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2025 Medicare Part C & Part D Reporting Requirements & Data Validation

Data Extraction & Sampling Overview

CMS allows DVCs to use the following 2 methods to extract data for each reporting section:

  1. Full census: Extract every record used in the calculation of data elements for a reporting section.
    • When possible, use this method. Extracting the full census is the most precise method to determine how exactly SOs have submitted data.
  2. Random sample: Extract a subset of the full census if the size and complexity of data is impractical to extract every record for a reporting section.
    • Avoid using the random sample, if possible, because it doesn’t offer as precise an evaluation of data accuracy and requires reliance on a statistical estimate of accuracy.