Inovaare’s Universe Management System (UMS) is a purpose-built, cloud-native platform designed specifically to help Medicare and Medicare Advantage health plans consistently and confidently prepare for CMS Program Audits. It combines automation, real-time monitoring, and secure delegate collaboration to ensure submissions are always CMS-compliant.
Key Benefits & Value
Always audit-ready — Automates the entire process, from data ingestion to compliance checks and submission-ready universe files.
Complete operational oversight — Real-time dashboards highlight data gaps, aging files, and outliers across internal teams and delegated entities.
Delegate-friendly workflows — Secure portals enable FDRs to scrub and submit universe files directly, reducing errors and communication chaos.
Reduced audit costs and effort — Streamlines processes and lowers manual labor by providing structured, clean data workflows and submission tools.
Core Features
Built-In Compliance Rules
Auto-updates with latest CMS logic to validate formatting and data accuracy.
Universe Scrubber
Capable of validating and cleaning massive datasets (100,000+ records per minute) to identify and correct issues before submission.
Universe Generator & Aggregator
Generator consolidates raw, unstructured data into compliant universe files.
Aggregator merges data from systems, departments, and delegates into a single submission-ready file, paired with compliance insights.
Part C & D Reporting Tools
Tailored for Medicare Advantage & Part D, these modules automate file generation and scrubbing for CMS-specific reporting requirements.
Self-Service Configuration
Compliance teams can customize templates, workflows, and validation rules without heavy IT input.