Medicare Independent Auditor Validation (IAV)

Meeting Your Validation Needs:

So you just had a CMS program audit and deficiencies were found which require corrective action. CMS requires the Sponsoring Organization to hire an independent auditor to demonstrate that any noncompliance has been corrected.

That’s where we come in! Attest offers IAV services to Medicare Advantage and Prescription Drug Plans to validate that any issues identified during a CMS program audit have been rectified.

We have been conducting the IAV since 2018 for Sponsoring Organizations of all sizes and have developed an internal tool to help us, help you, complete the validation expeditiously. Through our diverse audit teams and client base, we have an unmatched level of experience reviewing and understanding Medicare Part C and Part D reporting, compliance reviews, vendors, and transaction systems.

How it Works:

We will work with you to develop a work plan and timeline that meets health plan and CMS expectations. Because each validation will be unique based on your program audit results, we will work together to identify and define all tasks and timeframes.

After CMS work plan approval, Attest will execute the plan through universe integrity testing, timeliness tests, and targeted sample reviews. We then provide a validation report based on our review findings.

Descriptions of the process may be found here in the Phase IV: Audit Validation and Close Out section.

Medicare Data Validation Audits (DVA) performed by Attest do not present a conflict of interest to performing IAV work.