PUBLIC SUBMISSION

As of: June 22, 2010 Received: June 17, 2010 Status: Draft Category: Health Care Professional/Association - Other Health Care Professional Tracking No. 80b0415c Comments Due: June 18, 2010 Submission Type: Web

Docket: CMS-2010-0177
Medicare Part C and Part D Data Validation (42 C.F.R. §422.516g and §423.514g) - (CMS-10305)

Comment On: CMS-2010-0177-0001
Medicare Part C and Part D Data Validation (42 C.F.R. §422.516g and §423.514g): CMS-10305

Document: CMS-2010-0177-DRAFT-0006
PA

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Submitter Information

Name: Courtney McGee
Address:

King of Prussia,  PA,  19406

Organization: Coventry Health Care

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General Comment

Coventry Health Care, Inc.
Comments on the Draft Validation
June 15, 2010

1. What methodology will CMS use to derive an overall "pass" or "fail" determination?
2. Will it be up to the vendor to assign pass/fail or CMS to make final determination based upon comments/results from vendor?
3. What will result if an element does not pass based upon the sample selected?
4. What rationale was used to determine which elements required to be audited? For example, Employer Group demographic data?
5. Would CMS be willing to share lessons learned or results from best practices from validation audits that have been piloted?