63 results found (page 2 of 5)
https://www.federalregister.gov/documents/2018/11/23/2018-24170/medicare-program-revisions…

…al record format and content, or too many potential frameworks against which an auditor might review a claim. Commenters were unsure whether CMS envisioned the choice being made on a case-by-case basis or with some regularity. Other commenters noted that time alone is not an accu…

https://www.federalregister.gov/documents/2019/04/25/2019-08017/patient-protection-and-aff…

…of a risk adjustment covered plan must engage an independent initial validation auditor. The issuer provides demographic, enrollment, and medical record documentation for a sample of enrollees selected by HHS to its initial validation auditor for data validation. Each issuer's in…

https://www.federalregister.gov/documents/2019/01/24/2019-00077/patient-protection-and-aff…

…of a risk adjustment covered plan must engage an independent initial validation auditor. The issuer provides demographic, enrollment, and medical record documentation for a sample of enrollees selected by HHS to its initial validation auditor for data validation. Each issuer's in…