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 CPEAuditProcessDataRequest.pdf Form and Instruction
CMS-10191 CPE Compliance Officer Questionnaire Attachment IA CPECompliance OfficerQuestionnaire.pdf Form and Instruction
CMS-10191 CPE Audit Organizational Structure and Governance PPT Te Attachment IB CPEOrganizationalStructureGovernancePPT.pdf Form and Instruction
CMS-10191 Accountability for Oversight of First-Tier, Downstream a Attachment IC CPEFDROversightQuestionnaireFDRQ.pdf Form and Instruction
CMS-10191 SIU/FWA Prevention and Detection Questionnaire Attachment ID CPESIUFWAQuestionnaireFWAQ.pdf Form and Instruction
CMS-10191 FA Audit Process and Data Request Attachment II FAAuditProcessDataRequest.pdf Form and Instruction
CMS-10191 CDAG Audit Process and Data Request Attachment_III_CDAG_AuditProcess_DataRequest.pdf Form and Instruction
CMS-10191 ODAD Audit Process and Data Request Attachment IV ODAGAuditProcessDataRequest.pdf Form and Instruction
CMS-10191 SNP-MOC Audit Process and Data Request Attachment V SNPMOCAuditProcessDataRequest.pdf Form and Instruction
CMS-10191 SNP-MOC Questionnaire Attachment_V-A_SNP-MOC_Questionnaire.pdf Form and Instruction
CMS-10191 CDAG CDM Impact Analysis CDAGCDMImpact.pdf Form
CMS-10191 CDAG GRV Impact Analysis CDAGGRVImpact.pdf Form
CMS-10191 FA Impact Analysis FAImpactAnalysis.pdf Form
CMS-10191 ODAG DIS Impact ODAGDISImpact.pdf Form
CMS-10191 ODAG GRV Impact ODAGGRVImpact.pdf Form
CMS-10191 Pre Audit Issue Summary PreAuditIssueSummary.pdf Form
CMS-10191 SNP MOC ICP ICT Impact SNPMOCICPICTImpact.pdf Form
CMS-10191 SNP MOC Impact SNPMOCImpact.pdf Form
CMS-10191 SNP MOC Training Impact SNPMOCTrainingImpact.pdf Form
CMS-10191 ODAG CDM Impact ODAGCDMImpact.pdf Form
CMS-10191 ODAG PMNT Impact ODAGPMNTImpact.pdf Form
10191PRACrosswalk60Dto30D.pdf 60 Day Crosswalk IC Document
10191 Crosswalk From 30 Day Comments.pdf 30 Day Crosswalk IC Document