BIDIAS HEALTH – MEDICARE COMPLIANCE COMMAND

Compliance First. Penalties Never.

Bidias Health’s Medicare Compliance Command keeps agencies aligned with Medicare regulations at every step. From Conditions of Participation (CoPs) to survey readiness, it automates compliance checks, tracks credentials, and prevents costly errors. The system provides real-time alerts, ongoing audits, and corrective action workflows to protect agencies from penalties and citations. With built-in monitoring and auto-generated compliance reports, administrators can operate with confidence knowing every detail is Medicare-ready.

CMS COP INTEGRATION ENGINE

Built-in compliance, every step of care.

Every clinical and administrative action is automatically mapped to Medicare’s Conditions of Participation. This ensures compliance is not left to chance but built directly into workflows.

Case Study: A nurse documents a patient’s initial assessment in the EMR. The system instantly validates it against CMS CoP requirements, flagging missing vital signs and a care plan element. The nurse completes the missing fields, and the documentation is fully compliant before submission.

ONGOING CREDENTIAL VALIDATION

Credentials current, workforce compliant.

Licenses and certifications are continuously monitored to match Medicare HR and clinical rules. Staff cannot be scheduled if credentials are expired or incomplete.

Case Study: An RN’s state license is set to expire in two weeks. The system sends automatic alerts to HR and the nurse, ensuring renewal is completed before expiration. This prevents scheduling lapses and protects the agency from a Medicare HR compliance citati

REAL-TIME COMPLIANCE AUDITS

Audit as you go, not after.

All documents are checked against Medicare-required elements before submission. Missing or incorrect data is flagged instantly to prevent rejections or denials.

Case Study: A clinician uploads a plan of care missing the physician’s electronic signature. The audit tool blocks submission and alerts the care coordinator. The physician signs electronically, and the corrected plan is submitted without risk of Medicare denial.

DEFICIENCY RISK SCANNING

Find risks today, avoid penalties tomorrow.

The system scans records to detect gaps that could trigger survey deficiencies or reimbursement denials. Risks are flagged early, giving managers time to fix issues.

Case Study: During a mid-year review, the compliance scanner finds 12 patient records missing signed visit notes. Managers act quickly, collect the signatures, and close the gaps. When surveyors arrive two months later, no deficiencies are found.

MEDICARE-SPECIFIC ALERTS

Never miss a compliance deadline again.

Custom alerts notify staff about expirations, missed deadlines, and inconsistencies tied directly to Medicare rules. This keeps teams accountable and survey-ready at all times.

Case Study: A therapist’s supervisory visit requirement is due within seven days. The Medicare compliance alert notifies both the therapist and the supervisor. The visit is completed and documented before the deadline, ensuring adherence to CMS rules.

CORRECTIVE ACTION GENERATOR

Turn findings into fixes—automatically

When non-compliance is detected, the system auto-generates a corrective action plan. This includes detailed steps, responsible roles, and timelines for resolution.

Case Study: A Medicare audit identifies incomplete medication reconciliation in multiple records. The system generates a corrective action plan, assigning nurses to review reconciliations within 48 hours. The plan is completed, documented, and reported, demonstrating proactive compliance.

BIDIAS HEALTH – AUTOMATED COMPLIANCE MONITORING

The Learning Attendance Manager streamlines participation tracking across both in-person and virtual training The Automated Compliance Monitoring module transforms your EMR into a real-time watchdog, continuously scanning documents, staff credentials, and care workflows to catch compliance issues before they become violations. With built-in alerts, blocking mechanisms, and transparent enforcement logs, it prevents errors from slipping through and ensures that regulatory standards are met across the agency. From credential expirations to incomplete care notes, the system delivers proactive oversight, freeing managers from manual checks and reducing audit risks. Agencies gain peace of mind knowing compliance is not reactive but built into their daily operations.

Never Miss a Renewal Again. CREDENTIAL WATCHLIST

Monitors staff licenses, mandatory trainings, and insurance documents with escalating alert levels as deadlines approach. This prevents lapses that could jeopardize operations or reimbursement.

Case Study: A CNA’s CPR certification was due to expire in two weeks. The system flagged the renewal, sent reminders to both the CNA and HR, and prevented scheduling until the certificate was uploaded—avoiding a compliance breach during a state audit.

Block Errors Before They Happen. SUBMISSION VALIDATOR

Prevents staff from submitting forms or visit documentation if required compliance fields are missing. This ensures that no incomplete or non-compliant records make it into the EMR.

Case Study: A nurse tried to submit a wound care note without entering the medication lot number. The validator stopped the submission, displayed a prompt, and required completion—ensuring documentation met Medicare standards.

Compliance First, Access Second. AUTOMATED BLOCKING RULES

The system enforces blocking rules that automatically restrict access, halt submissions, or lock functions when violations occur. This guarantees real-time compliance enforcement, not after-the-fact corrections.

Case Study: A therapist attempted to log a home visit after their professional liability insurance expired. The system blocked access until updated proof of insurance was uploaded, protecting the agency from potential legal exposure.

Measure Performance. Promote Accountability. STAFF COMPLIANCE SCORECARD

Generates individual compliance scores with visual indicators (green, yellow, red) for staff members, allowing managers to identify risks and reward diligence. Scorecards are updated daily for accuracy.

Case Study: During monthly reviews, HR noticed one nurse consistently flagged yellow for late documentation. After a coaching session supported by scorecard data, the nurse improved to green status, raising overall compliance reliability in the agency.

Every Action, Fully Documented. ENFORCEMENT LOG

Keeps a complete record of triggered enforcement actions such as blocked forms, expired licenses, and access restrictions. This transparency provides audit-ready proof of compliance enforcement.

Case Study: When auditors questioned how the agency ensures compliance, administrators provided the Enforcement Log. The log showed a complete record of blocked submissions, expired credential alerts, and corrective actions—earning high marks for accountability.

Start Each Day Audit-Ready. DAILY COMPLIANCE DIGEST

Delivers a morning report highlighting high-risk compliance items across the agency. Administrators know exactly what to address before problems escalate.

Case Study: The compliance officer began her day with a digest showing three licenses expiring, two staff flagged for incomplete visits, and one pending insurance renewal. Acting on the digest immediately, she resolved all issues before noon, keeping the agency in full compliance.