![]() These modifications affect both audit scope and process, with the most notable changes related to the following 4 areas of the protocols 3:ġ. Not surprisingly, the majority of the revisions in the October protocols focus on modifying or clarifying the changes introduced in February. These revisions are in effect for the remainder of 2015 and will remain as the protocols for audits in 2016, with no additional modifications anticipated by CMS. Based on industry feedback and CMS audit experience throughout the audits performed in 2015, CMS updated and republished the revised 2015/2016 protocols on October 20. These key changes often posed numerous challenges throughout the 2015 performance audits of Medicare Advantage/prescription drug plans (MAPDs) and prescription drug plans (PDPs), as well as the pharmacy benefit management (PBM) companies that are used by these plans.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |