CMS Certification with ReadyCert

ReadyCert was built to drive Certification projects at lightning speed. ReadyCert treats your project RTM like a Certification checklist, and treats your Certification checklist like a project RTM. Using the familiar process of requirements fulfillment, ReadyCert empowers your Enterprise to recycle the work of Certification by transforming checklist items and solution requirements into relate-able data elements. When loaded in ReadyCert your system review criteria, fulfillment responses, evaluations and artifacts are quantified and tracked across projects and enterprises to provide deep intelligence and insight into your Compliance narrative.

CM.CM7.1

MMIS Care Management

CSF CM7: State monitors quality and cost of care provided to enrollees in managed care.

CM.CM7.1

Checklist Item Guidance

CMS has provided no official guidance for this checklist.

Checklist Item Source

CFR

Checklist Item Criteria

SMA detects under-underutilization of PIHP enrollees using encounter data.

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with CM.CM7.1. Does your company's solution or medicaid enterprise system comply with ... "SMA detects under-underutilization of PIHP enrollees using encounter data." ... Prove it meaningfully with ReadyCert. Provide clear and concise linkage from the RFP, to the Test Case, to the utilization reports and a secure and convenient application specially engineered to make compliance work quick and easy.

ReadyCert is the Software as a Service (SaaS) answer to Compliance! Take the tour with one of our subject matter experts with you or your entire team. You'll learn how ReadyCert will save your team time and effort when performing compliance work by automating mundane tasks and streamlines reporting across projects, enterprises and frameworks. Our team will show you how ReadyCert improves consistency and eliminates duplicate work scenarios, how it tracks vendor information and how controls are mapped to your enterprise's business areas.

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