Mudeeha Yousaf
Tech Enthusiast

For regulated industries, managing compliance requirements can be complex and time-consuming. Often managed manually, the room for error can be large and the fines even larger.

Introducing compliance checks into your day-to-day activities, and implementing tools that promote simple and greater use, reflect good practice in the document management process. But how can this be done effectively and without fail?

The Good Ol’ Checklist – Revamped

Checklists are more than just reminders of what items to pick up on your next grocery run. They’re imperative to keep track of your business processes, meet requirements, remain consistent and reduce error.

Using this simple method, we have worked with health payers to create an effective strategy that incorporates compliance controls via checklists within Blue Relay.

Through our effective review and approval interface, we “force” compliance controls so reviews are done on time while meeting the standards set out by regulatory bodies. By integrating compliance checklists within a standard review process, teams are provided a convenient way to ensure requirements are being thoroughly observed.

Accelerate Your Compliance Process with Integrated Compliance Controls

Blue Relay’s Compliance Checklists ensure:

  1. You and your team know exactly what requirements and rules need to be addressed in each document, ensuring the document is compliant.
  2. There is no missed step in the event someone is out of office as checklists live with each document in a trackable, online interface.
  3. Mistakes in the review are eliminated which facilitates quicker turnaround time.
  4. Documents are reviewed with greater accuracy, speed, and context.

In Real Life: How Health Payers Benefit from Compliance Checklists

  • “Did we check if the font is what CMS accepts?”
  • “Does the first paragraph have all the required regulated information?”
  • “What is the deadline for submission?”

These are only a handful of questions health payers ask themselves multiple times throughout the year – especially in preparation for The Centers for Medicare & Medicaid Services (CMS) Annual Election Period (AEP).

To combat the frustration and struggle health payers face to remain compliant, Blue Relay ensures that all the rules can be validated in a live manner as users go through a document with compliance checklists.

Blue Relay compliance forms and compliance checklists

A Health Plan Example

As an example, a long-standing client and large health plan servicing thousands of members and working with even more documents needed a more efficient way to manage over twenty-five compliance questions for each reviewed document and were losing time in doing so.

After signing up with Blue Relay, they’ve never had to worry about if a question got lost in the funnel, as the compliance checklist tool requires each item to be completed before sending it to the next stakeholder. Depending on the answers you put in, the document travels to different stakeholders in an automated process for greater efficiency.

Organizations have full ability to customize their own questions given their varied needs, such as the type of CMS review, submission code, approval date, or when it was sent to a 508 vendor.

To further help teams validate whether requirements have been included, particularly comparing year over year, Blue Relay allows you to analyze last year’s CMS forms with this year’s to eliminate manually comparing and checking every document. An example of this compare option is shown in the image below.

So, why should you manage compliance with built-in checklists?

Not only do compliance checklists improve productivity, drive continuous improvement and eliminate doubt – they also create confidence that your business is adequately managing risk and strict regulations.

Not convinced? Read this blog to learn more about how business process management tools can ensure compliance.