Prepare for evolving CMS requirements. Validate your data. Strengthen audit readiness.

CMS is increasing its focus on data accuracy, reporting integrity and operational transparency across Medicare Advantage. New 2027 universe specifications and emerging service-level reporting requirements are creating new expectations for how plans develop, validate and support the data submitted to CMS.

Advent Advisory Group helps Medicare Advantage plans prepare for these evolving requirements through specialized data validation and readiness services.

2027 UNIVERSE VALIDATION

CMS’ new and revised 2027 audit protocols introduce updated universe specifications, data elements and reporting requirements. Medicare

Advantage plans will need to update programming and develop new universe extracts to align with the new specifications.

Advent helps plans validate newly developed universes before submission, including:

• Validation against new and revised CMS specifications 
• Review of required data elements and universe extracts 
• Programming and specification testing 
• Identification of data and reporting gaps 
• Pre-submission audit-readiness validation 

Why it matters: Every Medicare Advantage plan must prepare its universe programming for the new specifications. Independent validation can help identify issues early and provide greater confidence that new universes are accurate, compliant and audit-ready.

SERVICE-LEVEL DATA VALIDATION

CMS has introduced a new pilot requiring participating Medicare Advantage plans to submit detailed service-level data for coverage determinations and appeals on a quarterly basis.



The pilot is designed to help CMS refine its reporting requirements and prepare for potential broader implementation across Medicare Advantage.

Advent is developing a validation program to help plans evaluate:

• Data completeness and accuracy 
• Alignment with CMS reporting requirements 
• Quarterly submission readiness 
• Reporting and operational gaps 
• Validation controls to support ongoing compliance 

Why prepare now: Service-level reporting represents an important evolution in CMS oversight. Preparing early gives plans an opportunity to strengthen data and reporting processes before requirements potentially expand across the market.

Why Advent

DEEP MEDICARE ADVANTAGE EXPERTISE.
PRACTICAL VALIDATION. EARLIER READINESS.

Advent combines deep experience in Medicare Advantage, CMS audit readiness, universe validation and regulatory compliance with the technical expertise needed to translate changing CMS requirements into actionable validation programs.

We help plans move from:

REQUIREMENTS → PROGRAMMING → VALIDATION → REMEDIATION → READINESS

Our goal is simple: identify potential issues before they become audit issues and help plans approach evolving CMS requirements with greater confidence.

IS YOUR PLAN READY FOR WHAT’S NEXT?

Connect with Advent Advisory Group to discuss your 2027 Universe and Service-Level Data Validation readiness.