Transcription of 2022 Program Audit Process Overview
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2022 Program Audit Process Overview
Page 1 of 13 2022 Program Audit Process Overview Medicare Parts C and D Oversight and Enforcement Group Division of Audit Operations Updated December 2021 Page 2 of 13 Table of Contents I. Executive Summary 2022 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 .. 9 Phase IV: Audit Validation and Close Out .. 10 Page 3 of 13 I. Executive Summary 2022 Audit Process Timeline Phase I: Audit Engagement and Universe Submission Engagement Letter CMS notification to Sponsoring organization of Audit selection; identification of Audit scope and logistics; and instructions for Audit submissions Universe Submission Sponsoring organization submission of
Medicare. On an annual basis, CMS solicits feedback on the audit process from industry stakeholders through a variety of mediums. CMS uses the feedback to update and improve audit operations as well as to explore new program areas that may require oversight.
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