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CMS published 2016 Program Audit Enforcement Report based on 2016 audit findings

CMS published the 2016 Program audit enforcement report

Key points of interest:

  • Analysis of change in overall audit scores and specific audit scores by program area. Scores fell markedly both overall and in each individual program area audited in 2016.
  • The average number of conditions cited per sponsor has fallen from 38 in 2012 to just under 18 in 2016.
  • There was a marked decrease in the number of ICARs issued per audit in CDAG and ODAG between the two years
  • CMPs imposed totaled $7.5 million, with an average of $357,756 per CMP. The highest CMP imposed was $2,498,850 and the lowest CMP imposed was $3,325.
  • Of the 37 organizations audited during 2016, 17 (46%) received an enforcement action.
  • 17 CMPs were imposed based on 2016 program audits where as in 12 CMPs were imposed for 2015 program audits.

Read the full report here 2016_Program_Audit_Enforcement_Report