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.
New Add-Ons
Corporate Compliance
By popular demand, a secured Corporate Compliance area can now be added to the Guidance Center. A separate area can be created in Guidance Center for materials that the plan wants to have a greater level of security from other users.
This area could be used by Compliance or the Legal Department to manage and store documents that need to be secure.
- Easy collaboration with various departments
- Centralized location within VCM for your Legal Department
- Restricted access from other Operational activities and VCM Users
- Secure location for storing contracts, and legal matters
- Ability to distribute and track the review of contracts and legal documents within a limited group
- Complete access to the Guidance Center and Reference Library for your regulatory research
- Leverage the ability to email documents to external stakeholders through a secure platform
Risk Assessment
Risk Assessment is an all-inclusive automated risk tracking tool with questionnaire and risk categorization logic that enables health plans to assess compliance and organizational risks while developing the audit workplan.
Marketing
This add-on provides a framework for managing the plan’s process for the internal review of materials that require submission and approval by the plan’s regulator(s). This primarily includes marketing and member notification materials.
Auditing & Monitoring
Real-time & Powerful
Virtual Compliance Manager (VCM) is the leading health plan compliance management solution on the market. It includes Guidance Center with real-time updates on regulatory guidance (e.g., HPMS memos), and the ability to distribute and assign tasks related to the regulatory changes. VCM provides real-time auditing and monitoring of transactional data to correct and address issues immediately. VCM also enables the entry, managment, and tracking of Corrective Action Plans (CAPs) including the ability to track and trend CAPs.
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.
Latest Health Plan Compliance News
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Experience the power of our innovative and trusted health plan solutions to meet regulatory requirements with confidence.