Meeting CMS Halfway: The 2016 Audit and Enforcement Conference

On June 16, the Centers for Medicare & Medicaid Services (CMS) held their third annual Medicare Advantage & Prescription Drug Audit and Enforcement Conference and Webcast. At the heart of this conference is the CMS Program Audit. Agency experts as well as Sponsor participants presented to an in-person and webcast audience on expectations, process enhancements, upcoming developments, and more.

While the agency has not given everyone the keys to the kingdom, the transparency of process improvements and changes can be likened to someone meeting you halfway.  If you expect CMS to meet you where you are, you’ll be waiting a long time. Sponsors need to do the rest: digest the free information provided, distribute to all affected parties, and implement.  Practice until each step of an audit runs like a well-oiled machine.  Sound cliché?  It should.  The core focus of this audit model has not changed in years.  You may argue that you’ve had staff turnover or have switched delegates for a certain function.  None of it matters.  The requirements are still the same, and they are in line with many items your organization attested to upon application.

My summary and analysis of the conference can be downloaded here, however, it is no replacement for watching the webcast recordings on your own and making necessary changes to your program.

Resources

Stay connected to industry news and gain perspective on how to navigate the latest issues through GHG’s weekly newsletter. Subscribe >>