Universes Not Just For CMS Program Audits Anymore
Leverage the power of the data within
Scrub and validate CMS Universe tables in 3 simple steps
Generate properly formatted CMS universe tables with the touch of a button
FDR Universe Manager
Enable first-tier, downstream and related entities to access a Delegated Entity Oversight tool to self-scrub, validate and submit properly formatted universes through a secure portal
Generate compliant CMS Program Audit universes
Reduce time, effort and cost of Program Audit preparation
Minimize need for outside consultants and part-time hires
Run mock audits on demand and reduce overall costs
Demonstrate ability to monitor key operational elements
Inovaare knows the magic of CMS Program Audit universe tables
Practice, Practice, Practice. CMS stresses that practice is critical to produce accurate universes and achieve a successful CMS Program Audit. But what about ongoing monitoring, mock audits and TMP audits? What about leveraging your different departments to produce better overall compliance?
Regardless of your Medicare Advantage and/or MMP plan size — whether you have 80 or 8,000,000 members — Inovaare delivers scalable solutions to fit your regulatory compliance requirements, starting with our Universe Management System.
Experience the ultimate solution that provides continuous oversight of your operational areas and FDRs. Whether you are preparing for a CMS Program Audit, running a Scheduled Mock Audit or conducting routine monitoring, Universe Management System has you covered. Outliers are highlighted with detailed information based on the thousands of rules incorporated , which allows you to investigate issues rather than spending time searching for them.
Inovaare’s Universe Management System is an end-to-end solution comprised of three standalone modules that can be seamlessly integrated to ensure health plans submit CMS-compliant reports with the touch of a button.
AUTOMATED SCRUBBING OF CMS PROGRAM AUDIT REPORTS
Within three days of purchase, Universe Scrubber automatically scrubs reports for authorizations, claims, and appeals and grievances—on demand—to validate all CMS universes (ODAG, CDAG, SARAG, CPE, FA, SNP-MOC, CCQIPE) in real time. Health plans can now:
SINGLE-CLICK UNIVERSES FOR CMS PROGRAM AUDITS
This cloud-based CMS compliance software module can be pre-built for single-click report generation. Each report created conforms to the approved layout and data-type format accepted by regulatory authorities. Compliance teams can:
Take a lighthearted tour within a fictitious health plan as they fret over a CMS Program Audit . . . until Inovaare’s industry-leading solution saves the day.
UNIVERSE MANAGEMENT OVERVIEW: VIDEO
UNIVERSE MANAGEMENT SYSTEM
Ensure your health plan submits accurate, properly formatted CMS regulatory reports with the touch of a button.
CMS AUDIT BLOG
Are you ready for 2022? Forewarned is Forearmed: Prepare for 2021 CMS Audit Protocol Changes will help.
AUDIT READINESS WEBINAR
Explore how to proactively manage universes in this webinar: Compliance Favors Only the Prepared Plan.
UNIVERSE SCRUBBER OVERVIEW: VIDEO
Discover how Universe Scrubber can revolutionize the audit preparation processes.
Learn how a Fortune 500 health plan serving Medicare and Medicare-Medicaid (MMP) members achieved an 80% reduction in CMS Program Audit data-submission efforts.