CMS Program Audits are in full swing this summer, but are you truly prepared? If you are a Special Needs Plan (SNP) and you are not quite...

On June 7, 2022, The Centers for Medicare & Medicaid Services (CMS) announced the release of the 2021 Part C and Part D Program Audit and Enforcement Report. The report provides information on the program audit process, a current snapshot of the program audit landscape, a summary of the 2021 program audits, as well as CMS' enforcement actions. One of the most notable takeaways from the report is the largely continued trend of improved scores across each of CMS’ audit protocol

Now that we are through the gates of AEP/OEP season, it’s time to focus on key upcoming events: Program Audits and Timeliness Monitoring...