1. Too Many Rules To Track?
Posted on June 1, 2016
How To Better Manage Your Compliance Efforts
Compliance reporting requirements have ramped up in recent years, making it even more
important to create a centralized monitoring system that aggregates and analyzes system-wide
metrics. However, many hospitals and health systems experience issues that may slow,
muddle, or even halt efforts to maintain compliance.
It’s time to find a way to better manage compliance monitoring – and directly impact how quickly
you can address issues or problems or identify opportunities for improvement.
You Need To Stay Ahead
If you’re using a program to track, analyze, and report on compliance, you’ve probably run into
challenges. Without real-time data and a centralized, system-wide view, you run the risk of
repeated mistakes and consistent episodes of noncompliance. To identify problematic trends
and patterns that affect your organization, you need to take action before penalties occur.
Besides your reputation on the line, there are serious implications to noncompliance, including
imposed operational monitoring by CMS, penalties of up to $25,000 per determination,
sanctions, or even contract termination. (A search on CMS.gov shows that, so far in 2016, civil
penalties for part C and D enforcement actions average $166,450.1
) As penalties mount, there’s

2. additional fallout – such as $10,000/week penalties for uncorrected deficiencies, skewed public
opinion, or even staffing issues as professional opinions of your facility shift.
Pressure From Within
Fiduciary responsibility adds layers of accountability to a healthcare organization’s compliance
efforts. Because noncompliance means denied reimbursement for claims, it’s a top priority for
organizational leadership. But when the inevitable demand for metrics begins, compliance
dashboards can slow things down. The operational teams responsible for generating reports
must be able to access the information they need quickly and accurately – a common pain point
for compliance dashboards.
Find a Partner
Considering the myriad challenges faced by most organizations when it comes to compliance
monitoring, it’s comforting to know you’re not on your own. Our CMS Compliance Dashboard is
tailored specifically to report to CMS by aggregating and summarizing compliance activities
system-wide. By examining tracks such as patient/caregiver experience, preventive health, and
care coordination, as well as specific concerns such as observation status, you can diagnose
and address noncompliance issues quickly and accurately.
Healthcare organizations use the CMS Compliance Dashboard to visualize compliance details
and reimbursement losses on several levels, using multiple dashboards complete with
customizable widgets, and if you have specific compliance issues that aren’t covered by
Medicaid and Medicare guidelines, Brandix i3 is equipped to develop a custom dashboard – one
that provides a centralized view on the data that you’ve identified as vital. Leading healthcare
Business Intelligence solutions such as Infor BI also contains pre-built healthcare solutions to
assist the entire organization to improve compliance, give insights and better manage resource.
As an Infor Global Alliance Partner, Brandix i3 is also implementing and supporting Infor’s
healthcare Analytics and Business Intelligence solutions for their customers throughout the
US. Brandix i3 can capture and manage business, operational or clinical data and provide pre-
built or custom created applications, reports and dashboards.
These professional services are designed to benefit the entire organization, to help improve
compliance performance, to give detailed insights, to better manage resource, and to empower
our clients to be a well-trained and proficient healthcare institution.
Far-Reaching Effects
Maintaining compliance isn’t just about avoiding fines, frustration, and C-suite pressure – it’s
about streamlining processes to balance costs and deliver high-quality care. Developing and
maintaining an effective compliance monitoring program is critical in today’s healthcare

3. landscape. As hospitals and health systems improve processes and monitoring, these
organizations can reap the benefits… from better ratings to higher patient satisfaction scores.
• Download the Brandix i3 CMS Dashboard brochure here.
• Talk to us about Infor BI solutions at Inforum 2016, NYC – click here for details.
Author:
Tom Bithell, Brandix i3, US Sales Manager – Healthcare
Tom leads Brandix i3’s Healthcare Sales and has collaborated with Hospitals, Healthcare
Systems and enterprise technology providers for over 35 years. Tom is highly recognized as an
experience senior manager, executive sales professional and business strategist throughout
the US healthcare market.
Citation:
1
Part C and Part D Enforcement Actions. (2016, April 7). Retrieved May 19, 2016, from
https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-
Audits/PartCandPartDEnforcementActions-.html