what is odag and cdag

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what is odag and cdag

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2016 Part C and Part D Program Audit and Enforcement … – CMS.gov

May 9, 2017 Making changes to the audit process to reduce burden placed on sponsors
undergoing an audit, including: o Making the audit review periods for Part D
Coverage Determinations,. Appeals, and Grievances (CDAG) and Part C
Organization Determinations,. Appeals, and Grievances (ODAG) dependent on …

Industry-wide Timeliness Monitoring – CMS.gov

Nov 28, 2016 included in the draft 2018 Call Letter for public comment. Beginning in December
2016, CMS will collect various ODAG and CDAG audit universes from each
contract to assess all sponsors' timeliness in processing both Part C and D
requests, as well as sponsor compliance with forwarding cases to the IRE …

2018 for Medicare Advantage – CMS.gov

Feb 1, 2017 SUBJECT: Advance Notice of Methodological Changes for Calendar Year (CY)
2018 for. Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment
Policies and 2018. Call Letter. In accordance with section 1853(b)(2) of the
Social Security Act, we are notifying you of planned changes in the …

2017 Program Audit Process Overview – CMS.gov

•Entrance Conference – Discussion of CMS audit objectives and expectations;
Sponsor voluntary presentation on organization. •Webinar Audit – CMS testing of
sample cases live in Sponsor systems via webinar. •Onsite Audit of Compliance
Program (as applicable) – Compliance program tracer reviews; Sponsor
submission …

Final 2017 Application Cycle Past Performance … – CMS.gov

Formulary and Benefit Administration; Part D Coverage Determinations, Appeals,
and. Grievances (CDAG); Part C Organizational Determinations, Appeals, and
Grievances (ODAG); and Compliance Program Effectiveness. We consider only
these 4 core program areas for the modified past performance audit score
because …

Agency Information Collection Activities: Submission for OMB Review

Nov 4, 2016 submitting the collection to OMB for approval. To comply with this requirement,
CMS is publishing this notice. Information Collection. 1. Type of Information
Collection. Request: Revision of a currently approved collection; Title of.
Information Collection: ICF/IID Survey. Report Form and Supporting.

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