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.

S&C.IC.2

Standards and Conditions Checklist

S&C: Interoperability Condition

S&C.IC.2

Checklist Item Guidance

This criterion does not apply to E&E. The state Medicaid IT system uses the currently HHS-mandated codes sets, including pharmaceutical codes, diagnosis codes, etc. For R1, evidence could include the state's policy regarding code sets and a data dictionary. For R2 and R3, evidence could include screenshots of the system's use of an acceptable code set. For R3, evidence should show the use of the codes set back to go-live. For R2 (if not a desk review) and R3, the state should be prepared to demonstrate the use of the medical code set. Enterprise: The state should have documentation stating which code sets will be used. Module: Modules must accommodate usage of the mandated code sets.

Checklist Item Source

45 CFR Part 162

Checklist Item Criteria

SMA uses a medical code set for coding diseases, signs and symptoms, abnormal findings, and external causes of injuries/diseases, as stipulated in 45 CFR Part 162.1002.

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with S&C.IC.2. Does your company's solution or medicaid enterprise system comply with ... "SMA uses a medical code set for coding diseases, signs and symptoms, abnormal findings, and external causes of injuries/diseases, as stipulated in 45 CFR Part 162.1002." ... 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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