CMS Program Audit Universe Management
Submit CMS Program Audit ready Universes with the touch of a button.
Scrub and validate CMS Universe tables in 3 simple steps
Generate properly formatted CMS universe tables with the touch of a button
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
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 ensue quality data validation and 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.
Collaborate with first-tier, downstream and related (FDR) entities through our state-of-the-art FDR portal. Our FDR Universe Manager delivers unparalleled oversight and empowers health plans to:
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.
Ensure your health plan submits accurate, properly formatted CMS regulatory reports with the touch of a button.
Are you ready for 2022? Forewarned is Forearmed: Prepare for 2021 CMS Audit Protocol Changes will help.
Explore how to proactively manage universes in this webinar: Compliance Favors Only the Prepared Plan.
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.