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

Reporting Findings for Standards Using Binary or Likert Scale

Table 21 below shows examples of different scenarios a DVC might face and corresponding scores DVCs assign to the contract for the standards using binary scoring.

Table 21: Different Scenarios a DVC Might Face and Corresponding Scores to Be Assigned
Standard/Sub-StandardPercentage of Errors That the DVC Found in Plan DataDV Response (DV Findings Reported on Column 'F' in Appendix B)
1.a, 1.e, 1.f, 1.g, 4, 5, 6, 7Fewer than 10% error in contract data for the given reporting section/data elementsYes
1.a, 1.e, 1.f, 1.g, 4, 5, 6, 7More than 10% error in contract data for the given reporting section/data elementsNo
6, 7If any of the listed standards isn’t applicableN/A