In addition to the Centers for Medicare & Medicaid Services (CMS) program audits, a plan’s claims issues, such as not processing Low-Income Subsidies (LIS) correctly, can surface in one-third financial Audits. With CMS now considering deficiencies found from one-third financial audits for potential enforcement actions, including Civil Money Penalties (CMPs), plans should evaluate their claims processing systems to find any deficiencies, BEFORE CMS does, and correct them. BluePeak can help identify and remediate any Part C or Part D claims processing deficiencies through our End-to-End- Part C Claims Processing and Part D Claims Testing and Monitoring Services.
BluePeak Services Spotlight: End-to-End Part C Claims Processing and Part D Claims Testing and Monitoring
No Comments
Recent News
- OIG finds MAOs Inappropriately Denying Requests for PA and Payment, CMS agrees to Issue Stricter Guidance and update Audit Protocols and Auditor Training May 9, 2022
- Will Your Grievance Resolution Letters Stand Up in an Audit? February 18, 2022
- Service Spotlight: Comprehensive Support from Bid to AEP and Beyond… February 12, 2022
- The PDE Submission Deadline is Rapidly Approaching-Don’t Assume a High Acceptance Rate Translates to PDE Accuracy February 12, 2022
- Two Rules With Potential Part D Rebate Access Impact February 9, 2022
- Program Audit Consistency Teams (PACTs) February 9, 2022
- Annual Transition Policy and Attestation Submission to CMS February 9, 2022
- Why Medical Claims Audits? February 9, 2022
- Top 5 Tips to Prevent a Part D Transition Finding December 17, 2021
- Big Changes Ahead for Group Health Plans and Individual Health Plans July 29, 2021
Contact Us
BluePeak Advisors
2652 FM 407, Suite 215
Bartonville, Texas 76226
Phone: 469.319.1228
Email: info@bluepeak.com
Follow us on LinkedIn
Subscribe to Our FREE Newsletter
Related Posts
CMS
OIG finds MAOs Inappropriately Denying Requests for PA and Payment, CMS agrees to Issue Stricter Guidance and update Audit Protocols and Auditor Training

BluePeak AdvisorsMay 9, 2022
AuditsCMSMedicarePart D
Will Your Grievance Resolution Letters Stand Up in an Audit?

BluePeak AdvisorsFebruary 18, 2022