Payer Shines in CMS Program Audit with Help From Government Health Plan Audit Services
Payer Shines in CMS Program Audit with Help From Government Health Plan Audit Services
4 PagesPayer Shines in CMS Program Audit with Help From Government Health Plan Audit Services Customer Aspire Health Plan, an HMO and HMO-POS plan sponsor providing Medicare Advantage plans to 4,000 members in Monterey County, California. Challenge Identify compliance vulnerabilities in anticipation of an expected Center for Medicare and Medicaid Services (CMS) program audit. Products Mock audit and actual CMS audit support. Results • Systematic data universe assessments during mock audit illuminated potential compliance risks and enabled remediation • Comprehensive audit preparation, in-depth staff training, and ongoing assistance from the Change Healthcare team helped the plan earn an exemplary .54 score in actual CMS auditAspire Health Plan 2 The Customer: In 2013, Commun
