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Health Plan Compliance
Monitoring
Software

Streamline critical compliance activities that often rely on manual documentation and distribution. Oversee your health plan’s own compliance with Medicare Advantage and Part D regulations.

Who uses OMT

Every day, OMT is used by Medicare payers to take control of their compliance tasks whether they are making sure they are prepared for an audit, or are leveling-up their ongoing monitoring activities.

  • 20 Medicare Advantage and Part D organizations
  • 175+ Medicare Advantage and Part D contracts
  • 5,000+ compliance professionals
  • 15,000+ individual users, managing 5 million+ member lives

Managing and monitoring compliance activities

The components of OMT complement your compliance process, individually or packaged up as a suite–making it simpler to connect day-to-day oversight activities.

  • Identify and address risk areas
  • Prepare for CMS and internal auditing
  • Create and implement corrective action plans
  • Address regulatory actions, such as HPMS memos
  • Track marketing and member materials with version controls
Notices

For recording communication from regulatory agencies and documenting changes to operations, policies, and procedures

Audits

For when you need to perform CMS-aligned audits regularly

CAPs/CIPs

For managing internally and externally imposed corrective action plans

Events

For monitoring and documenting activities that range from CTMs to CMS meetings

Materials

For tracking training, communication, and marketing materials

Incidents

For managing potential compliance violations

Indicators

For documenting compliance with hundreds of statutes and regulations that govern your operations

Elements

For tracking metrics that demonstrate compliance with statutes and regulations

Let’s Talk 

Inadequate compliance is an ongoing cause of sanctions and CMS enforcement actions. Move away from manual documentation and email communications which leave a lot of room for error, and move onto a program designed specifically to support compliance activities.