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APC Data Validation Services

Starting in 2011, CMS will require every MA-PD and PDP plan sponsor to conduct data validation audits.

APC has the solution.

APC Data Validation Services will provide you with the necessary resources and expertise to comply with the new annual reporting mandate.  This requirement will be implemented later in 2010 with the first audit period scheduled to start in March 2011 and run through May 2011.  CMS has published standards that must be met by potential auditors in order for the results of the audit to be considered valid.  Because of our in-depth experience with Medicare programs and our singular focus on prescription drug benefits, APC is your most qualified partner because we meet or exceed the CMS requirements in the following categories:

  • Previous Experience Conducting Similar Type of Work

APC has extensive experience and knowledge of Part C and Part D programs and has conducted comprehensive audits for over 80 unique commercial and Medicare clients.
  • Successful Completion of Similar Data Validation Projects

APC has delivered measurable results in a variety of complex pharmacy benefits audits, Medicare regulatory compliance reviews, rebate and mail service audits and delegated entity policy and procedure reviews.
  • Staff Credentials

Our Data Validation team is comprised of experienced auditors, accountants, statisticians and data analysts, all with a Bachelor’s degree or higher.
  • Management Credentials

The APC management team includes experienced health care professionals with PharmD, MBA and MHA degrees as well as graduate work in mathematics, applied statistics and certification for healthcare fraud investigation.
  • Facilities and Security Requirements

APC meets or exceeds all HIPAA and HITECH requirements as well as NIST standards for data security, including comprehensive encryption and a secure FTP site for data transfer.  Our servers are capable of storing over 2.4 terabytes of information, so no live data remains on desktops.  All data is backed up every four (4) hours and stored off-site for disaster recovery every 24 hours.

APC has a long-standing relationship with CMS and understands the complexities of the data validation process.  We can also help you with a Readiness Assessment to help prepare as CMS finalizes the criteria. 

For more information about APC Data Validation Services, please contact us or simply Request a Proposal.

 
6899 Post Road North Kingstown, RI 02852 ~ Phone 401-295-7660 ~ Fax 401-295-8815