Medicare Star Rating Support
Advent helps you chart a sustainable course to reach a CMS 5-Star rating that will help you grow your business.
Promoting continuous Star rating improvements
The Centers for Medicare & Medicaid Services (CMS) publishes the Medicare Advantage (Medicare Part C) and Medicare Part D Star Ratings each year to measure the quality of health and drug services received by consumers enrolled in Medicare Advantage (MA) and Prescription Drug Plans (PDPs or Part D plans). The Star Rating system helps Medicare consumers compare the quality of Medicare health and drug plans being offered.
Promoting continuous Star rating improvements
The CMS Medicare Star Rating program promotes continuous quality improvement and recognizes and rewards healthcare organizations for demonstrating an increase in performance measures over time. The highest rating in the CMS Star program is a five.
Advent helps you chart a sustainable course to reach a CMS top rating demonstrating the quality of services you provide to your members.
With an in-depth knowledge of CMS requirements and 11 NCQA-certified HEDIS auditors on staff, Advent’s team of experts can help your organization:
Identify and improve HEDIS® and Medicare Part C and D Data Validation performance measures that are most likely to impact overall CMS Star ratings- Discover the root causes of underperformance and develop corrective strategies
- Develop a sustainable plan to drive continuous improvement in care quality, increase Star ratings and earn greater quality bonus payments
- Identify Advance Notice and other CMS guidance on future reporting trends and initiatives that can have direct impact on Star Ratings performance
Your Star rating not only impacts quality bonus payments but also membership enrollment as the percentage of Medicare Advantage beneficiaries enrolled in high-performing plans continues to increase.
Contact
Advent Advisory Group today and find out how we can help you identify and prioritize opportunities to improve your CMS Star ratings and compete more effectively in today’s rapidly changing healthcare landscape.
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- If your organization’s Medicare Advantage or Prescription Drug Plan has received a corrective action request from the Centers for Medicare and Medicaid Services (CMS), you are now required to hire an independent auditor to validate the outcomes of your Corrective Action Plan
Advent Advisory Group has the expertise to evaluate your corrections and compliance with the CMS requirement in all areas under the scope of the program audit. This includes enrollment, pharmacy benefit manager operations and management, grievances, coverage determinations, appeals, claims processing and contract compliance.
Advent’s Independent Auditor (IA) Validation team will:
- Review the CMS findings on areas of deficiencies
- Coordinate with CMS on developing an approved work plan and validation approach
- Review a records sample for each area of deficiency to ensure compliance
- Provide a validation report to CMS
- Why you should choose Advent to validate your Corrective Action Plan
Advent is a recognized industry leader in performing Medicare compliance and CMS Program Audits nationwide, and fully meets CMS requirements for IA Validation firms.
- Our IA Validation team has extensive subject matter expertise in Medicare Part C and D as well as compliance reviews.
- We have been conducting Medicare Data Validation reviews since CMS first required audited data in this area in 2011.
- We have audited thousands of measure submissions for Medicare Advantage Organizations, Prescription Drug Plans, Employer Group Part D Plans and Medicare-Medicaid Plans nationwide.
- We are an NCQA-licensed Compliance Audit Organization, which attests to our data validation experience. In addition, we have a firm commitment to audit best practices and a strict adherence to the highest standards of professional responsibility, codes of conduct, organizational independence, data security and privacy.
At Advent, we’ve built our business by anticipating client needs and delivering customized audit solutions to meet emerging reporting challenges. If deficiencies were found in your full or partial program audit and an Independent Validation Audit is required, contact Advent Advisory Group through the “request a proposal” box above or contact 877.237.0190.
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“[Our auditor] was superb; she worked very closely with me to lay out the best workplan for our organization.”
What Our Clients Say
“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made it simple and easy to understand.”
What Our Clients Say
“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”
What Our Clients Say
“[Our auditor] was superb; she worked very closesly with me to lay out the best workplan for our organization.”
What Our Clients Say
“Advent's goes above just making sure our data is submitted timely and correctly. They genuinely care about helping clients improve the way they engage members, providers and data to ensure that our members get the best quality of care and that our plan is regarded as such.”
What Our Clients Say
“I am very satisfied with the overall experience working with Advent!”
What Our Clients Say
“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made is simple and easy to understand.”
What Our Clients Say
“Our questions are answered almost immediately. We feel like we are Advent's only client.”
What Our Clients Say
“From initial engagement to contracting to audit services, Advent has been professional and a good partner.”
What Our Clients Say
“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”
What Our Clients Say
“I value the partnership and knowledge of our audit team. In addition to ensuring that we are doing what we need to do to make sure we are compliant, the knowledge that is provided helps us to improve year over year. This is especially helpful for our new organization.”
What Our Clients Say
“We have recommended Advent to other companies and consider Advent for any future projects where they can contribute.”
What Our Clients Say
“[Our auditor] spectacular to work with at every step of the reporting process.”
What Our Clients Say
"Wouldn't change anything."
What Our Clients Say
"The tools Advent uses for the audit help keep us on track and well organized."
What Our Clients Say
"Everything is perfect"
What Our Clients Say
"Continue as is!"
What Our Clients Say
"Continue the great work and information sharing."
What Our Clients Say
"Continue to provide access to subject matter experts on new topics as they arise."
What Our Clients Say
"I value the partnership. While I recognize Advent's role as the auditor, I always feel like we can problem solve and make things better together."
What Our Clients Say
“[Our auditor] was superb; she worked very closely with me to lay out the best workplan for our organization.”
What Our Clients Say
“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made it simple and easy to understand.”
What Our Clients Say
“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”
What Our Clients Say
“[Our auditor] was superb; she worked very closesly with me to lay out the best workplan for our organization.”
What Our Clients Say
“Advent's goes above just making sure our data is submitted timely and correctly. They genuinely care about helping clients improve the way they engage members, providers and data to ensure that our members get the best quality of care and that our plan is regarded as such.”
What Our Clients Say
“I am very satisfied with the overall experience working with Advent!”
What Our Clients Say
“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made is simple and easy to understand.”
What Our Clients Say
“Our questions are answered almost immediately. We feel like we are Advent's only client.”
What Our Clients Say
“From initial engagement to contracting to audit services, Advent has been professional and a good partner.”
What Our Clients Say
“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”
What Our Clients Say
“I value the partnership and knowledge of our audit team. In addition to ensuring that we are doing what we need to do to make sure we are compliant, the knowledge that is provided helps us to improve year over year. This is especially helpful for our new organization.”
What Our Clients Say
“We have recommended Advent to other companies and consider Advent for any future projects where they can contribute.”
What Our Clients Say
“[Our auditor] spectacular to work with at every step of the reporting process.”
What Our Clients Say
"Wouldn't change anything."
What Our Clients Say
"The tools Advent uses for the audit help keep us on track and well organized."
What Our Clients Say
"Everything is perfect."
What Our Clients Say
"Continue as is!"
What Our Clients
"Continue the great work and information sharing."
What Our Clients Say
"Continue to provide access to subject matter experts on new topics as they arise."
What Our Clients Say
"I value the partnership. While I recognize Advent's role as the auditor, I always feel like we can problem solve and make things better together.
"
Advent Advisory Group Corporate OfficesPhone: 877.237.0190PO Box 94Northport, NY 11768
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