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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.

Universe Integrity Testing – Within 5 business days of receipt of universes, and prior to the live portion of the audit, CMS will schedule separate webinars with the sponsoring organization to verify that the data provided in the CDAG, ODAG, and/or SARAG universe submissions used for calculating timeliness are accurate.

  Integrity

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