Medicare Program Audit – Tracer Preparation Recently, in the Centers for Medicare & Medicaid Services (CMS) National Audit Training sessions which were conducted in August, 2021, Tracer Requirements were addressed. What is a Tracer? Per the current CMS Program...
CMS 2022 Readiness Checklist – A Must for All Sponsors (MAs, PDPs, and MMPs) Written by Connie Snyder. CMS Released 2022 Readiness Checklist with a Stern Call for Immediate Action The Centers for Medicare & Medicaid Services (CMS) released the 2022 Readiness...
Score High with Polished Policies – Win the Favor of CMS Auditors Is your Medicare Advantage health plan still in the early-to-mid stages of building a Special Investigations Unit (SIU)? Are you struggling to write program policies and procedures (P&Ps), or...
Medical Identity Theft What is it and How Does it Happen? By Connie Snyder. Within the context of health care, identity theft may be defined as an incident in which a beneficiary’s personal identity and/or insurance information has been (unlawfully) obtained (by an...
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