Healthcare reform is bringing a new wave of focus on regulatory compliance. In addition to the new mandatory requirement to implement a compliance plan, regulators are now asking “Can you demonstrate that your compliance program is working?” CMS is shifting from a focus on policies, procedures and retrospective audits, to a proactive focus on compliance program effectiveness.

As one example of this shift, during 2010, CMS conducted audits of 30 Part D plans, focused on Compliance & Enforcement and Benefit Integrity. These audits resulted in sanctions including the suspension of marketing and enrollment of new members for several large health plans.  

Join us for a live demonstration of the Compliance 360 system that will highlight the automated capabilities used by health insurance organizations to:

• Create a central, dynamic repository for tracking, storing and maintaining laws, regulations and other requirements
• Identify compliance gaps and ensuring that policies and procedures are kept up to date
• Use questionnaire-driven assessments to assess the effectiveness of your compliance program
• Use automated alerts and reminders for assessment activities and tasks related to corrective action plans
• Use the Virtual Evidence Room which links all supporting documentation, incidents and activities to relevant laws and regulations for maintaining an audit-ready state
• Provide secure access to the Virtual Evidence Room for external auditors to streamline compliance audits and demonstrate an “open door” policy
• Use dashboards and alerts to proactively monitor overall program status as well as the status of each regulatory compliance initiative

Who Should Attend

• Health Insurance and Managed Care Plans
• Delegated Entities and Business Associates
• CEO/CFO
• Chief Compliance Officer
• General Counsel
• Chief Audit Executive
• Chief Information Officer
• Chief Risk Officer
• Chief Security Officer

IMPORTANT NOTE:

This product demonstration contains sensitive information and is available for verifiable organizations only. You must use your business email address to register. Consultants/Legal Advisers wishing to gain access should contact us for special logins.

Thank you for understanding.

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