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

Guidance for DV Standard 5

Implementation Guidance

Determine if the SO has policies and procedures in place for performing periodic updates for each data system used for the reporting section under review that guarantees reported data are exact and prompt.

Determine if the SO starts and adheres to the policies and procedures referenced above. Check if any data for the reporting section under review negatively changed by a failure to start or follow these policies and procedures.

Determine if the SO has policies and procedures in place for archiving and restoring data in each data system used for the reporting section under review that guarantees prompt data submission or re-submission in the event of data loss.

Determine if the SO starts and adheres to the policies and procedures referenced above. Check if any data for the reporting section under review negatively changed by a failure to start or follow these policies and procedures.