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Sales Allegations

Inovaare Sales Alligation Mitigate Compliance Risk by Properly Investigating Sales Allegations

Sales Allegations are hard to prevent and, in many cases, just as difficult to track, due to the many aspects required to ensure CMS compliance in health-plan investigations.

The fact that CMS is relatively silent on the specific requirements around investigation and closure of sales allegations makes it even more difficult and confusing.

While health plans can’t prevent these instances, Inovaare’s Sales Allegations module helps health plans to ensure complaints are investigated and closed properly, reducing non-compliance risk.


Inovaare  Sales Allegation

Key Benefits

  • Track all sales allegations
  • Implement CMS-compliant sales-allegation workflows
  • Ensure proper maintenance and secure storage of all required documentation and notifications
  • Classify sales allegations properly (e.g., Founded, Unfounded, Undetermined, Withdrawn)
  • Deliver appropriate Outcome & Corrective Action steps
  • Define rules to properly rate offenses, assigning the correct level of disciplinary action
  • Tag sales allegations so outcomes are tracked and trended, helping to identify issues and opportunities

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