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Universe Management Case Study Universe Management Case Study

Health Plan Serving Medicare and MMP Members Streamlines CMS Program Audit Preparation Processes

A Fortune 500 health plan serving Medicare and Medicare-Medicaid
(MMP) members was looking for a management solution to:

  • Create, review and submit compliant CMS universes
  • Reduce CMS Program Audit preparation time
  • Cut mock audit costs
  • Demonstrate to the CMS an ability to continuously monitor their
    universe tables, as well as those of their FDRs
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