Managed Care

CMS review of MA Online Provider Directories

  • 1.  CMS review of MA Online Provider Directories

    Posted 04-18-2018 01:50 PM
    ​Hi Everyone,

    I am working on several projects and one includes auditing and monitoring of the online provider directory (OPD). Here is a link to the 2nd round of audits conducted by CMS regarding the online provider directory that was concluded in January 2018 - https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/Downloads/Provider_Directory_Review_Industry_Report_Year2_Final_1-19-18.pdf
    Cms remove preview
    View this on Cms >
    . I am interested in knowing how your organization is handling OPD? Are they: Developing ad-hoc committees, utilizing third-party vendors, increasing A&M efforts from internal audit or provider network departments, etc...

    Thank you,
    Luis Jusino

    ------------------------------
    Luis Jusino CHC,CHPC
    Manager of Compliance and Audit
    Healthfirst, Inc.
    New York,NY
    ------------------------------
    2019 HCCA Compliance Institute