Platform

12 Modules. One Platform.
Every Compliance Workflow.

Each module is purpose-built for a specific compliance domain — and they all share a single data layer, authentication system, priority queue, and audit trail.

Architecture

How the Modules Connect

POM is the intelligence layer at the center. Documents enter, get classified, and route to the right module. Results flow back into a unified priority queue and audit trail.

Precision Overmind (POM)

AI Classification · Routing · Priority Queue · Oracle Dashboard

Regulatory Intelligence

CMS Memo Processing

Audit Scrubber

Universe Validation

CAP Management

Corrective Action Plans

PMRA

Risk Adjustment Defense

Knowledge Base

Regulatory Q&A

Calendar

Obligation Tracking

Privacy Center

Incident Management

Risk Assessment

Enterprise Risk

Network Adequacy

Time-Distance Analysis

FDR Oversight

Vendor Compliance

PRiQ

CMS Rule Intelligence

COA

Audit Work Plans

Modules

Built for How Compliance Actually Works

Each module addresses a specific regulatory domain with capabilities grounded in CMS requirements — not generic workflow features.

Precision Overmind (POM)

AI compliance command center — classifies, routes, and prioritizes every regulatory document

Classifies documents into 8 regulatory types (memo, audit_report, na_file, universe, protocol_file, final_rule, fdr_document) with confidence scoring
Multi-agent consensus: downstream agents vote on ambiguous documents before routing
Learned patterns from human corrections auto-override AI after 3+ confirmed overrides
Oracle dashboard: unified priority inbox ranked by urgency, deadline, and organizational risk appetite
Health-aware routing: if downstream app is degraded, POM holds work or lowers confidence
Every response is a draft for human review — POM never auto-executes compliance actions

Regulatory Intelligence

CMS memo analysis, action item extraction, and cross-departmental compliance tracking

Extracts sponsor-facing obligations only — filters out CMS internal tasks and informational context
Auto-assigns actions to Pharmacy, Enrollment, Finance, IT, Compliance, Legal via signal-based routing
Dual due-date tracking: external CMS deadline + configurable internal buffer (default 7 days)
Embedding-based reroute learning: corrections train future routing via text-embedding-3-large similarity

Audit Scrubber

CMS universe file validation across 18 protocol schemas with timeliness and data quality checks

18 validated universe types: ODAG (5 tables), CDAG (7 tables), FA (4 tables), SNPCC, CPE
Header fingerprinting auto-identifies file type with 85-95% confidence (weighted scoring across recall, precision, unique columns)
19 timeliness scenarios across ODAG validated against 42 CFR Part 422/423 (24 hours to 60 days)
Multi-tab Excel export with color-coded error cells, categorized by Timeliness, Missing Data, Data Accuracy, Formatting

CAP Management

AI-powered corrective action plans from audit PDF to remediation closure

Upload audit PDFs — AI extracts deficiencies and groups into cohesive CAPs in 90 seconds
5-Whys root cause analysis with AI validation — rejects circular or surface-level causation
Phase-locked workflow: Overview, RCA, Milestones, Validation — database-enforced gates prevent skipping
6 role types (Admin, Lead, Owner, Developer, Validator) with audit-grade access control and HIPAA-compliant AI via Azure

PMRA — Precision Medicare Risk Adjustment

Bidirectional risk adjustment: find missing revenue and flag audit exposure simultaneously

Neuro-symbolic AI: deterministic rules for certainty (Entresto present = HF gap, 100% accurate), GPT-4o for clinical ambiguity
Real-time RADV exposure modeling: best/expected/worst case scenarios with 99% CI extrapolation
Coder-trainable learning loop: accept/reject decisions train patterns; auto-suppresses after 70%+ rejection rate
Mock RADV self-service simulation: stratify, sample, evaluate, readiness grade — run quarterly at zero marginal cost
D-SNP / C-SNP specialization: targets behavioral health undercoding (30-50% missed) and complication capture opportunities
CMS 11-point checklist enforcement with dual-coding workflow and mandatory MEAT documentation per review

Precision Knowledge Base

Source-cited regulatory Q&A across 26+ CMS documents

Hybrid retrieval: vector search (bge-large embeddings) + domain-specific keyword boosting + cross-encoder reranking
Answers include inline CFR citations, document attribution, relevance scores, and scenario identification (Part C vs. D)
26 CMS documents indexed: CFR chapters, HPMS memos, compliance protocols, marketing guidelines
Daily auto-ingestion of new regulatory documents with state tracking (no duplicates, email notifications)

Additional Compliance Modules

Compliance Calendar

Aggregates obligations from Memo, CAP, Scrubber, and regulatory authorities into a unified calendar with four-state tracking: upcoming, due soon, overdue, satisfied.

Privacy Command Center

HIPAA breach investigation and notification lifecycle. Automatic deadline tracking per 45 CFR 164.404 with state-specific requirements. Escalation alerts at 30/14/7/3/1/0 days.

Risk Assessment Suite

Enterprise risk surveys across 14+ compliance domains. Heat map visualization, control maturity levels, risk appetite configuration, approval workflows, and board-ready reports.

Network Adequacy

Geographic time-distance analysis against CMS standards (42 CFR 438.68). Leaflet-based map visualization, member-at-risk identification, HSD reconciliation, exception processing.

FDR Oversight

First-tier, downstream, and related entity compliance. Delegation tracking, OIG LEIE + SAM.gov exclusion screening, attestation workflows, vendor audit schedules.

PRiQ — Rule Intelligence

CMS Final Rule comparative analysis. Side-by-side CY2024 vs. CY2025 rule text, CFR delta identification, operational impact mapping to departments, compliance gap detection.

See the Platform in Action

We'll walk through the modules most relevant to your compliance program. Bring your actual CMS memos and universe files — we'll show you real results.

Request a Demo