Getting Clarification from CMS

Getting Clarification from CMS By Jen Sousa, Vice President Between the Code of Federal Regulations (CFR), Part C and Part D guidance manuals, and HPMS memos, there are literally thousands of pages of material to memorialize CMS’ requirements and expectations. Yet we...

Industry-Wide ODAG and CDAG Monitoring Activity

Industry-Wide ODAG and CDAG Monitoring ActivityBy Jen Sousa If you have been through a CMS program audit in 2015 or 2016, you have gone through the rigors of a timeliness review of your Part C Organization Determinations, Appeal, and Grievances (ODAG) and Part D...