Compliance Intelligence by Dataplex
Compliance Intelligence by Dataplex is a family of analytics-ready datasets that turn fragmented federal healthcare regulation and CMS program data into provenance-first, queryable reference layers — so compliance, regulatory-affairs, diligence, and product teams can answer "what applies, to whom, by when" without building the pipeline or reading the PDFs themselves.
Every product in the family shares the same principles:
Traceability over assertion. Values trace to their source — a Federal Register pinpoint and verbatim quote, or a specific CMS source file and batch — never an unattributed claim.
Published methodology. Interpretations, flags, and derived values are labeled and documented; nothing is a black box.
Signal, not prediction. No machine learning, no scoring that hides its formula, no name-based inference.
Maintained, not snapshotted. A change audit trail records what changed and why, so a subscription buys an up-to-date reference, not a one-time export.
Analysis-ready on Snowflake and Databricks, with the standard Dataplex metadata catalog on every product.
Products in the family
A curated, provenance-traced reference layer over the CMS prior-authorization and interoperability rulemaking wave — CMS-0057-F (in effect), CMS-0062-P (proposed), and CMS-0053-F (adjacent). Which obligation applies to which entity type (Medicare Advantage, Medicaid and CHIP fee-for-service and managed care, QHP issuers on the FFEs, MIPS clinicians and hospitals), by exactly what date and under which date semantics, with the API, public-reporting, denial-notice, and documentation duties — every row traced to a Federal Register citation and verbatim quote, confidence-rated and human-reviewed.
An analytics-ready intelligence layer over U.S. nursing home data from CMS — a CCN-spined facility master, monthly facility history, effective-dated PECOS ownership with private-equity and REIT flags, chain intelligence reconciled to CMS's own chain file, Payroll-Based Journal staffing compliance, conformed enforcement and deficiency history, and observed closure signals. Built for operator compliance monitoring, PE/REIT and lender diligence, and longitudinal research, with published, deterministic compliance flags and full batch lineage.
Which one do I need?
If you are a payer, health plan, or a consultancy/law firm serving payers, and you need to know which CMS prior-authorization obligations apply to your entity type and by when — start with CMS Prior Authorization Compliance Intelligence.
If you are an operator, investor, lender, or researcher working with skilled nursing facilities, and you need ownership, staffing, and enforcement compliance intelligence — start with CMS Nursing Home Compliance Intelligence.
Both are available on the Snowflake Marketplace and via Databricks Delta Sharing. Contact our team for a walkthrough or a private offer.
Informational reference compiled from public sources. Not legal advice; consult counsel for compliance decisions.
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