CLINICAL ROLE -
Take 2: Revised Audit Protocols for Medicare Plans
For Medicare plans, the 2015/2016 program audit protocol updates address many of the issues and questions raised with the previous protocols, but may result in additional challenges.
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Medicare Plans Face New Oversight and Scrutiny From Audit Changes
The 2015 Medicare Part D audit protocols add a layer of complexity to Part D plans and increase their probability of receiving mandatory corrective actions.
Medicare Part D Plans Burdened by Hospice Payment Reform
Recent guidance and proposed rules for the Medicare hospice program will have a profound impact on plans providing Medicare Part D services.
Hurdles for Medicare Plans Posed by 2014 Audit Requirements
The 2014 CMS Coverage Determination and Appeals audit will challenge plans providing Medicare Part D services, and could lead to a cascading impact much larger than audit failure alone.