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Special Investigative Unit

Special Investigative Unit (SIU) is a case management module that works with Beacon’s Compliance Manager (BCM). SIU supports workflows for managing the investigation of potential Fraud, Waste, and Abuse (FWA) cases. The module comes with standard workflows that are easy to customize to the plan’s workflows and letters, either by modifying the standard workflows and letters or building plan-specific workflows and letters. SIU’s medical waste and abuse software includes centralized records retention of all cases. Once implemented, plans can identify trends proactively, close operational performance gaps, and monitor all compliance events regardless of line of business.

Key Features

Easy-To-Use Reporting

Create individual and team dashboards, Ad Hoc reports and event case summaries based on the data collected without the need for IT resources with our healthcare fraud software.

Custom Workflows

Customize workflows and letters with the ability to modify the standard workflows and letters, or build workflows and letters specific to your plan.

Centralized Records

Simplify your approach to record retention with the ability to find all Special Investigative Unit cases in one, centralized location.

Discover The Perks

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 the Board of Trustees

Ready To Get Started?

Experience the power of our innovative and trusted health plan solutions to meet regulatory requirements with confidence.
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Contact Us

  • 1-800-918-4120
  • info@beaconhcs.com
  • 17011 Beach Blvd, 12th Floor, Suite 1220, Huntington Beach, CA 92647

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© Beacon Healthcare Systems 2023

Additional Modules

Chris Mahoney

Chief Financial Officer
Chris Mahoney is a resourceful and results-driven senior finance executive with 25+ years of CFO-level experience leveraging keen financial expertise to create cost-efficient and sustainable financial results across both small and large corporate organizations. He consistently demonstrates the ability to critically evaluate and respond to rapidly evolving environments while identifying business-critical financial enhancements and developing proactive and actionable improvement initiatives. Chris also utilizes business acumen and cross-functional communication skills to routinely produce sophisticated solutions and align all financial activities with strategic business goals. Chris has acquired and integrated businesses, assisted in raising millions in $30mm equity and debt through private placements, transformed a business from a Perpetual to a SaaS model, assisted in growing businesses from $250mm to $1bn, and has implemented Project Accounting systems, cost, and management information systems.

Ken Stockman

Chief Executive Officer
Ken Stockman, Founder and Chief Executive Officer of Beacon Healthcare Systems, is a seasoned healthcare executive with strong Payer and Provider experience focused on bringing innovative solutions to Government program revenue management, operations, compliance, and risk adjustment. Ken was an early leader in the Medicare Advantage Risk Adjustment industry building a full suite of tools such as Full Enrollment, Member Reconciliation And Part D Platform to support the health plans’ initiatives in 2006 as co-founder and former CEO of Dynamic Healthcare Systems, Inc. His expertise in Risk Adjustment Strategy, Transaction Processing And Analytics positions him as a unique subject matter expert. Additionally, his experience in CMS Transaction Processing And Regulatory Requirements led to the successful design and implementation of industry-leading information systems.