How To Optimize your Appeals and Grievances Process?
When it comes to appeals and grievances process, most healthcare organizations struggle to improve compliance, productivity, visibility, and ratings while […]
Reasonable Outreach: Are you missing what CMS expects?
The Centers for Medicare & Medicaid Services (CMS) on April 20th of 2016 released several job aids in order to
2015/2016 CMS Program Audit Protocols and Process Updates
CMS program audit evaluate the performance of the Medicare Advantage/Prescription drug plans (MAPDs) and prescription drug plans (PDPs) that provide
2015 CMS Audit Protocol: Your Takeaway
In early February, the CMS released its new audit protocol and process updates for 2015 for Medicare Advantage organizations and