This tool is designed to engage operational managers in developing departmental auditing/monitoring metrics. #Communication #InternalControls #HealthCare
#Government #partD #Medicare #medicarepartD #HealthCare #managedcare
Overview: • CMS Compliance/Oversight Structure • Oversight Strategy • Oversight Activities • Alignment of Audit Approach • Statutory & Regulatory Updates • Compliance Plans/Programs • ...
Topics: -Key recent developments in federal criminal and civil investigations and enforcement -Key areas of concerns and risk -Impact of these developments on your compliance ...
Table of Contents I. Introduction and Overview 2 II. Enrollment and Disenrollment 5 III. Marketing Guidelines 12 IV. Low Income Subsidy (LIS) Provisions 23 V. PBM Delegation and ...
Contents: Important Notes The Well-Intentioned Whoops Separating Fact From Fiction Question Authority Example 1 Audit Results “If it isn’t written, it wasn’t done.” Role of ...
Overview: • New CMS Compliance/Oversight Structure • Oversight Strategy • Oversight Activities • Alignment of Audit Approach • Statutory & Regulatory Updates • What’s on the Horizon? #D ...
The Centers for Medicare & Medicaid Services (CMS) has received numerous inquiries regarding the changes to 42 C.F.R. § 422.503(b)(4)(vi) and 42 C.F.R. § 423.504 (b)(4)(vi) that became ...