus marketing and agent oversights.
Complete
Leverage all the tools you need to track and search events without spreadsheets.
Customizable
Experience fully configurable workflows specific to the event and your way of working.
Reliable
Reduce organizational compliance risk by setting alerts and flags of important events.
Detailed
Ensure all steps on specific incidents are followed prior to resolution.
Connected
Add your health plan’s correspondence and automatically produce letters.
Reporting
Track incidents and issues for easy reporting to CMS and Board of Trustees.
Document Root Causes with VIM
Work With Us
Experience the power of our innovative and trusted health plan solutions to meet regulatory requirements with confidence.