2021 Program Audit Process Overview

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Page 1 of 13 2021 Program Audit Process Overview Medicare Parts C and D Oversight and Enforcement Group Division of Audit Operations Updated October 2020 Page 2 of 13 Table of Contents I. Executive Summary 2021 Audit Process Timeline ........................................ .................. 3 II. Background ........................................ ........................................ ........................................ ... 4 III. Summary of Audit Phases ........................................ ........................................ .................... 4 Phase I: Audit Engagement and Universe Submission ........................................ ................... 5 Phase II: Audit Field Work ........................................ ........................................ ..................... 7 Phase III: Audit Reporting.

Corrective Action Plan (CAP) submission within 3 business days ... level, other samples are reviewed using a tracer methodology. The tracer methodology used in CPE, allows sponsoring organizations to tell the story of an issue or policy as it evolves over a period of time.

  Methodology, Action, Corrective, Corrective action