MediRegs - Wolters Kluwer

Transcription

MediRegs® ComplyTrack Suite™
A powerful, secure solution designed to drive compliance that is completely in-sync with your
risk-management processes and enforces standards across every function of your enterprise.
Designed exclusively for the health care industry by health care experts, MediRegs
ComplyTrack Suite from Wolters Kluwer Law & Business delivers a cost-effective,
end-to-end, integrated software solution for health care compliance, audit, and risk
management. Now you can proactively audit, investigate, manage, assess, mitigate,
and control compliance and enterprise risk throughout your organization.
ComplyTrack allows your organization to:
Maximize efficiency and reduce cost by eliminating manual, redundant processes
Maintain accountability by demonstrating processes’ impact to your
management and your board
Monitor compliance risk management activities via a complete end-to-end
solution
Document all aspects of the compliance audit for detailed reporting purposes
Using ComplyTrack’s integrated workflow and modular Software as a Service (SaaS)
architecture, you can oversee your enterprise risk-management program, while
maintaining integrity and process efficiency. And you will be perfectly positioned to
demonstrate and report quantifiable impact to both management and the board.
ComplyTrack offers a scalable solution that can be configured to your business needs,
using any combination of our targeted modules. Implementation supported by an
industry expert and minimal training will allow you to quickly transition to a better,
more efficient way of doing business.
Regulatory Risk
Assessment and
Remediation
Electronic Survey
Tools and Audit
Templates
t
Activity and
Event Management
Health Care Executives
Compliance Officers
Internal Auditors
Risk Managers
General Counsel
Human Resources Managers
Information Systems Managers
Privacy and Security Officers
Reimbursement Analysts
Vendor Relations Managers
Research and Grant Managers
COMPLYTRACK SUITE MODULES
Risk Assessment Manager - identify and
remediate risk across the entire enterprise.
Survey Manager - capture and manage
compliance evidence with a customizable survey
tool that puts you securely in control.
Activity & Event Manager - track and
manage issues, audits, projects, and meetings
comprehensively and securely across the
enterprise.
Contract & Relationship Manager - monitor
and manage all contractual and arm’s-length
relationships across the enterprise.
Incident Activity
Management
MediRegs P
ComplyTrack
Suite
Recovery
Audit Contractor
(RAC) and
Claims-Based
Audit Management
DEVELOPED FOR
Policy, Procedure
and Document
Management
Audit Detail Manager – manage the workflow
required to respond to requests for all types of
federal and state claims-based audits.
Document & Policy Manager - create, manage,
and distribute policies and procedures as well as
other enterprise document types.
Incident Reporter – design customized
electronic forms to collect, track, and manage all
compliance, breach and IT incident reports from
one central location.
Contract and
Relationship
Management
FOR MORE INFORMATION:
© 2011 CCH Incorporated
Visit MediRegs.com or
call 800-449-6435
MediRegs® ComplyTrack Activity & Event Manager™
Track and manage issues, projects and meetings completely and securely
across the enterprise.
Activity & Event Manager is a powerful tool that administers your
organization’s compliance, audit, and risk activities from one central location.
Robust documentation tools and precise workflow capabilities empower
your organization with the ability to track critical issues—from identification
through mediation building to continuous improvement.
Activity & Event Manager’s enhanced capabilities allow you to:
Manage overall compliance functions in one secure and readily
accessible workspace track trends, and report on the effectiveness
of your compliance program
Effectively manage audits and centralize all documentation
Create concise and precise reports
Import events directly from hot line vendors and incident-reporting forms
Monitor employee compliance training by topic across the entire
company
Activity & Event Manager makes it easy for you to establish and manage
projects, initiatives, and audits across your entire organization, letting you
maintain a consistent record of safety and security reviews, training and
education programs, and financial controls across each phase of
identification, reporting, investigation and resolution, including remedial
education and follow-up audits. Security controls authorize each user’s access
only to pre-specified data.
Monitor board and committee meetings from a central location by
documenting minutes and ensure proper follow up of discussion items,
external audits, and reviews. Additionally, track institutional review-board
queries, specific grants and trials, and other research initiatives.
DEVELOPED FOR
Board of Directors
Committee Chairpersons
Compliance Officers
Internal Audit
General Counsel
ACCOMMODATES
Investigations
Communications
Agency
Eduction
Audits
INTEGRATE WITH THE
FOLLOWING COMPLYTRACK
SUITE MODULES
Risk Assessment Manager
Survey Manager
Audit Detail Manager
Document & Policy Manager
Contract & Relationship Manager
Incident Reporter
call 800-449-6435
MediRegs® ComplyTrack Contract & Relationship Manager™
Effectively monitor and manage all your contractual and arm’s-length
relationships across the enterprise.
Contract & Relationship Manager enables your organization to pro actively
manage all contractor, and contract-related data in a secure, centralized
location.
With Contract & Relationship Manager you can:
Make sure that vendors, physicians, consultants, employees, and other
users have the necessary credentials, permissions, and privileges in order
to comply with all relevant regulations, policies, and standards
Ensure that agreements and their related sub agreement termination and
notice dates stay current and in sync
Set up owners and reminders to provide accountability and no lapses in
terms or conditions
Create a single repository for contract documents and histories
Clone form agreements to eliminate data entry errors
Assimilate activities and events related to specific vendors
Monitor compensation and flow of funds to staff and the organization to
comply with ensure regulatory and internal-policy limits
Store all relationship information, whether it pertains to attending physicians,
medical directors, representatives, boards, researchers, grant recipients,
vendors, consultants, or volunteers. Simply create an individual record for
each contact from the date of engagement to termination, including
compensation and compliance information.
Access your data anywhere via the internet while maintaining strict data
accessibility controls, allowing you to select users for added security.
DEVELOPED FOR
Board of Directors
Committee Chairpersons
Compliance Officers
General Counsel
ACCOMMODATES
Contract Detail
Contractors
Life Cycle Renewal
Terms and Conditions
Parties
Compliance
Compensation
INTEGRATE WITH THE
FOLLOWING COMPLYTRACK
SUITE MODULES
Activity & Event Manager
Survey Manager
call 800-449-6435
MediRegs® ComplyTrack Risk Assessment Manager™
Assess, interpret and remediate risk across your entire enterprise.
Risk Assessment Manager delivers the software tools and extensive
compliance expertise you need to assess your organization’s level of
regulatory compliance and to uncover areas of risk within the enterprise. This
tool’s comprehensive and customizable library of electronic questionnaires
allows you the ability to conduct interviews across topics, entities, processes,
and departments. Furthermore, it allows you to monitor the progress of
respondents, ping users who are delinquent in completing their assignment,
interpret results, and implement risk remediation with integrated action plans.
Risk Assessment Manager’s powerful capabilities enable you to:

Define any number of risk assessment projects
Mix and match existing question sets or create your own
Access the industry’s largest library of regularly updated question sets
Easily deploy risk assessment question sets throughout your enterprise.
Monitor progress and engage obstacle participants
Identify risk areas for remediation
Manage the remediation process
Report to management
Based upon your definition of the organization’s structure, Risk Assessment
Manager presents a straightforward and comprehensive set of questionnaires
for each entity or person in your enterprise. Easily tailor question sets to your
organization’s unique needs and specifications using our libraries along with
questions developed by your personnel. A full range of the available features
facilitates the generation of customized surveys and templates for detailed
data gathering.
Robust analysis and reporting tools enable you to efficiently manage the
progress of your assessment. Clearly present your results to the team, management, or the board by using the graphical reporting tools available in multiple
downloadable formats. Once you have completed your risk assessments,
you can manage the remediation process with Risk Assessment Manager’s
integrated action planner, which includes suggested corrective actions you can
direct to administrators, teams, and individuals.
DEVELOPED FOR
Executives
Compliance Officers
Risk Managers
Internal Auditors
General Counsel
Privacy Officers
ACCOMMODATES
Compliance and Risk Team
Information Systems and Privacy
Human Resources
Conditions of Participation
Community Benefit
Physician Contracting
Research and Grants
Ancillary Services
Cost Reporting
Governance
Vendor Relations
Reimbursement
Financial Controls and Audits
INTEGRATE WITH THE FOLLOWING
Survey Manager
call 800-449-6435
MediRegs® ComplyTrack Survey Manager™
Capture and manage compliance evidence with a sophisticated, comprehensive, and
customizable tool that puts you securely in control of annual survey needs.
Survey Manager provides the essential, custom survey tools required to
document evidence of compliance as a crucial component of your risk
assessment processes.
Survey Manager enables you to:
Implement surveys immediately with easy-to-use survey-building tools,
including more than 20 different question styles, logic for contingent
questions, attachments, and upload capabilities.
Customize end-user instructions, including anonymous or attributed
response structures
Fully manage users, from data access to system privileges
Leverage built-in ComplyTrack tools, including direct e-mails from the
system
Easily handle large-volume reviews or audits with multi cycle and
multi-iteration processing
Analyze and present findings using powerful built-in reporting and heat
maps
Create custom surveys for any purpose, including conflict of interest, code of
conduct, chart auditing, anonymous polling, vendor compliance, or targeted
department auditing. Electronically assign surveys and groups of surveys to
selected users and allow respondents to substantiate their answers by securely
adding documentation and comments. Analyze the results in real time with
robust reporting tools.
DEVELOPED FOR
Executives
Compliance Officers
Risk Managers
General Counsel
Privacy Officers
Internal Auditors
Audit Detail Manager
Moreover, you can set up and distribute templates to auditors and reviewers
throughout the enterprise to ensure consistent, rigorous data collection for
contact, vendor, chart, regulatory, desktop security, information systems and
other audits.
call 800-449-6435
MediRegs® ComplyTrack Audit Detail Manager™
Proactively manage all facets of the claims-based audit process.
Audit Detail Manager is engineered specifically to handle the high-volume,
time-sensitive, and complex workflow needed to satisfy record requests from
audit bodies and process determination letters, as well as to navigate the
rebuttal and multi-tiered appeal process. The robust capabilities of Audit Detail
Manager allow you to:
Maintain audit trails for all correspondence, detailing claim-level tracking
from initial request through multiple levels of appeal
Focus the efforts of audit response teams on the overall process, eliminate
redundant manual processes, and document the audit impact for facility
management and board members
Detect, analyze, report on, and predict trends using standard and customized reports for every level of detail throughout the process
Designed to put you in control of the complete audit life cycle, Audit Detail
Manager provides the flexibility to manage audit requests from Recovery Audit
Contractors (RACs), Medicare Administrative Contractors (MACs), the Medicaid Integrity Program (MIC), Zone Program Integrity Contractors (ZPICs), or
commercial payer audits.
DEVELOPED FOR
Health Information Management
Recovery Audit Contractor (RAC) and
Quality Audit Teams
Compliance Officers
Patient Financial Services
Internal Auditors
Survey Manager
EHR has validated the ComplyTrack Audit Detail
Manager with EHR technology and reporting.
Audit Detail Manager offers optional ADM Connect for
clients who need fully automated workflow with EHR.
Integrate the Audit Detail Manager with the following ComplyTrack modules:
Activity & Event Manager: Track and manage anticipator and simultaneous
audits to preemptively measure dollars at risk. Also provides features to
manage process remediation in the event of large take-backs.
Survey Manager: Features tools to perform audits of any type across your
organization with our flexible and robust toolset. Proactively regulatory
alerts to key personnel about key changes when they happen.
Risk Assessment Manager: Assess and identify key areas of risk across your
entire enterprise—before an enforcement body challenges you.
call 800-449-6435
MediRegs® ComplyTrack Document & Policy Manager™
Create, manage, and distribute documents while maintaining strict control across the enterprise.
™
Document & Policy Manager addresses all stages of a document’s life cycle. It
allows you to create a new document, design a new template for your specific
document needs, make changes to current policies or templates, or archive
a policy that is no longer relevant—all from one simple-to-use web-based
product. Easily create, store, and manage all compliance-department
correspondence, form letters, plans, policies, contracts, and other documents.
Document & Policy Manager enables you to:
Edit document text with a familiar word-processing interface
Create standard style sheets for any type of document—from compliance
plans, to policy and procedures, to mail-merging templates
Customize documents using a simple drag-and-drop approach for adding,
removing, and reconfiguring document structures
Edit section notes
Insert links to external documents
Maintain strict document-version fidelity with version control, revision
control, and archiving capabilities
Control access to documents for comprehensive document security
Integrate with ComplyTrack Survey Manager to facilitate distribution
to employees, vendors, and consultants and ensure certification and
attestation
Provide access to internal users over the corporate intranet with a
companion publishing portal
Keep editorial teams in the document creation workflow with built-in
e-mail reminders
DEVELOPED FOR
Compliance Officers
Department Heads and Policy Writers
Internal Auditors
Medical Records Specialists
Recovery Audit Contractor (RAC) and
Quality Audit Teams
Survey Manager
Document & Policy Manager’s built-in content-versioning system eliminates
document distortion that can be the result of multiple editors. The cooperative
document management system allows for check-in and check-out features
across departments without compromising data integrity. No matter how
many editors are involved in the process, your documents will remain relevant
and up-to-date.
With the multilevel security controls provided by Document & Policy Manager,
you can easily delegate access to users on the basis editorial group, department, and user-defined roles. It is possible to grant or suspend access at any
time, ensuring that only authorized users view, edit, and create documents.
call 800-449-6435
MediRegs® ComplyTrack Incident Reporter™
Proactively support your organization’s incident reporting process.
Created to offer an alternative, customized approach where the incident intake forms
may be customized to collect the exact data necessary, Incident Reporter offers
organizations a flexible, customizable web-based option to report issues, incidents, or
concerns.
Incident Reporter enables your organization to:

Easily and securely report new incidents
Support anonymous submissions
Offer round-the-clock, worldwide incident submission
Customize mandatory fields to ensure complete data collection
Seamlessly import incidents into ComplyTrack’s Activity & Event Manager
Create robust and detailed reports
Offer full visibility into all reported incidents
Reduce damage and mitigate vulnerabilities from harmful threats
Incident Reporter addresses this concern, by enabling proactive management of
incidents and their resolutions with confidence. By accommodating Breach and IT
incident reports, it provides assistance in collecting, classifying, and properly using
incident data. In addition, it can help health care enterprises mitigate harmful threats
through timely and detailed reporting.
DEVELOPED FOR
Compliance Officers
Privacy Officers
Chief Information Security Officers
Health Information Managers
Chief Information Officers
Legal Counsel
Internal Auditors
Risk Managers
COMPLYTRACK SUITE MODULE
Now anyone within the organization can report incidents, either as employees who are
included in your ComplyTrack employee roster, or as anonymous submissions. These
reports are then imported as incidents into ComplyTrack’s Activity & Event Manager,
where they can be appropriately acted upon.
Incident
Capture
Report
Findings
Incident
Reporter
Administrative
Review
Investigation
Management
call 800-449-6435