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Beacon Universe Scrubber

Validate CMS Universes in Minutes. From Audit Stress to Audit Success.

Medicare Advantage plans can’t afford universe errors during CMS audits. With penalties reaching $38,159 per contract, our tool ensures you get it right the first time. Beacon Universe Scrubber validates your files against current CMS Program Audit Protocols in real-time, ensuring meticulous compliance management by addressing each core CMS audit area with precision to support your organization’s commitment to regulatory excellence and your bottom line. 

Key Features

Real-Time Validation

Instantly identify and address non-compliance issues within universe files.

CMS Audit Alignment

 Tailored to meet the rigorous standards of CMS Program Audit Protocols.

Areas Audited

  • Organizational Determinations, Appeals, and Grievances (ODAG)
  • Coverage Determinations, Appeals, and Grievances (CDAG)
  • Compliance Program Effectiveness (CPE)
  • Special Needs Plans – Model of Care (SNP-MOC)
  • Special Needs Plans Care Coordination (SNPCC)
  • Medicare-Medicaid Plan Care Coordination (MMPC)
  • Formulary and Benefits Administration (FA)
  • Medicare-Medicaid Plan Service Authorization Request, Appeals, and Grievances (MMP-SARAG)

Ease of Use

All standards are configured to allow for rapid implementation and assurance of audit readiness

Verification

ODAG and CDAG universes average 25+ data fields per record up to 35 fields

Perfection

CMS requires universes to be nearly perfect for audits

Error-Free

Plans are given up to 3 times to submit each universe “error-free”

Avoid Penalties

Go penalty-free which can amount up to $38,159 per IDS per contract

Efficient

Increase productivity and reduces costs with Beacon Universe Scrubber

Ready To Get Started?

Experience the power of our innovative and trusted health plan solutions to meet regulatory requirements with confidence.
Request a Demo

Additional Modules

Todd Petersen,

Chief Executive Officer & Board Member

Todd brings 22 years of experience in scaling SaaS-based companies within the health plan payer market. He has a proven track record of fostering strong client relationships and building high-performing teams. Todd joined Beacon Healthcare Systems from HighRoads, where he played a pivotal role in providing SaaS solutions for health plan design and modification. His extensive career includes significant contributions to sales and growth at HealthSparq, a web-based consumer enablement solution provider; InstaMed, which facilitates financial transactions among payers, members, and providers; DestinationRx, specializing in Medicare shopping for government and commercial programs; and Ingenix, known for its cost containment technology services. Todd is also an acting board member for Beacon Healthcare Systems.

Jeremy Hays

Vice President of Strategic Accounts

Jeremy is an accomplished executive with extensive experience in health insurance and supporting technology. He is a seasoned sales and operational leader passionate about driving revenue growth and elevating customer satisfaction He has a long track record in Medicare leading teams to consistently exceed revenue targets by developing and executing highly effective growth strategies within organizations like United Healthcare, DestinationRx, and InstaMed, all while nurturing enduring, mutually beneficial customer relationships. Jeremy will be leading the existing Account Management team.

Alexis Elam JD, CHC

Vice President of Compliance

Alexis is a trusted and valued healthcare compliance, privacy, and risk leader with 18+ years of audit, oversight, and effective program management across payors, providers, and SaaS support tools. She specializes in implementing corporate initiatives and software solutions that promote adherence to government contracting and service delivery regulations.

Ayman Mohamed

Chief Technology Officer

With over 20 years of senior leadership, strategic, and operational product management experience, Ayman brings a wealth of knowledge and expertise to his role. Ayman is a seasoned technology leader with a proven track record of launching innovative products in new and existing markets, generating significant revenue streams, and creating profitable enterprises. His passion for building high-quality products and commitment to servant leadership have earned him a reputation for building trust and fostering collaborative, high-performing teams. Throughout his career, Ayman has demonstrated a deep understanding of software architecture and broad hands-on technical skills. He has successfully helped organizations succeed, with experience spanning startups and larger companies in the San Francisco Bay and Washington, D.C. metro areas.

Chris Mahoney

Chief Financial Officer

Chris Mahoney is a resourceful and results-driven senior finance executive with 25+ years of CFO-level experience leveraging keen financial expertise to create cost-efficient and sustainable financial results across both small and large corporate organizations. He consistently demonstrates the ability to critically evaluate and respond to rapidly evolving environments while identifying business-critical financial enhancements and developing proactive and actionable improvement initiatives.
Chris also utilizes business acumen and cross-functional communication skills to routinely produce sophisticated solutions and align all financial activities with strategic business goals. Chris has acquired and integrated businesses, assisted in raising millions in $30mm equity and debt through private placements, transformed a business from a Perpetual to a SaaS model, assisted in growing businesses from $250mm to $1bn, and has implemented Project Accounting systems, cost, and management information systems.

Ken Stockman

Chief Executive Officer
Ken Stockman, Founder and Chief Executive Officer of Beacon Healthcare Systems, is a seasoned healthcare executive with strong Payer and Provider experience focused on bringing innovative solutions to Government program revenue management, operations, compliance, and risk adjustment. Ken was an early leader in the Medicare Advantage Risk Adjustment industry building a full suite of tools such as Full Enrollment, Member Reconciliation And Part D Platform to support the health plans’ initiatives in 2006 as co-founder and former CEO of Dynamic Healthcare Systems, Inc. His expertise in Risk Adjustment Strategy, Transaction Processing And Analytics positions him as a unique subject matter expert. Additionally, his experience in CMS Transaction Processing And Regulatory Requirements led to the successful design and implementation of industry-leading information systems.