PUBLIC SUBMISSION | As of: June 22, 2010 Received: June 18, 2010 Status: Draft Category: Health Plan or Association Tracking No. 80b04f0e 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-0018
Puerto Rico
San Juan, Puerto Rico, Puerto Rico, 00902
Organization: MCS Advantage, Inc.Document: Appendix 2: Medicare Part C and Part D Measure
Organizational Assessment Instrumet
March 15, 2010-06-18
Page 2 GENERAL QUESTIONS
According to this section the information gathered by the data validation reviewers will provide a better understanding of the scope for the organization’s data validation review, including which contract(s) will be reviewed.
1.Which criteria will be considering to select the contract that will be reviewed? It is possible that CMS provide to the MAO’s this information?
Document: Supporting Statement for Paperwork reduction Act Submissions:
Medicare Part C and Part D Data Validation (42 C.F.R. 422.516(g) and 423.514(g)
Page 4 & 5
“These specifications will be utilized by the auditors hired by the MAOs and Part D Sponsors to conduct the data validation audits, the result of which will be provided to us.”
1. Who will be responsible for the payment of these services?
2. Will CMS recommend any contractors to perform this data validation?
3. If the MAOs complete the OAI internally, do results have to be submitted to CMS?
4. The result of the data validation will be processed by CMS to determine if those findings “Pass” or “Not Pass”, will this document be a formal finding to the MAO?
5.The independent yearly audit proposed, will be performed by CMS or by auditors hired by the MAO?