Purpose-built for Medicare Advantage

The Compliance Operating System for Medicare Advantage

AI that reads every CMS memo, routes every audit finding, validates every universe submission, and builds the evidence trail regulators expect. In minutes, not weeks.

18
CMS protocols validated
<30s
Document classification
550+
MA contracts now audited annually
42 CFR
Regulatory compliance built in
The Regulatory Landscape Has Changed

CMS Will Audit Every MA Contract. The Question Is Whether You're Ready.

In May 2025, CMS announced it will audit every Medicare Advantage contract annually — up from roughly 60 per year. The era of "hope we don't get picked" is over.

Memos pile up, deadlines slip

Your team manually reads every CMS guidance memo, extracts action items, assigns to departments, and tracks completion in spreadsheets. One missed deadline can trigger enforcement action.

Audit prep takes weeks

When CMS requests universe data, your team scrambles to validate files, check timeliness against 42 CFR deadlines, and compile evidence. Scrubbing a single ODAG submission manually can take days.

Risk adjustment exposure is invisible

You don't know which HCCs are unsupported until CMS tells you. By then, extrapolation math can turn a 5% error rate into a $50M+ clawback. OIG identified $7.5B in HRA-only diagnosis payments alone.

$12.7B
MA overpayments identified by OIG (FY2023)
$556M
Kaiser clawback (January 2026)
2,000
New CMS coders hired for annual RADV audits
The Platform

One Platform. The Entire Compliance Lifecycle.

From the moment a CMS memo arrives to the day an auditor requests evidence — every step automated, every decision tracked, every deadline enforced.

AI Document Intelligence

Every document classified, analyzed, and routed in under 30 seconds. Memos, audit reports, universe files, vendor attestations — each with confidence scoring and multi-agent consensus.

Regulatory Memo Processing

CMS memos parsed into sponsor-facing action items, auto-assigned to departments with dual due-date tracking: external CMS deadline and your internal safety buffer. SLA escalation when items slip.

Universe Validation

18 CMS protocol schemas validated automatically — ODAG, CDAG, FA, SNPCC, CPE. Header fingerprinting identifies file type, timeliness checking runs against 42 CFR deadlines, errors exported color-coded.

Corrective Action Plans

Upload a 50-page audit PDF — AI extracts deficiencies, groups into CAPs, guides 5-Whys root cause analysis with AI validation, and enforces phase-locked milestone workflows through to closure.

Risk Adjustment Defense

Bidirectional AI finds missing HCC revenue and flags audit-exposed diagnoses simultaneously. Neuro-symbolic engine: rules for certainty, GPT-4o for ambiguity. Real-time RADV exposure modeling.

Compliance Knowledge Base

Ask any Medicare Advantage regulatory question in natural language. Get source-cited answers from 26+ CMS documents — with inline CFR references, document attribution, and confidence scores.

Precision Overmind

Your AI compliance command center

POM is the intelligence layer. Every inbound document — CMS memos, audit reports, vendor files, universe submissions — enters POM, gets classified with confidence scoring, and routes to the right module automatically. The Oracle dashboard gives leadership a single priority-ranked view of every compliance action across the entire organization.

  • Classifies 8 document types with multi-agent consensus
  • Learns from every human correction — accuracy improves over time
  • Oracle dashboard: unified priority inbox ranked by regulatory urgency
  • Health-aware routing prevents cascading failures across modules
POM Oracle
$ pom intake --document CMS_Memo_CY2026.pdf Extracting text... 47 pages parsed Classification: memo (confidence: 0.96) Key findings: 4 sponsor-facing obligations Citations: 42 CFR 422.203, 423.120 Urgency: HIGH (deadline in 28 days) Routed to: Regulatory Intelligence Priority item created in Oracle (score: 8.2) Departments notified: Pharmacy, Enrollment
Risk Adjustment Defense

Find missing revenue. Flag audit exposure. Learn from your coders.

PMRA is the only platform that handles both sides of risk adjustment simultaneously: identifying undercoded HCCs your plan is losing revenue on, and flagging audit-exposed diagnoses before CMS finds them. The neuro-symbolic engine uses deterministic rules for high-confidence signals (Entresto present but no HF code = definite gap) and GPT-4o for complex clinical patterns — reducing API costs 40-60% while maintaining accuracy.

  • Bidirectional: suspects additions AND flags deletions in one pass
  • Real-time RADV exposure modeling: best/expected/worst scenarios
  • Coder decisions train the model — after 6 months, it's your AI
  • Mock RADV simulation in minutes, not $200K consultant engagements
PMRA Exposure Model
Contract H5678 | PY2020 RADV Audit ----------------------------------- Sample: 50 members | 120 HCCs audited Supported: 105 (87.5%) Unsupported: 15 (12.5%) Extrapolated exposure (99% CI): Best case: $2.8M Expected: $8.2M Worst case: $14.1M 15 charts outstanding | Priority: HCC 80
How It Works

From Document Intake to Audit-Ready Evidence

Four steps. Fully automated. Every decision logged.

1

Documents Arrive

CMS memos, audit reports, vendor files, and universe submissions enter via upload, email monitoring, or API.

2

AI Classifies and Routes

POM reads every document, determines type and urgency, and routes to the right module with confidence scoring.

3

Teams Act on Assigned Work

Department leads see obligations, enter deliverable plans, upload evidence, mark milestones complete. AI validates responses.

4

Audit Trail Builds Itself

Every classification, routing decision, action item, and approval is logged immutably. The evidence is already organized.

Why PCG

Not Another Compliance Tool. Compliance Infrastructure.

Purpose-built for the regulatory complexity that Medicare Advantage compliance actually requires.

vs. Consultants

Always on, always learning

Consultants charge $200K for a mock RADV audit that takes 8 weeks. PCG runs one in minutes for zero marginal cost. Consultants leave; the platform stays and gets smarter with every interaction.

vs. Spreadsheets

Scale with regulatory pressure

Your compliance program cannot run on email and Excel when CMS is auditing every contract annually. You need infrastructure that tracks 18 CMS protocols, enforces deadlines, and produces audit evidence automatically.

vs. Generic AI

Built on 42 CFR, not Wikipedia

ChatGPT doesn't know ODAG from CDAG. PCG's AI is trained on CMS protocols, learns from your team's corrections, enforces timeliness rules from 42 CFR Part 422/423, and runs on HIPAA-compliant Azure infrastructure.

Security

Enterprise Security. Healthcare-Grade Compliance.

Every architectural decision optimized for regulated healthcare environments. No shortcuts.

Azure OpenAI Processing

All AI runs on Azure OpenAI within your environment. No data sent to third-party APIs. No data used for model training.

HIPAA-Compliant Architecture

PHI de-identified before any LLM processing. End-to-end encryption. Business Associate Agreement coverage.

SOC 2 Aligned Controls

30-minute session inactivity timeout. Immutable audit logs on every action. Rate limiting on all authentication endpoints.

Organization-Level Isolation

Multi-tenant by design. Every query scoped by organization. Your data is invisible to other organizations on the platform.

7-Year Audit Trail Retention

Every classification, routing decision, approval, and evidence submission logged immutably for the full CMS audit cycle.

PHI De-Identification

Member identifiers stripped before any LLM processing. Risk adjustment AI uses de-identified clinical data only. Full compliance with 45 CFR Part 164.

See What Automated Compliance Looks Like

Schedule a 30-minute walkthrough. We'll show you exactly how PCG handles your CMS memos, audit findings, and universe submissions — with your data, in your regulatory context.