Automated Quality and Compliance Reporting
Simplify HEDIS, STAR, DHCS, and CMS reporting with automation and audit-ready documentation.
Nova automates every stage of quality and compliance reporting—from data ingestion to submission. This ensures accuracy, efficiency, and full regulatory alignment without overburdening your staff.
Capabilities
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Automated Measure Tracking
Continuously monitors quality scores using live operational data.
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Gap-in-Care Analytics
Identifies members due for care interventions or screenings.
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Regulatory Submission Automation
Generates required files formatted to DHCS and CMS specifications.
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Audit Documentation & Version Control
Keeps detailed logs for each report submission cycle.
How it Works
Nova’s reporting automation simplifies compliance, accelerates submissions, and enhances visibility. With data-driven automation, you stay proactive—not reactive—on regulatory performance.
Data Collection
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SFTP data pulls from plan systems
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Claims and encounter file imports
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Eligibility file mapping
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Source-to-measure data validation
Measure Calculation
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Automated HEDIS/STAR rule sets
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Performance score generation
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Gap detection logic
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Benchmark comparison
Compliance Review
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Exception and data integrity checks
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Audit flag generation
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User validation workflows
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Submission readiness confirmation
Reporting & Export
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DHCS submission file automation
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CMS XML file generation
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Versioned report archiving
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Real-time measure dashboards
Nova automates administrative quality reporting only; all clinical review remains with licensed staff.
Benefits
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Reduce compliance workload
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Improve report accuracy
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Streamline audit preparation
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Enhance quality performance insights
