Best Healthcare Compliance Software - Page 11

MyCareAudit

Newgen’s Digital Complaints, Appeals & Grievances

Resolve members’ appeals and grievances while complying with regulatory guidelines and adhering to state-level and CMS (Centre for Medicare and Medicaid Services) guidelines. Optimize resources and reduce turnaround times by leveraging our rule-driven engine to prioritize and route all service requests. Capture all decisions, notes, and exceptions within the system for future reference and audits. Automate your service requests processes to future-proof your organization, stay on top of regulations, and guarantee member satisfaction.

Ntracts Healthcare Contract Lifecycle Management

Ntracts delivers a comprehensive contract management solution through a unique combination of healthcare, technical, and legal expertise matched with a user-driven online contract management tool that mitigates compliance risk, achieves cost savings, improves efficiency, and ensures healthcare organizations stay in front of changing regulations. - Gain Meaningful Insights From Your Contract Data - Increase Efficiency and Automated Workflows - Centralize Your Contracts and Tie Related Documents Together Driven by the expertise of dedicated contract compliance professionals, and powered by the nation’s largest healthcare law firm, Hall Render, Ntracts has provided best-in-class, healthcare-focused contract lifecycle solutions to healthcare organizations for over 30 years.

OPAL Provider Performance

OPAL Provider Performance assists you in easily meeting your hospital’s OPPE requirements for The Joint Commission. Our software will allow your Medical Staff Office to better manage their workload while ensuring accurate and effective OPPE compliance.  OPAL automates the process of gathering performance data on individual providers and compares them to their peers – by specialty – using data extracted directly from the MEDITECH Data Repository. 

Orbid AI

Orbid AI (formerly MedStrato) is medical device tender response software—a native AI agent that helps MedTech and IVD manufacturers and distributors turn hospital, GPO, and public tender documents into submission-ready bid responses. It is built for supplier-side bid managers, tender response leads, sales ops, and RA/compliance teams, not for hospital purchasing or generic IT questionnaire libraries. Orbid focuses on the medical device bid workflow rather than horizontal RFP content banks. Teams upload tender documents (PDF, Excel, or Word). The agent reads line-item requirements, matches them to the product catalog with semantic specification matching, checks regulatory compliance across multiple regimes, links each claim to source evidence, drafts the bid package, and exports in the buyer’s template. The core loop is read → match → comply → draft → export. Compliance is part of matching, not a separate after-the-fact checklist. Orbid verifies requirements against 14 regulatory regimes including FDA 510(k), EU MDR/IVDR, NMPA, TGA, MHRA, and Health Canada, and builds evidence chains from datasheets, certificates, and test reports so medical device bids are less likely to be disqualified for missed lines or unsupported claims. Unlike library-first RFP tools or general-purpose chat assistants, Orbid is a native AI agent for manufacturer tender response automation and MedTech bid management: catalog-aware, compliance-aware, and export-ready for supplier bid desks. Key capabilities: • Native AI agent for medical device tender response (read, match, comply, draft, export) • Semantic specification matching from tender line items to device catalogs • Multi-regime bid compliance verification with evidence chains • Submission-ready bid package export in buyer templates • Support for multi-language tenders and manufacturer bid-desk workflows Internal match-cycle figures published on the product site (for example seconds-scale matching on large multi-row tenders) are benchmarks to validate during a pilot on the customer’s own tenders.

Patient Protect Signal

Patient Protect Signal is a free iOS app that puts HIPAA intelligence in your pocket, with real-time breach alerts, OCR enforcement tra

PAULA

PAULA™ is a healthcare policy intelligence platform that converts CMS, payer, and regulatory policy changes into operational decision intelligence. Rather than summarizing policy, PAULA identifies financial risk, documentation impact, utilization management implications, and compliance exposure — then delivers role-specific guidance for physician advisors, revenue cycle leaders, finance, compliance, and executive teams. Every recommendation is evidence-linked, explainable, and designed to support human decision-making.

Perspecta - ProviderDirectoryAI

ProviderDirectoryAI (PDAI) is Perspecta’s modern provider directory solution designed for health plans, TPAs, and workers’ compensation programs to deliver accurate, compliant, and user-friendly provider search experiences. PDAI powers over 648 million care journeys, serving around 51 million users annually, making it a trusted resource for members, injured workers, and insurance adjusters alike. At its core, PDAI combines a data accuracy rate above 95% with enterprise-grade reliability (including near-100% uptime) and robust compliance tools for CMS, NCQA, and the No Surprises Act. Users benefit from intuitive search, advanced filtering/sorting, public directory or member‐portal options, and optional modules such as price transparency, health tickets, panel cards, and eReferral to customize the experience. Perspecta PDAI isn’t just about listing providers: it’s about eliminating friction, reducing errors, cutting administrative costs (often by up to 50%), and increasing in-network utilization through smarter provider matching. It scales from standard public directories to advanced, secure portals supporting Single Sign-On, quality ratings, network-tiered structures, and personalized out-of-pocket cost estimates.

PharmaCom

PharmaCom is a compliance management platform built specifically for independent pharmacies. Instead of juggling spreadsheets and sticky notes, PharmaCom tracks every deadline that matters — DEA registrations, HIPAA training, state licenses, medication expiration dates, and cold chain checks — and sends you reminders via email, SMS, or WhatsApp before anything lapses. Independent pharmacies face serious consequences for missed compliance deadlines. A lapsed DEA registration means no controlled substances. A missed PBM audit requirement means lost contracts. PharmaCom eliminates that risk at $20/month — a fraction of the cost of legacy platforms. Key features: automated deadline engine, multi-channel reminders (email/SMS/WhatsApp), medication expiration tracking, cold chain monitoring, compliance analytics dashboard, and PDF export.

Pharmacy Pro

LSPedia Pharmacy Pro is an all-in-one DSCSA compliance platform built specifically for pharmacies and dispensers. It automates EPCIS data ingestion, product verification via the Verification Router Service (VRS), authorized trading partner (ATP) management, and exceptions handling — eliminating manual spreadsheets and compliance gaps. With built-in Standard Operating Procedures, one-click audit reports, and real-time drug recall alerts, Pharmacy Pro keeps dispensers inspection-ready at all times. Every subscription includes DSCSA expert support and training, so pharmacies stay compliant and confident without the complexity.

PHIGuard

PHIGuard is B2B software for small clinic operations teams that need HIPAA work to be assigned, documented, and reviewable. Native product areas cover recurring HIPAA tasks, evidence handling, incident records, append-only audit history, policy workflows, training records, risk work, vendor BAA tracking, multi-location reporting, and evidence collection. Every public plan includes a Business Associate Agreement and flat per-clinic pricing.

Plexus Application Management

Precision

When Precision arrives, it's just 60 days to electronic data and workflows that benefit the entire enterprise from admissions through post-discharge reporting.

PriceTransparency.io

PriceTransparency.io aggregates and normalizes the machine-readable files (MRFs) that U.S. hospitals are required to publish under the CMS Hospital Price Transparency rule (CMS-1717-F2). Hospitals post these files in inconsistent, often broken formats; we crawl, clean, and standardize them into one queryable index of negotiated, gross, and cash-pay rates across nearly 2,000 hospitals — refreshed quarterly with per-hospital URL-drift monitoring so you always see the latest published prices. Instead of downloading gigabyte-scale JSON files and writing your own parser, you search real prices by procedure (CPT/HCPCS/DRG), by hospital, by payer, or by state. An AI query layer translates plain-English questions ("What does an MRI cost in Dallas across payers?") into structured queries — no SQL or filter-building required. Select any set of hospitals and see who's cheapest per code side-by-side, then export the comparison to CSV/XLSX. Every export ships with a manifest recording the data version, crawl date, and filter state, so analysts and compliance teams can sign off on where the numbers came from. A built-in MRF compliance grade (A–F, scored on code coverage, payer completeness, and format validity) flags hospitals publishing low-quality or non-compliant files before you trust their data. There's no sales cycle: buy a single hospital report for $299 with a credit card and get it instantly, or subscribe for unlimited multi-hospital/MSA comparisons. Who it's for Employers and benefits teams, TPAs and brokers, payers, revenue-cycle and managed-care analysts, healthcare consultants, and researchers who need defensible negotiated-rate benchmarks without an enterprise contract. Key benefits / features (G2 bullet list) - Real negotiated rates, normalized — cleaned MRF data from ~2,000 hospitals; negotiated, gross, and cash rates in one schema - Search by procedure, hospital, payer, or state — no parsing multi-GB files yourself - AI query layer — ask in plain English, get prices; no SQL or filters - Side-by-side comparison + CSV/XLSX export — see who's cheapest per code across hospitals/MSAs - Compliance manifest on every export — data version, crawl date, filter state for audit sign-off - MRF compliance grading (A–F) — spot garbage/non-compliant files before relying on them - Quarterly refresh with URL-drift monitoring — always the latest published rates - Self-serve pricing — $299 single-hospital report or subscription; instant checkout, no demo required

Propelus Data Solutions

Propelus Data Solutions™ is the embedded intelligence engine that powers healthcare's credentialing, background screening, and other workforce readiness platforms. Through privileged, API-forward access to 7,200+ primary sources, Data Solutions automates up to 98.5% of primary source verification for licenses, sanctions, exclusions, and other regulated workforce data, with proprietary identity resolution that ties every record to the right person and continuous monitoring that keeps the picture current in near real-time. NCQA-certified across seven credential verification categories and SOC 2 Type II compliant, Data Solutions turns credentialing from a system of record into a system of truth that healthcare partners can build on. Behind the platforms healthcare relies on, Propelus Data Solutions provides the verified data that keeps the entire workforce-readiness ecosystem accurate, verified, and trusted.