MIPS 2022 Data Validation and Audits (DVA) Starting in Nov
The Centers for Medicare & Medicaid Services (CMS) is gearing up to conduct its annual Data Validation and Audits (DVAs) for MIPS eligible clinicians or groups. This exercise plays a pivotal role in ensuring the accuracy and completeness of reported results under the MIPS program. Here's what you need to know.
What are DVAs?
CMS has partnered with Guidehouse to carry out DVAs. These inspections are designed to verify the accuracy and completeness of data shared by MIPS participants.
Who will be contacted?
If you're selected for the MIPS DVA, you'll receive an email notification from Guidehouse at MIPS_DVA_Request@guidehouse.com. The email will be sent to the Security Official listed in your Health Care Quality Information Systems Access, Roles, and Profile (HARP) account. Hence, it's crucial to ensure that the contact information in your HARP system is up-to-date.
When will the audits start?
The MIPS participants selected for DVA will be notified between November 2023 and March 2024. There might also be additional ad hoc DVA work throughout 2024.
What happens next?
Once you receive the notification, you'll have 45 days to provide the requested information. The required documentation will consist of substantive, primary source documents like copies of claims, medical records of relevant patients, or other resources used in the data calculations for MIPS measures, objectives, and activities.
What if you fail to provide the requested information?
Failure to provide the requested information could result in a payment adjustment. Additionally, it could increase the likelihood of your selection for future DVAs. Remember, if you’re using a third-party for MIPS data submission, you are still responsible for ensuring that all requested audit documentation is provided in a complete and timely manner.
Need more information?
Have you been selected for an audit and need assistance? Look no further than KRK Value Based Consulting.
Our team of professionals is here to provide you with comprehensive support throughout the DVA process. We understand the importance of accuracy and completeness in reporting MIPS results, and we are committed to helping you achieve compliance.
With our Audit Support service, you can expect:
✅ Assistance in gathering primary source documents
✅ Guidance on submitting all necessary audit documentation
✅ Expert advice to ensure a smooth and successful DVA experience
Don't risk payment adjustments or future DVAs due to incomplete or delayed information. Trust KRK to handle your MIPS data validation and audits with precision and efficiency.
Have questions about the DVA process or our Audit Support offering? We are here to help! Contact our team today at MIPS@KRKVBC.com to learn more and get started.
In conclusion, the upcoming DVAs are an essential part of CMS's efforts to maintain the integrity and accuracy of the MIPS program. By staying informed and prepared, you can ensure a smooth audit process and continue to focus on delivering high-quality care to your patients.
