Lesson 3 Summary
- SOs and DVCs can submit DV questions year-round to [email protected]
- SOs can appeal findings within 5 business days post-June 15 deadline by emailing CMS with the subject: “Data Validation: Appeal”
- Include SO name, CMS contract numbers, contact info, and DVC organization in submissions
- For appeals, provide reporting section name, standard/sub-standard ID, finding description, disagreement reason, resolution steps, and outcomes
- DVCs must share draft findings with SOs and resolve issues before the June 15 final submission
- DVCs use an Excel version of the EES to document findings and upload them to the PRDVM by June 15
- Record notes, data sources, and findings for standards, indicating compliance on a binary or Likert scale
- An error is any discrepancy that may affect future reported events
- DVCs can request extensions for findings starting on or after June 15
- The EES has specific columns for review results and findings, with guidance for compliance and error ratings
- DV reviewers should enter notes and findings into the EES.
- SOs shouldn’t hesitate to submit questions directly to CMS; while asking the DVC to submit on their behalf is acceptable, corresponding directly helps to make sure that the person asking the question gets a response that resolves their query.
- Submit questions to CMS before the review cycle, when possible. This allows CMS time to prepare a response.
- Include examples, where possible, in questions to CMS, especially if there’s a conflict in the interpretation of CMS’s guidance.
- Identify an internal benchmark for what constitutes meeting a standard and what doesn’t, so there’s consistency among the DVC staff performing the review.