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.

TA.BI.2

Access and Delivery

Technical Service Classification: Business Intelligence

TA.BI.2

Checklist Item Guidance

This criterion may not apply to E&E. For R1, evidence could include acquisition documents, requirements specifications, a ConOps that explains how this functionality will be implemented, or other planning documents that demonstrate plans to incorporate this capability. For R2 and R3, evidence could include screenshots of the data analytics user panels or analysis reports that show various types of analyses that the module/system can perform. For R2 (if not a desk review) and R3, the state should be prepared to give a demonstration of this functionality. State: RFPs or plans must include the functions listed in the criterion. This may involve more than one module as well as program management process. State must ensure that relevant modules are working seamlessly to produce the necessary analysis. Module: This applies to modules that support a broad spectrum of data analytics, system, user, and ad hoc query reporting, and to third-party product(s) if used to support this criterion.

Checklist Item Source

MMIS BP

Checklist Item Criteria

The system of interest supports a range of analysis actions. (These include benefit modeling, utilization management, provider-member-MCO profiling, program planning, forecasting, program assessment, provider or contractor performance, quality assurance, fraud detection, comparison of fee-for-service and managed care, statistical analysis, comparative analysis, financial trends, case-mix adjustments within time ranges specified in the APD and/or RFP, and other functions as described in the APD and/or RFP.)

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with TA.BI.2. Does your company's solution or medicaid enterprise system comply with ... "The system of interest supports a range of analysis actions. (These include benefit modeling, utilization management, provider-member-MCO profiling, program planning, forecasting, program assessment, provider or contractor performance, quality assurance, fraud detection, comparison of fee-for-service and managed care, statistical analysis, comparative analysis, financial trends, case-mix adjustments within time ranges specified in the APD and/or RFP, and other functions as described in the APD and/or RFP.)" ... 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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