Highlights
Driving Compliance Through a Next-Generation Universe Management System
182,889
in annual operational savings
196,801
errors identified
99%
A&G Leadership/IT monthly hours savedreduction in error detection turnaround
50%
reduction in efforts for file aggregation and consolidation time
The Situation
One of the largest non-profit health care systems, headquartered in Arizona, wanted to transform their regulatory reporting processes to:
- Increase data accuracy
- Achieve quicker turnaround
- Ensure seamless data aggregation
Inovaare’s Appeals and Grievances Platform is a decade ahead of their competitors. Their expertise in compliance is unparalleled and we felt they actually knew more about compliance than we did, which means we have a trusted compliance partner, not just a tech vendor
Director of Appeals and Grievances
The Challenge
The health plan faced three distinct challenges related to modernizing their regulatory reporting system:
- Manual error identification process leading to higher turnaround time
- Complex data aggregation process for reporting across distributed sources
- Non-standard data collection process from other functional teams, further delaying report submission
The Solution
The health plan wanted to implement an industry-leading regulatory reporting solution quickly, so they chose Inovaare’s Universe Management System. This cloud-based regulatory compliance solution enables efficient, accurate and proper formatting of CMS universes. The benefits include:
- Automated processing of universe documents in just a few clicks
- Extraction and categorization of errors for quicker resolution
- Central framework to consolidate files across different sources for faster audit preparedness
- Comprehensive reporting to improve transparency through the enterprise
The Impact
After going live with Inovaare’s Universe Management System, the health plan was able to:
- Enable seamless CMS universe monitoring and reporting for improved audit readiness
- Deliver a superior user experience through accelerated response turnaround times
- Empower teams to quickly aggregate universes from multiple sources
- Identify compliance risks for proactive management and quicker resolution of issues
- Monitor future compliance issues with actionable Timeliness Dashboards
- Improve seamless collaboration across other functional teams/ areas through streamlined and standardized data collection
Explore Inovaare
Inovaare offers a Generative AI-powered compliance operating platform, industry-leading solutions and consulting services that enable healthcare payers and providers to transform business operations with improved accuracy and efficiency with a low cost of ownership.