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  Usher AI
  
  Usher AI
  
  AI-powered compliance, monitoring, and data analysis.
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  Usher GenAI
  
  Healthplan Operation Copilot
  
  Healthplan Compliance Copilot
  
  Audit Copilot
  
  Member Experience
  
  Member Experience
  
  Streamlined member services for improved member experience.
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  Health Plan Marketing CRM
  
  Health Plan Services CRM
  
  Member Portal
  
  Call Log Scrubber
  
  Member360
  
  Appeals & Grievances Management
  
  A&G Universe Generator
  
  Potential Quality Issues (PQI)
  
  Regulatory Compliance Management
  
  Regulatory Compliance Management
  
  Automate compliance management to meet regulatory deadlines effortlessly.
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  Regulatory Library
  
  Contracts Management
  
  Policies & Procedures (P&P)
  
  Issue Management
  
  Corrective Action Plan (CAP)
  
  Compliance Copilot
  
  Audit and Monitoring
  
  Audit and Monitoring
  
  Real-time audit tracking and automated monitoring tools.
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  Audit Management
  
  Continuous Monitoring
  
  Audit Copilot
  
  Healthcare Data Scrubbers
  
  Healthcare Data Scrubbers
  
  Automate data scrubbing for accurate, reliable reporting.
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  Universe Generation
  
  Universe Scrubber
  
  Universe Aggregation
  
  Medicaid Log Scrubber
  
  Audit Copilot
  
  VBID Scrubber
  
  Call Log Scrubber
  
  Custom Data Scrubber
  
  Provider Relationship Management
  
  Provider Relationship Management
  
  Optimize provider interactions and contract management.
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  Provider Dispute Resolution
  
  Quality Improvement Organization (QIO)
  
  Provider CRM
  
  Healthcare Operations Copilot
  
  Risk Management
  
  Risk management
  
  Mitigate risks with proactive monitoring and alerts.
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  Compliance Risk
  
  Operational Risk
  
  Third party Risk
  
  Delegation Oversight
  
  Delegation Oversight
  
  Ensure delegate compliance and performance tracking.
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  Delegate/FDR Determination
  
  Delegate/FDR Repository
  
  Delegate/FDR Audit & CAP
  
  Reporting & Monitoring
  
  Healthcare payer suites that drive compliance and
  support operational excellence
  
  Automation and AI are built into products powered by our health cloud platform, with current regulatory compliance protocols embedded, so health plans can improve efficiency and lower costs.
Platform
- Platform Overview
  
  Platform overview
  Explore the power and ease of this industry-leading health cloud platform designed to build, automate, and optimize healthcare processes.
  
  Usher AI
  Experience how designed to streamline operations, automate compliance processes, and optimize data handling, all while reducing costs and minimizing risks.
Solutions
- Solution sub menu
  Healthcare Automation Use Cases
  
  Healthcare Automation Use Cases
  
  Drive efficiency across healthcare functions with targeted automation solutions.
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  Member Service Operations
  
  Healthcare GRC Management
  
  Provider Data Management
  
  Delegation/Vendor Oversight Management
  
  CMS Audit Universe Management
  
  Healthcare BI and Data Analytics
  
  Healthcare Business Intelligence and Data Analytics
  
  Drive data-driven decisions with advanced healthcare analytics and insights.
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  Member Satisfaction
  
  Compliance Risk
  
  Delegation performance
  
  Regulation Impact
  
  Healthcare Experts and Technology Outsourcing
  
  Healthcare Experts and Technology Outsourcing
  
  Access specialized healthcare expertise with strategic outsourcing solutions.
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  Appeals & Grievances
  
  Provider Disputes
  
  Regulatory Audits
  
  Healthcare Functions
  
  Healthcare Functions
  
  Empower critical healthcare functions with tailored automation and compliance solutions.
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  Appeals & Grievances
  
  Compliance and Audit
  
  Delegation Oversight
  
  IT
  
  Member Services
  
  Provider Relations
  
  Sales and Marketing
  
  Quality Improvement
  
  Healthcare Markets Served
  
  Healthcare Markets Served
  
  Meet the unique needs of Medicare, Medicaid, and Commercial markets with tailored solutions.
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  Medicare Advantage Healthplans
  
  Medicaid Healthplans
  
  Commercial Healthplans
  
  ACA Healthplans
  
  ACOs and IDNs
  
  Healthcare Providers
  
  PBMs
  
  Healthcare solutions that drive compliance, enhance member experience and support operational excellence
  
  Each cloud-based, AI-powered solution is designed by healthcare experts to improve operational efficiency, enhance total experience and lower costs.
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Inovaare

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Healthcare Payer

Audit & Monitoring, Healthcare Compliance and Regulatory Insights, Healthcare Payer

2015 CMS Audit Protocol: Your Takeaway

By manager.inovaare / March 30, 2020

In early February, the CMS released its new audit protocol and process updates for 2015 for Medicare Advantage organizations and […]

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Platform

Healthcare cloud platform
Platform components
Integrated artificial intelligence

USHER AI

Healthcare AI assistant
Usher AI key features
Search, analysis, and chatbot
Smart summaries
Data categorization
Pre-built & custom copilots

Product Suites

Member Experience
Regulatory Compliance Management
Audit and Monitoring
Healthcare Data Scrubbers
Provider Relationship Management
Risk Management
Delegation Oversight

Member Experience

Health Plan Marketing CRM
Health Plan Services CRM
Member Portal
Call Log Scrubber
Member360
Appeals & Grievances Management
A&G Universe Generator
Potential Quality Issues (PQI)

Regulatory compliance management

Regulatory Library
Contracts Management
Policies & Procedures (P&P)
Issue Management
Corrective Action Plan (CAP)
Compliance Copilot

Solutions

Healthcare Automation Use Cases
Healthcare Business Intelligence and Data Analytics
Healthcare Experts and Technology Outsourcing
Healthcare Functions
Healthcare Markets Served

Automation Use Cases

Member Service Operations
Healthcare GRC Management
Provider Data Management
Delegation/Vendor Oversight Management
CMS Audit Universe Management

Healthcare Business Intelligence and DatA analytics

Member Satisfaction
Compliance Risk
Delegation Performance
Regulation Impact

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Professional services

Audit support
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Compliance consulting
Operational assessment
Report generation support
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