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.

OM.PH2.19

Pharmacy Checklist (MMIS Module)

CSF PH2: Provider claims are adjudicated accurately within established time parameters.

OM.PH2.19

Checklist Item Guidance

For R1, evidence could include acquisition documents, requirements, work breakdown structure, ConOps that explains how this will be implemented, or other planning documents that demonstrate plans to incorporate this capability. For R2 and R3, evidence could include test reports of this functionality and screenshots of a claim for which TPL has been deducted and COB edits were appropriately performed. For R3, this example claim should date to go-live. For R2 (if not a desk review) and R3, the state should be prepared to give a demonstration of this capability.

Checklist Item Source

IBP

Checklist Item Criteria

The system deducts TPL amounts, as appropriate, when pricing claims.

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with OM.PH2.19. Does your company's solution or medicaid enterprise system comply with ... "The system deducts TPL amounts, as appropriate, when pricing claims." ... 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.

Compliance is
no longer about
Checklists
Maintaining
the Status Quo
means
maturing your
Security
And proving
beyond a
shadow of a
doubt
that you're
Ready
for
Certification

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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