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Health plan approach to standardizing delegate data for CMS audit readiness

Audit & Monitoring, Delegation Oversight, Universe Management

How to Standardize Delegate Data Submissions for CMS Program Audits

By manager.inovaare / January 19, 2026

For health plans, CMS audits do not begin with documentation. They begin with data. To ensure accuracy, it’s often beneficial […]

Medicare, Regulatory Compliance, Universe Management

Changes for Prescription Drug Encounter (PDE) Data in 2024

By manager.inovaare / March 11, 2024

The Centers for Medicare & Medicaid Services (CMS) has been processing Part D drug claim data via the Drug Data

Compliance Automation, Healthcare Data Management, Healthcare Operations, Universe Management

Streamline Your Parts C and D Reporting with Universe Scrubber

By manager.inovaare / February 15, 2023

Medicare Advantage Organizations (MAOs) and Prescription Drug Plan (PDP) sponsors have to submit Parts C and D reports to the

Compliance Automation, Regulatory Compliance, Universe Management

CMS 2022 Protocols for MMP SARAG & MMP CDAG Universe Submission

By manager.inovaare / November 4, 2021

It is that time again! CMS Program Audits are imminent and the protocols have officially changed for 2022. This blog

Audit & Monitoring, Compliance Automation, Health Cloud Platform, Process Re-engineering, Universe Management

CMS Program Audit Universes as a Tool for Ongoing Compliance Monitoring

By manager.inovaare / March 30, 2020

Creating the required universes for CMS Program Audit submission remains one of the most arduous and time-consuming tasks for MAPD

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Inovaare is a healthcare SaaS platform providing AI-powered governance, risk, compliance, audit, and data management software for US health plans operating Medicare, Medicaid, and Commercial programs.