HPMS Part C & D Reporting
17 Part C & D tables. Every Part C & D report scrubbed before CMS sees it.
Compliance teams pull data from multiple source systems, format files by hand, and check them against CMS specs under tight submission windows. The Part C & D Reporting Suite handles ingestion, scrubbing, and file generation across all 17 reporting sections, with a full audit trail.
The Challenge
HPMS reporting still runs on spreadsheets, manual checks, and tight deadlines.
Every MA plan must submit 17 CMS-mandated Part C & D reports on strict timelines, including Spring DVA and February submissions. The data comes from multiple systems, vendors, and formats. Staff spend weeks scrubbing and formatting. Errors still slip through to CMS review.
CMS tables
Reports scattered across systems and vendors
Data for each table originates in different systems. Pulling, formatting, and consolidating it manually creates gaps that surface after submission.
per cycle
Manual scrubbing consumes entire reporting windows
Compliance teams spend weeks checking fields, formats, and consistency against CMS rules. One late data correction can restart the process.
bottleneck
Every cycle depends on IT for data extraction
Compliance teams cannot pull or reformat data independently. IT becomes a bottleneck during the tightest submission windows.
submission
Errors found after CMS review, not before
Format violations, missing fields, and logic errors are discovered by CMS reviewers, triggering resubmission cycles and potential enforcement actions.
Trusted by Health Plans
Health plans trust Inovaare for Part C & D reporting across Medicare Advantage.
Before vs. After
From manual reporting cycles to a governed pipeline
| Activity | Manual Process | With Inovaare |
|---|---|---|
| Data Extraction | IT pulls data from 5+ systems; weeks of lead time | Self-service generation from claims, auth, A&G systems |
| Field Checks | Manual review against CMS specs; errors found post-submission | Automated checks against CMS rules with field-level error flagging |
| Error Remediation | Generic error logs; staff guess at root cause | Field-level remediation guidance; compliance staff resolve directly |
| File Consolidation | 17 sections assembled manually; inconsistencies across tables | Aggregator consolidates all sections with auto-generated audit trails |
| CMS Rule Changes | Manual reconfiguration after each CMS update | Rules auto-updated when CMS publishes changes |
| DVA Response | Rebuild files from scratch; no version history | Data Mart stores every submission; version-controlled and retrievable |
Measurable Business Impact
Numbers that matter to your compliance and finance teams
Reduction in manual file prep
and review
Hours reclaimed by compliance teams per reporting cycle
Faster check cycle per
reporting period
Disclaimer: Based on observed outcomes across health plan implementations. Reported ranges; actual results vary by case mix, data volume, and current process maturity.
How It Works
The end-to-end HPMS Part C and D reporting ecosystem
Four stages take raw data from your source systems to CMS-ready submission files. Every action is logged for DVA and audit traceability.
Generate
Pulls data from claims, authorizations, appeals, and grievance systems and structures it into CMS templates. Compliance staff stop waiting on IT for data extraction.
Scrubber
Scrubs every field against CMS rules and plan-specific logic. Flags errors in real time with field-level remediation guidance. Errors caught before CMS submission; remediation logged for audit.
Aggregator
Consolidates all 17 sections into a single submission package with auto-generated audit trails and exception reports. Every consolidation step traceable and retrievable for DVA response.
Reporting Data Mart
Stores every submission for reuse during DVA responses, audit inquiries, or mid-year corrections. Reporting Data Mart: append "Every submission version-controlled and reproducible during CMS review.
Component Details
What each component does
The pipeline overview above shows the flow. Here is what each stage handles, and the specific capabilities built into it.
Part C & D Generator
- SFTP, S3, API, shared file ingestion
- CMS field structures enforced
- Section-level dependencies
- IT dependency reduced up to 40%
Part C & D Scrubber
Applies CMS-aligned scrub rules, Part C/D business logic, and plan-specific rules. Flags logic mismatches and data gaps in real time with field-level remediation guidance.
- Built-in CMS-aligned scrub rules
- Plan-specific business logic
- Field-level error guidance
- Auto-adapts to CMS updates
Part C & D Aggregator
Consolidates totals and creates final submission files across all 17 reporting sections. Auto-generates summary logs, audit trails, and exception reports.
- 17 sections consolidated
- Summary logs auto-generated
- Audit trail on every action
- Single-click regeneration
Reporting Data Mart
- DVA and audit response reuse
- Mid-year correction support
- Version control on all files
- Retrievable for DVA or CMS review
Why Inovaare
Spreadsheets and generic tools do not produce the audit trail CMS expects.
Here is what changes when you move from manual prep to a structured, rule-based reporting pipeline.
Manual / Spreadsheet Process
- Weeks of manual checking every reporting cycle
- IT required for every data pull and format change
- Errors discovered by CMS after submission
- No audit trail; history scattered across email and spreadsheets
- Manual reconfiguration after every CMS rule change
Inovaare Part C & D Suite
- Prep cycles cut from weeks to days with automated checks
- Low-code configuration; compliance teams own their reporting workflows
- Errors caught before submission with field-level remediation guidance
- Full audit trail; every scrub, correction, and submission logged and retrievable
- CMS rule updates auto-integrated; no manual reconfiguration
Getting Started
Scope your medicare Part C and D reporting implementation with a compliance specialist.
We will map your source-system integration, define a go-live plan, and confirm a realistic timeline against your next reporting cycle.
FAQ
Questions health plans ask about
Part C & D reporting automation.
The HPMS Part C & D Reporting Suite is Inovaare’s end-to-end platform for automating all 17 CMS-mandated Part C & D reports, including Spring DVA and February submissions. It handles data ingestion, scrubbing, file generation, and aggregation, replacing weeks of manual work with a structured, governed process.
The suite covers all 17 CMS-mandated Part C & D reporting sections. It produces submission-ready files for each section and consolidates them through the Aggregator into a single, scrubbed submission package.
The platform adapts to CMS updates and layout changes automatically. When CMS publishes new requirements, Inovaare integrates the changes into scrub rules without requiring your team to manually reconfigure logic or wait for a vendor update cycle.
Yes. The suite pulls data from SFTP, S3, APIs, and shared files. It layers onto existing claims, authorization, appeals, and grievance systems with minimal disruption. It also integrates with Inovaare’s CAP and GRC modules for post-submission visibility.
Yes. The platform is built on Inovaare’s low-code/no-code architecture. Compliance and operations staff can adjust scrubbing logic, configure plan-specific rules, and manage reporting workflows without engineering involvement.
Yes. Inovaare’s Health Cloud Platform is HIPAA compliant and HITRUST certified. All data is encrypted in transit and at rest, with comprehensive audit logs and role-based access controls.
The HPMS Part C & D Reporting Suite is a specialized module within Inovaare’s broader Scrubber platform. While the Universe Management System handles CMS Program Audit universe files (ODAG, CDAG, etc.), the Part C & D Suite focuses specifically on the 17 CMS-mandated HPMS reporting tables. Both share the same scrubbing engine, audit trail infrastructure, and low-code configuration capabilities.
See your next Part C & D cycle run
end-to-end against your data scenario.
From ingestion to CMS-ready files. 30 minutes, tailored to your plan’s reporting setup. Or call 408.850.2235