Affinitē Platform Expands with a Comprehensive Appeals & Grievances Solution for Compliance Audits

A configurable compliance solution that can improve member experience and lower business costs

Today, we're excited to introduce Affinitē Appeals & Grievances (Affinitē AG).  With end-to-end visibility of real-time data, Affinitē AG helps health plans avoid detrimental financial penalties with accurate monitoring, better decision-making, and expedited resolutions to meet rapidly evolving business and regulatory compliance.

“Currently, compliance teams have to deal with a lot of manual processes with appeals and grievances in healthcare. It’s time-intensive and requires constant training and education to avoid even the smallest errors,” explained Matt D’Ambrosia, President and CEO of Vital Data Technology. “Affinitē AG is a huge leap forward for compliance teams since it enables simplified management with automated workflows, full activity tracking, and complete configurability throughout the audit process.”

Affinitē AG promotes efficiency and cost savings through robust automation, real-time alerts, and cross-departmental tasking for better collaboration. It also comes equipped with the most robust reporting capabilities on the market with an ad hoc, self-service reporting, and executive dashboard tool, along with built-in auditing so users can audit cases before they’re closed to ensure compliance. Moreover, A&G departments can streamline the auditing workflow by reducing operational auditors and saving hundreds of thousands of dollars in operational costs.

“In healthcare, regulations and compliance requirements change faster than health plans can keep up with at times. If compliance teams don’t have full visibility into the data, penalties can severely impact the company’s costs and overall bottom line,” commented Debbie Hill, Director of Care Management of Vital Data Technology. “Affinitē Appeals and Grievances is developed to automate processes and decrease the workload of the compliance teams so regulatory reporting becomes automated and easier on every stakeholder involved.”

Affinitē Appeals & Grievances also focuses on the user experience and ease-of-use with one-click compliance reports and comes with a convenient mobile app for managers to see progress on the go. Additionally, Affinitē AG simplifies regulatory reporting as users can submit formatted CMS reports and universe in one click.

For more information on Affinitē Appeals & Grievances, feel free to reach out to Vital Data Technology, click below or call directly at 866-482-8399 or via info@vitaldatatech.com.