Medicare Data Validation

To learn more, contact:
Jeff Wussow
Business Development Manager
1-800-362-2320 or 1-608-274-1940, ext. 8264

MetaStar’s Medicare Part C and Part D Data Validation Audit Services

MetaStar provides Medicare Part C and Part D Data Validation Audit services. MetaStar and PSRx Advisors work together to provide health plans with expertise for both medical-based (Part C) measures and pharmacy-based (Part D) measures. Throughout the audit, we provide seamless communication and maintain a structured timeline to ensure Centers for Medicare and Medicaid Services (CMS) deadlines are met. MetaStar has met and will continue to exceed all CMS audit deadlines for Medicare Data Validation audits.

Peace of mind

MetaStar’s goal is to work with you and provide expert Medicare Data Validation services to promote accurate CMS reporting. As a quality improvement organization with more than 40 years of experience working with CMS, we bring a focus on quality to all our work, and we approach each audit in a collaborative and educational manner.

What makes our service unique?

  • MetaStar has been providing Medicare Data Validation audits since inception of the program. MetaStar’s experience working with CMS provides a strong understanding of the agility needed to work with external regulations.
  • Our customer portal, MyMetaStar, provides a one-stop-shop approach for easy and secure communication and file sharing with customers.
  • MetaStar takes team-based approach to audit services, customized for each health plan’s needs.
  • MetaStar’s auditing team includes certified auditors, coding specialists, dedicated IT staff, many of which are Certified Professionals in Healthcare Quality (CPHQ).
  • MetaStar’s auditors are available and responsive to health plan’s questions throughout the audit process, typically responding within one business day.
  • Health plans new to the Medicare Data Validation audit process benefit from MetaStar’s approach of working closely with the health plan’s reporting team.  It is our goal to ensure you not only complete the process, but also understand the process.
  • Well-established, organized methods of data and document collection, assessment, reporting, and project management.
  • Long-standing history in the industry with a focus on data validation, assessment, performance measurement, measure production evaluation, and knowledge of industry best practices.

What our customers say:

“MetaStar was professional and easy to work with. Detailed instructions were provided for the requested documentation and MyMetaStar is really easy to use. We very much appreciated the follow up discussions we were able to have to ensure we provided all of the necessary documentation.” – DV Audit Customer in 2017

Request a Medicare Data Validation proposal

For more information, or to request a proposal from MetaStar, click here.

MetaStar also provides HEDIS Compliance Audit services, Initial Validation Audit, and URAC Accreditation Validation Audit services.

MetaStar’s HITRUST Certification is pending.