A Glimpse of the Future of Compliance Oversight by CMS: Part D Plans Case Study

Hospitals and other providers should take note of what the Centers for Medicare & Medicaid Services (CMS) is learning from the Part D oversight audits and how they go about ensuring the plans comply with the mandated standards. CMS will be providing similar “mandated” compliance guidance to hospitals and other providers as a condition of participation. 

About the Author

Rita Isnar joined Strategic Management in 2003 and is responsible for client fulfillment activities. Her in-depth knowledge and compliance experience includes managed care, Medicare Parts C & D compliance program development and implementation, government enforcement initiatives, quality of care issues and regulatory compliance.