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• Figure 1: Example of How a Part D Plan Sponsor Contracts with Other Entities

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • 1,846 views
  • Date uploaded: 2014-12-03
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1566, medicareprogramintegrity, medicare, cms, centersformedicaremedicaidservices, cpars, contractorperformanceassessmentreportssystem, cpi, centerforprogramintegrity, dm, detectionandmonitoring, dea, drugenforcementadministration, dur, drugutilizationreview, fdr, firsttierdownstreamorrelatedentity, hhs, departmentofhealthandhumanservices, ip, investigationandprosecution, medic, medicaredrugintegritycontractor, mma, medicareprescriptiondrugimprovementandmodernizationactof2003, nbi, nationalbenefitintegrity, oe, outreachandeducation, oig, officeofinspectorgeneral, oms, overutilizationmonitoringsystem, pdmp, prescriptiondrugmonitoringprogram, rac, recoveryauditcontractor, siu, specialinvestigationunit
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• Figure 1: Medicare Part D Cost-Sharing Structure under the Standard Benefit, 2014

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • 1,673 views
  • Date uploaded: 2015-10-02
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15633, medicarepartd, cms, centersformedicaremedicaidservices, far, federalacquisitionregulation, hhs, departmentofhealthandhumanservices, pde, prescriptiondrugevent, ppaca, patientprotectionandaffordablecareact, rac, recoveryauditcontractor
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• Figure 1: Percentage of Unsupported Diagnoses within Medicare Advantage (MA) Contracts by the Centers for Medicare & Medicaid Services (CMS) Coding Intensity, 2007 Risk Adjustment Data Validation (RADV) Audits

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  • License: United States Government Work
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  • Date uploaded: 2016-05-17
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1676, medicareadvantage, aha, americanhospitalassociation, ahip, americashealthinsuranceplans, ama, americanmedicalassociation, cdat, centraldataabstractiontool, cms, centersformedicaremedicaidservices, esmd, electronicsubmissionofmedicaldocumentation, ffs, feeforservice, hcc, hierarchicalconditioncategory, hhs, departmentofhealthandhumanservices, ipia, improperpaymentsinformationactof2002, ma, mac, medicareadministrativecontractor, rac, recoveryauditcontractor, radv, riskadjustmentdatavalidation
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