Medicare Parts C and D Program Audit Protocols and Data Requests

Medicare Parts C and D Program Audit Protocols and Data Requests (CMS-10191)

OMB: 0938-1000

IC ID: 43683

Documents and Forms

Document Name Document Type
Form CMS-10191 Medicare Parts C and D Program Audit Protocols and Data Requests Form and Instruction
CMS-10191 CPE Program Area Audit Process and Data Request Attachment_I_CPE_AuditProcess_DataRequest.pdf Form and Instruction
CMS-10191 CPE Self-Assessment Questionnaire Attachment_I-A_CPE_Self-Assessment_Questionnaire_SA-Q.pdf Form and Instruction
CMS-10191 CPE Compliance Officer Questionnaire Attachment_I-B_CPE_Compliance _Officer_Questionnaire_CO-Q.pdf Form and Instruction
CMS-10191 CPE Audit Organizational Structure and Governance PPT Te Attachment_I-C_CPE_Organizational_Structure_Governance _PPT_ Template.pdf Form and Instruction
CMS-10191 Accountability for Oversight of First-Tier, Downstream a Attachment_I-D_CPE_FDR_Oversight_Questionnaire_FDR-Q.pdf Form and Instruction
CMS-10191 SIU/FWA Prevention and Detection Questionnaire Attachment_I-E_CPE_SIU_FWA_Questionnaire_FWA-Q.pdf Form and Instruction
CMS-10191 FA AUDIT PROCESS AND DATA REQUEST Attachment_II_FA_AuditProcess_DataRequest.pdf Form and Instruction
CMS-10191 CDAG AUDIT PROCESS AND DATA REQUEST Attachment_III_CDAG_AuditProcess_DataRequest (2).pdf Form and Instruction
CMS-10191 CDAG Supplemental Questions Attachment_III-A_CDAG_SupplementalQuestions.pdf Form
CMS-10191 ODAG AUDIT PROCESS AND DATA REQUEST Attachment_IV_ODAG_AuditProcess_DataRequest.pdf Form and Instruction
CMS-10191 ODAG Supplemental Questions Attachment_IV-A_ODAG_SupplementalQuestionnaire.pdf Form
CMS-10191 SNP-MOC AUDIT PROCESS AND DATA REQUEST Attachment_V_SNP-MOC_AuditProcess_DataRequest.pdf Form and Instruction
CMS-10191 MTM PILOT AUDIT PROCESS AND DATA REQUEST Attachment_VI_MTM_AuditProcess_DataRequest.pdf Form and Instruction
CMS-10191 CDAG CDM Impact Analysis CDAG_CDM_Impact.pdf Form
CMS-10191 CDAG GRV Impact Analysis CDAG_GRV_Impact.pdf Form
CMS-10191 FA Impact Analysis FA_ImpactAnalysis_.pdf Form
CMS10191 MTM Impact Analysis MTM_ImpactAnalysis.pdf Form
CMS-10191 ODAG CDM Impact Analysis ODAG_CDM_Impact.pdf Form
CMS-10191 ODAG DIS Impact Analysis ODAG_DIS_Impact.pdf Form
CMS-10191 ODAG GRV Impact Analysis ODAG_GRV_Impact.pdf Form
CMS-10191 ODAG PMNT Impact Analysis ODAG_PMNT_Impact.pdf Form
CMS-10191 SNP-MOC ICP ICT Impact Analysis SNP-MOC_ICP_ICT_Impact.pdf Form
CMS-10191 SNP-MOC Impact Analysis SNP-MOC_Impact.pdf Form
CMS-10191 SNP-MOC Training Impact Analysis SNP-MOC_Training_Impact.pdf Form
CMS-10191 Pre-Audit Issues Summary Pre-AuditIssueSummary.pdf Form
Crosswalk_of_Revisions.pdf Crosswalk IC Document