2021 Program Audit Process Overview - CMS

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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.

The Audit Engagement and Universe Submission phase is the six-week period prior to the fiel d work portion of the audit. During this phase, a sponsoring organization is notified that it has been selected for a program audit and is required to submit the requested data, which is outlined in the respective Program Audit Data Request document.

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