LogicGate for Hospitals and Health Systems

Manage Complex Compliance, Risk, and Operational Issues with LogicGate

LogicGate helps healthcare organizations reduce risk associated with regulatory compliance, fraud, and legal matters. Healthcare is one of the most heavily regulated industries in the United States. Any organization that transmits patient information electronically is governed by the Health Information Portability and Accountability Act (HIPAA). There are numerous other federal, state, and local rules and regulations that impact healthcare systems (CMS, ICD-10, Red Flags, etc). Additionally, CMS 42 C.F.R. §§422.503 and 423.504 require Medicare Plans to implement an effective compliance program.

These put pressure on organizations and take the focus away from patient care and normal business activities. Additionally, medical fraud enforcement actions are on the rise and organizations often struggle with the volume of data that is associated with reviewing medical records.

Healthcare Industry and LogicGate

Regulatory, Compliance, & Legal Solutions

in Healthcare

Regulatory Change Management in Healthcare

LogicGate | Regulatory Compliance Solution

  • Enables hospitals, physician practices, and healthcare systems to implement a top-class regulatory change management program.
  • Analyze, test, and execute regulatory changes to ensure full compliance and transparency.
  • Find and eliminate compliance gaps in your organization’s control documentation.
  • Enterprise Risk Management in Healthcare

    LogicGate | Enterprise Risk Assessments

  • Enables corporations to accurately identify, assess, monitor, and remediate business risks.
  • Automates assessment of inherent and residual risk based on impact and likelihood; supports multi-dimensional risk assessments.
  • Captures risk data, including risk details, documentation, questionnaire information, impact, rating, and emerging issues.
  • Build action and mitigation plans with time bound activities, each assigned to individuals within the company.
  • Healthcare Case Management

    LogicGate | Case Management Software

  • LogicGate Investigation and Case Management is an end-to-end solution for manging audits and investigations, tracking case status, and responding to investigatory requests from government authorities.
  • Supports record reviews associated with CMS such as RADV and Bid audits.
  • Ensure leadership has line-of-sight into key project metrics through simple dashboards.
  • Healthcare Incident Management

    LogicGate | Incident Tracking Solution

  • Captures events and incidents in a centralized platform to help reduce operational risk.
  • Customized workflow and event handling rules ensures the right parties are involved to address HIPPA, insurance, and medical rules and regulations. Assign tasks, investigate reported events, and take corrective actions.
  • Detailed reports and dashboards track status of incidents across the enterprise.
  • LogicGate Policy and Procedure Solutions

    LogicGate | Policy Management Solution

  • Provides a central repository where policies and procedures can be created, approved, revised, published, and communicated.
  • Version controls ensure a fully auditable environment.
  • Create custom workflows to support effective controls for new, updated, or decommissioned policies and procedures.
  • LogicGate FCPA Compliance Management

    LogicGate | FCPA Compliance

  • Centralized, global repository for legal, compliance, and accounting to track, analyze, and approve gift, hospitality, and contributions across the organization.
  • Advanced analytics helps reduce fraud, corruption, and abuse.
  • Getting Started is Easy

    Get in touch with us to see a demo and discuss your specific needs. Take the first step to empowering your process and simplifying your business.

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