Signature Consulting Group, LLC

HHS CMS Awards SCG the IV&V for Part C & D Payment Accuracy & Error Audits

Baltimore, MD / Thursday, August 1, 2013

HHS Centers for Medicare & Medicaid Services Awards Signature Consulting Group the Independent Verification and Validation for Part C & D Payment Accuracy and Error Audits

The Centers for Medicare (under the Centers for Medicare and Medicaid Services) awarded a prime contract to Maryland-based Signature Consulting Group (SCG) to serve as the Independent Verification & Validation (IV&V) contractor for the Risk Adjustment Data Validation (RADV) and PEPV projects responsible for conducting CDAT User Acceptance Testing and conducting probe sampling of the RADV and PEPV processes. Additionally, SCG will provide security and attestation testing for both the Part C & D and RADV/PEPV systems. SCG will ensure the quality and assist in the audit of medical record review to validate the accuracy of risk adjustment data for Part C payments and the payment errors audits related to the Part D payment accuracy of sampled Prescription Drug Event records.

The RADV processes and associated audits are vital to the Medicare Modernization Act of 2003 and Medicare Advantage Prescription Drug mandated programs in estimating the national payment error and contract-level risk adjustment for Part C and the low income cost sharing and reinsurance subsidy payments for Part D.

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