Optimize Patient Access with a Reliable CMS Appointment Wait Time Solution - Are You Ready?

Choose Atlas PRIME^Ⓡ – for a complete turnkey solution to run secret shopper surveys and wait time reporting.

With Atlas Systems, you get:

Expertise in provider data management
Tailored survey strategies
In-house reporting that’s audit-ready

Learn how to navigate the CMS compliance mandate with Atlas PRIME^Ⓡ

Compliance isn't optional — and the clock is ticking

Starting January 1, 2025, CMS mandates health plans measure and report appointment wait times through secret shopper surveys. The survey will need to cover both in-person and telehealth appointments. Survey requirements vary between the various products, requiring different survey protocols and reporting. Notably, this process cannot be done in-house, but instead needs to be outsourced to an independent third-party partner not affiliated with the health plan. CMS now requires Qualified Health Plans to

Conduct secret shopper surveys for primary care, behavioral health, and telehealth
Meet a 90% compliance rate with statistical accuracy
Submit detailed reports to CMS by May 31, 2025

CMS Compliance Got You Worried?  Atlas Can Help!

PRIME^Ⓡ by Atlas Systems offers an all-inclusive, end-to-end solution to handle the tedious requirements, from survey design to statistical reporting. With over 12 years of experience in provider data management and secret shopper surveys, we ensure compliance while you focus on your strategic goals.

Primary source
 validation

Tailored engagement
scripts and outreach

Effective survey design
 and execution

Statistical analysis

Accurate, CMS-ready
reporting

Compliance without
compromise

Partner with Atlas today and
stay ahead of CMS deadlines!

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FAQs About CMS Audit Solutions

What CMS audit solutions does Atlas Systems offer?

Atlas Systems delivers CMS audit solutions that cover data validation, documentation review, compliance monitoring, and audit tracking. These services are structured to support healthcare payers in meeting federal oversight standards.

How can Atlas Systems help healthcare payers prepare for a CMS audit?

Atlas Systems works with payer teams to review documentation, identify potential gaps, and organize materials that align with CMS protocols. The audit preparation process includes pre-audit risk assessments and support with submission readiness.

How does Atlas Systems' CMS audit solution help mitigate compliance risks?

The solution identifies inconsistencies in provider data, credentialing records, and other critical documentation. By flagging issues early, healthcare organizations can address them before they result in audit findings or penalties.

Does Atlas Systems provide mock CMS audits?

Yes. Atlas Systems conducts mock CMS audits that simulate real audit conditions. These exercises help organizations test their readiness, uncover vulnerabilities, and prepare staff for formal review processes.

Can Atlas Systems assist with corrective action plans after a CMS audit?

Yes. If an audit reveals findings, Atlas Systems helps organizations build and implement corrective action plans. These plans include root cause analysis, documentation updates, and timeline tracking to support compliance closure.

Can Atlas Systems' CMS audit solution integrate with existing compliance management systems?

Yes. The solution integrates with various compliance tools and platforms already in use. It supports data import and export from most major systems used by healthcare payers.

How quickly can Atlas Systems’ CMS audit solution be implemented?

In most cases, implementation takes fewer than 30 days. The process includes configuration, data onboarding, staff training, and live support.

Is Atlas Systems’ CMS audit solution customizable for different healthcare payers?

Yes. The solution is designed to adapt to the structure, priorities, and audit processes of regional, state, and national health plans. It supports different lines of business and regulatory reporting requirements.