Incident Management

Manage Compliance, Privacy, and Fraud Incidents in One System

Structured incident tracking from detection through resolution. Capture, investigate, and resolve compliance, privacy, and fraud incidents with consistent processes and complete documentation trails.

FWA
Detection & Tracking
HIPAA
Breach Assessment
Full
Investigation Trail
Privacy Breach - PHI ExposureCritical
FWA - Suspicious Billing PatternUnder Review
Compliance - Late FilingResolved
Privacy - Misdirected CorrespondenceInvestigating
Compliance - Policy DeviationNew

When Incidents Go Unmanaged

Health plans face compliance, privacy, and FWA incidents that require structured documentation and timely response. Without a centralized system, incidents fall through the cracks, breach assessments are inconsistent, and regulatory reporting deadlines get missed.

Missed Incidents

Without structured intake, incidents reported via email or phone calls get lost or lack the documentation needed for proper investigation.

Inconsistent Assessments

Breach risk assessments performed ad hoc lead to inconsistent determinations and potential gaps in regulatory notification obligations.

Missed Deadlines

Regulatory reporting timelines for HHS, CMS, and state agencies are strict. Manual tracking increases the risk of late or missed notifications.

Features

Everything You Need to Manage Incidents

A centralized system for capturing, investigating, and resolving compliance, privacy, and fraud incidents.

Fraud, Waste & Abuse Tracking

Structured FWA incident capture and investigation workflows. Document allegations, track evidence, and maintain complete investigation records.

HIPAA Breach Assessment

Built-in breach risk assessment following HHS guidance. Evaluate the four factors to determine whether an incident constitutes a reportable breach.

Investigation Workflows

Step-by-step investigation processes with evidence collection. Guide investigators through consistent procedures from intake to resolution.

Regulatory Reporting

Track notification requirements and deadlines for HHS, CMS, and state agencies. Know exactly when reports are due and what has been submitted.

Incident Categorization

Classify incidents by type, severity, and regulatory impact. Consistent categorization enables accurate reporting and trend analysis.

Corrective Action Tracking

Document remediation steps and monitor completion. Ensure corrective actions are assigned, tracked, and verified for every incident.

How It Works

A structured three-step process from incident detection to resolution.

1

Report & Classify

Capture incident details through structured intake forms. Categorize by type, severity, and regulatory implications to route to the appropriate team.

2

Investigate & Assess

Follow guided investigation workflows. Collect evidence, conduct breach risk assessments, and document findings with a complete audit trail.

3

Resolve & Report

Implement corrective actions, submit required regulatory notifications, and close incidents with full documentation of outcomes and lessons learned.

Who It's For

Built for the teams responsible for managing and resolving compliance and privacy incidents.

Privacy Officers

Manage HIPAA breach assessments and privacy incident investigations with consistent processes.

Compliance Officers

Track all compliance incidents, corrective actions, and regulatory reporting from a single dashboard.

Special Investigations Units

Conduct FWA investigations with structured workflows, evidence tracking, and documentation.

HIPAA Security Officers

Assess security incidents, manage breach notifications, and maintain compliance with HIPAA Security Rule requirements.

Ready to Centralize Your Incident Management?

Stop tracking incidents in spreadsheets and email threads. See how a structured incident management system keeps your organization compliant and audit-ready.