OmniCompli
CMS Concierge
CMS CONCIERGE
White-glove Compliance Delivery
OmniCompli CMS Concierge is a white-glove expert-managed execution layer that helps teams operationalize CMS compliance. CMS Concierge combines OmniCompli technology with OmniConcierge expertise to implement, consult and provide ongoing managed services for CMS-0057-F.
The OmniCompli compliance rules foundation is paired with expert implementation, hosting, maintenance, and regulatory change management to help organizations move from technical compliance to real-world execution. CMS Concierge reduces time-to-compliance, lowers operational burden and provides a clear path to self-management when ready.
OmniCompli CMS Concierge is the solution for organizations who need speed, predictability and operational confidence in meeting CMS mandates this year, in time for the January 1st 2027 enforcement date.
Why Compliance May Break After Go-live
Many organizations already have a compliance solution in place with platforms that support standards and interoperability, stand up APIs, and enable prior authorization workflows. Yet implementing compliance technology alone rarely delivers confidence or success at scale. Organizations also require transparency across internal and delegated teams, along with operational support that reflects how work actually happens, so that compliance efforts completed today continue to perform and scale tomorrow.
Technology alone does not ensure internal change management, cross-team alignment, production readiness, or sustained execution as volumes and requirements change. These gaps often surface only after deployment, when real workflows expose friction and risk. Compliance remains fragile, working in test environments, but breaking under real-world conditions, especially if third-party vendors, PriorAuth delegates and all Provider systems have not been included in the overall compliance strategy.
CMS Concierge: Technology Paired with Managed Delivery
CMS Concierge brings together Smile’s FHIR-native compliance technology and expert-managed delivery to provide a fully operational CMS-0057-F outcome. Rather than a compliance point-solution disjointed from operations and system collaboration, CMS Concierge is a fully managed compliance solution that reduces the burden of compliance-readiness and management on Payers.
OmniCompli translates CMS mandates into CQL-based computable logic executed directly on trusted OmniVera data. It supports the full CMS compliance package, including Patient Access API, Provider Directory API, Payer-to-Payer API, Prior Authorization API, and documentation requirements. It ensures every decision is consistent, auditable, and explainable to providers, patients and regulators. Compliance rules are defined once, applied uniformly and executed on unified data, and reused as requirements evolve.
One unified rules layer executed on trusted and validated data.
Technology alone does not deliver operational readiness. OmniConcierge bridges that gap by providing expert implementation and configuration tailored to Payer environments, removing the need to build internal cloud expertise. As volumes increase or mandates evolve, updates and maintenance are handled by Smile’s team, freeing Payers to focus on core business priorities. 24/7 support and incident response is included so Payers can rely on systems that work consistently in real-world conditions.
Expertise that ensures integrated implementation and real-world outcomes.
Designed For Organizations That Need Operational Certainty
CMS Concierge is designed for:
Organizations who are technically compliant but struggle operationally with change-management, governance and integration across departments.
Teams supporting CMS mandates without owning or being accountable for them.
Payers with delegated vendors or partner-managed workflows who require transparency and control that most compliance solutions cannot provide.
Leaders who need predictability and confidence quickly as the enforcement date approaches.
Trust is in The Data
CMS Concierge Includes
Designed to scale sustainably without diverting internal teams from core business priorities, CMS Concierge includes:
Up to 80% of workflows and integrations are available out-of-the-box, accelerating time to value and reducing custom build effort.
Automatic configurations and defined playbooks streamline setup and reduce dependency on internal trial-and-error.
Custom implementation and on-demand maintenance provided by Smile’s technical experts, aligned to real operational needs.
Minimal upfront costs, with savings of up to US$300,000 annually in FTE maintenance and operational overhead.
Explore OmniCompli
Explore enterprise-scale compliance foundation engine with CMS Suite, and the compliance automation extension with CMS Suite+.
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See how OmniCompli CMS Concierge powers your modernization strategy with clarity,
consistency, and confidence.