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GAO Report: Medicare Part D -- Plan Sponsors' Processing and CMS Monitoring of Drug Coverage Requests Could Be Improved
U.S. Government Accountability Office [GAO]
Feb. 21, 2008
47 pages. "GAO recommends that CMS [1] reduce the need for an AOR form by requiring that sponsors and the IRE, upon receipt of standard appeal requests submitted by prescribing physicians without AOR forms, telephone beneficiaries to see if they wish to initiate the appeal, and [2] provide specific definitions for data that sponsors must report to CMS. The agency supports the intent of our first recommendation and is considering it in light of current legal requirements. CMS has taken steps to implement the second recommendation." [GAO-08-47, published Jan. 22, 2008, released Feb. 21, 2008]
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