BluePeak Services Spotlight: End-to-End Part C Claims Processing and Part D Claims Testing and Monitoring

In addition to the Centers for Medicare & Medicaid Services (CMS) program audits, a plan’s claims issues, such as not processing Low-Income Subsidies (LIS) correctly, can surface in one-third financial Audits. With CMS now considering deficiencies found from one-third financial audits for potential enforcement actions, including Civil Money Penalties (CMPs), plans should evaluate their claims processing systems to find any deficiencies, BEFORE CMS does, and correct them. BluePeak can help identify and remediate any Part C or Part D claims processing deficiencies through our End-to-End- Part C Claims Processing and Part D Claims Testing and Monitoring Services.