I work for a call center that sells MAPD/MA/PDPs. We have annual, bi-annual and monthly audits from the carriers who report to CMS. I have been on that end of the audit and pre-delegation part. I don't know if I would be of help but I can try.
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[Regina] [Sisk]
[Compliance Officer]
[Senior Healthcare Direct]
[Dallas][Texas]
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Original Message:
Sent: 09-21-2022 01:12 PM
From: Jessica Sauceda
Subject: Medicare Advantage Plan- Medicare Audits
Hi there,
Just wondering if any folks out there have been through a program audit or a PI audit with CMS recently who might be willing to share any insight or lessons learned?
My plan is currently developing a audit playbook to outline and share best practices for an audit.
Thanks in advance!
-Jessica
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Jessica Sauceda
Compliance Supervisor
Portland,OR
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