FDRs Archives - BluePeak Advisors

CMS FDRs HPMS Medicaid Medicare Star Ratings TPMA

Potential Changes on the Horizon for 2020 and Beyond

After getting ready for all the changes a new contract year brings, Medicare Advantage (MA) Plans and Part D sponsors await the issuance of the Draft Call Letter for early…

BluePeak AdvisorsMarch 15, 2019

FDRs Medicare Part D Uncategorized

Ensuring Record Retention Requirements with First-tier, Downstream and Related Entities (FDR’s).

Many Medicare Plans may believe compliance with the ten-year record retention requirement is a slam-dunk. However, plans are often tripped up in audits because their first-tier and downstream entities do…

BluePeak AdvisorsFebruary 1, 2019

Audits CMS CPE FDRs

BluePeak Offers Tips for Developing 2018 Risk Assessments and Monitoring and Auditing Work Plans

Annual risk assessments and associated monitoring and auditing work plans are not only required, but also help to ensure your compliance program is efficiently and effectively monitoring and auditing business…

BluePeak AdvisorsNovember 27, 2017

CDAG CMS CPE FDRs ODAG TPMA

CMS Increases Scrutiny of FDRs, Finds Common Conditions During 2017 Program Audits

During the 2017 audit season, BluePeak observed increased CMS increased scrutiny on plans and their First Tier, Downstream and Related Entities (FDRs), as well as repeated Common Conditions. With limited changes from…

BluePeak AdvisorsNovember 27, 2017

CDAG CMS CPE FDRs PBM

Opioid Epidemic Spotlights Health Plans’ FWA Investigations

On October 26, President Donald Trump declared the nation’s opioid epidemic a public health emergency. The opioid epidemic is the deadliest drug epidemic in American history. Deaths from opioid overdose…

Michelle Rigby, CFENovember 3, 2017