MedHOK enables compliance reports from all major modules, providing a real-time assessment of compliance adherence and easily generates the required reports for CMS, NCQA and State Agency audit requests.  At the touch of a finger, health plans can generate compliance reports to better understand issues that are impacting compliance. Given the high stakes, potential fines, penalties and even risk for closure due to lack of compliance adherence, Compliance reporting is critical. Being unsure of your compliance adherence is being unsure of your business plan.

Reporting examples include:

• Universe reports
• ODAG/CDAG reports
• Real-time dashboards
• State-based Medicaid compliance reports
• NCQA reports
• HEDIS reports
• Star quality measure reports

Customers use the solution to:

• Understand their real-time compliance adherence year round
• Provide requested regulatory compliance data to regulatory agencies during audits
• Drive process improvement by better understanding compliance performance impacts
• Address cases proactively before they become non-compliant