CMS recently released the 2021 Program Audit Memo announcing that it will start sending engagement letters in March 2021, but health plans should remain diligent about audit preparation and their PBM oversight activities.
Tag: ODAG
Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance
On December 30, 2019, the Centers for Medicare & Medicaid Services (CMS) announced updates to…
Latest Audit Enforcement Actions Issued by CMS
Like clockwork, the Centers for Medicare & Medicaid Services published the enforcement action notices issued…
Noteworthy Evolution for Star Ratings in 2017 MA Draft Call Letter
Last week’s release by the Centers for Medicare & Medicaid Services (CMS) of the 2017…