Managed Care

CMS Program Audit scoring methodology

  • 1.  CMS Program Audit scoring methodology

    Posted 03-24-2016 11:09 PM

    I am looking for any clarification regarding the scoring methodology of the 2016 CMS Program Audit. In past years CMS has been fairly consistent in their focus areas and has been increasingly more forthcoming in their methods however, the scoring methodology is still not clear specifically as it relates to timeliness measures. I would like to fairly assess my plan's readiness and also see where we would fall in relation to the average audit scores. Any insight would be appreciated. 

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    Shannon Harris BS
    Internal Auditor, Compliance

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    2019 HCCA Compliance Institute