The following mock CMS audits are available:

 

Compass-C Medicare Advantage Mock Audit

    • For MA plans and MA-PDs

Compass-CD Medicare Advantage and Part D Mock Audit

    • For MA-PDs specifically

Compass-D Part D Mock Audit

    • For MA-PDs and PDPs

Delegated PBM

    • For all of the elements delegated to the PBM

Compass Fraud Waste and Abuse

    • For MA-PDs and PDPs

 

GHG also offers a Compass-C and/or Compass-D Appeals Module carve-out: a detailed focused audit for Coverage Determinations, Appeals & Grievances elements (Part D) and for Organization Determinations, Appeals & Grievances elements (Part C).

 

For more information, contact email us at
compass@gormanhealthgroup.com or call us at 202-364-8283.

 

 

 

CMS Publishes Final 2009 MA Capitation Rates and Part D Payment Policies; CMS Will Conduct Plan Level Audits and Not Make Coding Intensity Adjustments for 2009, 04.10.08
2009 Advance Notice of Capitation Rates, 3.04.08
CMS Call Letter Establishes New Requirements and Reporting Metrics for Plans 1.24.08
Other SNP Sponsors Could Follow In QMed's Wake, Consultant Says; Medicare Advantage News, 11.15.07
The Medicare Outlook: Keys to Success in the New Senior Market, Munich Re America HealthCare Newsletter, 11.01.07
 
Protecting Beneficiaries: Improving & Monitoring Medicare Marketing Practices - AHIP, 05.07
Hard Sell Cited as Insurers Push Plans to Elderly, New York Times, 05.07.07
Advantage Plan's Risk- Wall Street Journal, 04.22.07
Power Shift in Congress Revives Health Debate - New York Times, 01.02.07
 

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