INNOVATIVE THINKING
RIGOROUS APPROACHES
REAL WORLD IMPACT

 

Project

Support of Medicare Parts C & D Payment Validation and Payment Error

Official Title
Part C and Part D Payment Validation and Payment Error Support
Location(s)
Baltimore, MD
Dates
6/2014 – 6/2017
Market
IMPAQ Health
Services
Technical Assistance
Client
Centers for Medicare & Medicaid Services (CMS)
Methodologies
Analysis and Validation
Quantitative Data Analysis

IMPAQ supported the Centers for Medicare & Medicaid Services’ (CMS) Medicare Plan Payment Group (MPPG) on a range of tasks in their Part C and Part D Payment Validation and Error Support project, including: Beneficiary Payment Validation, Risk Adjustment Data Validation, and Payment Error Related to Prescription Drug Event Data Validation. Our work helped CMS determine if they are making appropriate payments to issuers of Medicare Part C and Part D.

Our activities ranged from developing SAS code for validating data to creating standard operating procedures and quality assurance checks. 

Our team included senior researchers and analysts who collaborate with CMS staff. We have been supporting the MPPG for nearly 10 years.