MAC Performance Evaluations
MAC Performance Evaluations
The Centers for Medicare & Medicaid Services (CMS) has compiled a summary of overall Medicare Administrative Contractor (MAC) performance information as measured by the Quality Assurance Surveillance Plan (QASP) and Award Fee Plan (AF). The QASP ensures that systematic quality assurance methods are used in administration of the contract and provides Government Surveillance oversight on the quality, quantity, and timeliness of contractor performance. The Award Fee Plan is provided to motivate exceptional performance above what is outlined in the Statement of Work.
Downloads
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QASP Overall (PDF) -
QASP Appeals (PDF) -
QASP Audit and Reimbursement (PDF) -
QASP Beneficiary Customer Service (PDF) -
QASP Claims Processing (PDF) -
QASP Financial Management (PDF) -
QASP Medical Review (PDF) -
QASP Medicare Secondary Payer (PDF) -
QASP Provider Customer Service Program (PDF) -
QASP Provider Enrollment (PDF) -
QASP Debt Management (PDF) -
Award Fee Overall (PDF) -
Award Fee MRN (PDF) -
Award Fee Medical Review (PDF) -
Award Fee PE Accuracy (PDF) -
Award Fee PE Timeliness (PDF) -
Award Fee System Security (PDF)
Page Last Modified:
09/27/2023 12:25 PM