FDR Oversight – Turning Policy & Procedure into Practice
Health plans (collectively, “plan sponsors”) that contract with the Centers for Medicare & Medicaid Services (CMS) to provide health services […]
Health plans (collectively, “plan sponsors”) that contract with the Centers for Medicare & Medicaid Services (CMS) to provide health services […]
CMS Audit preparation aren’t something you can cram for at the last minute and expect good outcomes. If health plans
While the world is anything but predictable—especially in the age of COVID-19—the Centers for Medicare and Medicaid (CMS) isn’t being
One of the most arduous and time-consuming activity for MAPD and PDP plans is the creation of the required universes
CMS program audit evaluate the performance of the Medicare Advantage/Prescription drug plans (MAPDs) and prescription drug plans (PDPs) that provide
In early February, the CMS released its new audit protocol and process updates for 2015 for Medicare Advantage organizations and