The Voice of Tina Bailey

Tina Bailey

About Tina Bailey

Tina Bailey is Senior Director of Compliance Solutions at Gorman Health Group (GHG). In this role, she assists health plans prepare for and endure Centers for Medicare & Medicaid Services (CMS) audits, directs onsite and virtual focused audits, assesses new and existing plan readiness, produces Part C and D delegation oversight programs, leads large-scale member/marketing material review, assists with CMS/state applications, and creates and conducts focused trainings.

Data Universes – Friend not Foe

Tina Bailey

Data universes are not new in the Medicare Advantage and Part D space. The Centers for Medicare & Medicaid Services (CMS) requires data universes for a variety of purposes, including program audits and timeliness monitoring. Gorman Health Group has communicated time and time again the importance of pulling accurate universes as well as continuous review of that data. Universes tell a story often not heard via other monitoring efforts.

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