How to Standardize Delegate Data Submissions for CMS Program AuditsÂ
For health plans, CMS audits do not begin with documentation. They begin with data. To ensure accuracy, it’s often beneficial […]
Universe Management
Automating CMS Compliant Audit Universes: A Practical Guide for Health Plans
Every health plan faces CMS audits as a regulatory requirement, not a surprise event. Yet, for many, preparing CMS compliant
How to Standardize Delegate Data Submissions for CMS AuditsÂ
Delegate oversight is a critical component of CMS audit compliance, yet challenges with inconsistent or delayed Universe file submissions often
Streamline Your Parts C and D Reporting with Universe ScrubberÂ
Medicare Advantage Organizations (MAOs) and Prescription Drug Plan (PDP) sponsors have to submit Parts C and D reports to the
CMS 2022 Protocols for MMP SARAG & MMP CDAG Universe Submission
It is that time again! CMS Program Audits are imminent and the protocols have officially changed for 2022. This blog
CMS Program Audit Universes as a Tool for Ongoing Compliance Monitoring
Creating the required universes for CMS Program Audit submission remains one of the most arduous and time-consuming tasks for MAPD