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.


Standards and Conditions Checklist

S&C: Industry Standards Condition


Checklist Item Guidance

This criterion speaks to health information enrollment standards and protocols to promote the interoperability of systems for the enrollment of individuals in federal and state health and human services programs as well as the adoption of uniform standards and operating rules for the electronic transactions that occur between providers and health plans that are governed under HIPAA. Establishes a process to regularly update the standards and operating rules for electronic transactions and requires health plans to either certify compliance or face financial penalties. The goal of this section is to make the health system more efficient by reducing the clerical burden on providers, patients, and health plans. For R1, evidence could include acquisition documents, requirements, or a ConOps that explains how the state plans to adopt standards. For R2 and R3, evidence could include test reports of successful data exchange between modules and/or external systems. Enterprise: The state should have an architecture that supports this capability. Module: This applies only to modules involved in data exchange with human services systems. These should be able to support the state's data exchange goals.

Checklist Item Source

Sect 1561 and 1104 of ACA

Checklist Item Criteria

The system of interest complies with standards and protocols adopted by the Secretary under sections 1104 and 1561 of the Affordable Care Act.

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with S&C.ISC.6. Does your company's solution or medicaid enterprise system comply with ... "The system of interest complies with standards and protocols adopted by the Secretary under sections 1104 and 1561 of the Affordable Care Act." ... 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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