what are your audit universes telling you?

1
BluePeak developed Universe Monitoring Service (UMS) as an audit readiness resource for Plans. It is also an excellent tool for identifying underlying operational issues. BluePeak’s UMS can help Plans and PBMs in all stages of universe development and maintenance including: Ensuring internal data mapping accuracy (including year over year changes) Calculating timeliness Identifying and correcting technical issues such as formatting, blank fields, inaccurate data population Pinpointing potential cases of non-compliance Improving First-tier, downstream and related entity (FDR) oversight through delegate universe review Reducing risk and isolating outliers BluePeak’s UMS combines our intensive knowledge of CMS universe expectations with a proprietary analytics system to identify issue in universes. Issues, that left undetected, have a way of surfacing in CMS Program Audits. What are your audit universes telling you? 630.694.5215 • [email protected] • 2652 FM 407, Suite 215, Bartonville, TX 76226 Developing and maintaining accurate audit universes does not have to be costly and resource intensive. BluePeak’s proprietary analytics can save you time and money on universe reviews. Contact us today and see what your universes are trying to tell you. www.bluepeak.com BluePeak Advisors is a division of Gallagher Benefit Services, Inc. The number of chances to submit accurate universes before CMS issues an Invalid Data Submission (IDS) condition. BluePeak has participated in BluePeak has reviewed over CMS MOCK AND PROGRAM AUDITS UNIVERSES 400+ 15,000 3 It is our consultants’ collective experience and our analytics tools that makes BluePeak so well-positioned to quickly read a universe with thousands of lines of data and identify the specific cases that point to a potential compliance issue and require some investigation, EVEN when there are only a handful of such cases. BluePeak knows how to find the needle in a haystack!

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BluePeak developed Universe Monitoring Service (UMS) as an audit readiness resource for Plans. It is also an excellent tool for identifying underlying operational issues. BluePeak’s UMS can help Plans and PBMs in all stages of universe development and maintenance including:

➤ Ensuring internal data mapping accuracy (including year over year changes)

➤ Calculating timeliness

➤ Identifying and correcting technical issues such as formatting, blank fields, inaccurate data population

➤ Pinpointing potential cases of non-compliance

➤ Improving First-tier, downstream and related entity (FDR) oversight through delegate universe review

➤ Reducing risk and isolating outliers

BluePeak’s UMS combines our intensive knowledge of CMS universe expectations with a proprietary analytics system to identify issue in universes. Issues, that left undetected, have a way of surfacing in CMS Program Audits.

What are your audit universes telling you?

630.694.5215 • [email protected] • 2652 FM 407, Suite 215, Bartonville, TX 76226

Developing and maintaining accurate audit universes does not have to be costly and resource intensive. BluePeak’s proprietary analytics can save you time and money on universe reviews.

Contact us today and see what your universes are trying to tell you. www.bluepeak.comBluePeak Advisors is a division of Gallagher Benefit Services, Inc.

The number of chances to submit accurate universes before CMS issues an Invalid Data Submission (IDS) condition.

BluePeak has participated in

BluePeak has reviewed over

CMS MOCK AND PROGRAM AUDITS

UNIVERSES

400+

15,000

3

It is our consultants’ collective experience and our analytics tools that makes BluePeak so well-positioned to quickly read a universe with thousands of lines of data and identify the specific

cases that point to a potential compliance issue and require some investigation, EVEN when there are only a handful of such cases. BluePeak knows how to find the needle in a haystack!