Which organization requires audit data within the specified timeframe after a request?

Which organization requires audit data within the specified timeframe after a request?

• A. Centers for Disease Control and Prevention
• B. Centers for Medicare & Medicaid Services
• C. Food and Drug Administration
• D. National Institutes of Health

Answer: (B)

The organization is the Centers for Medicare & Medicaid Services. CMS administers Medicare and Medicaid and enforces compliance through audits of billing data. When CMS initiates an audit, it issues a data request with a defined deadline, and providers must supply the requested documentation within that timeframe to support the billed claims. The other agencies—CDC, FDA, and NIH—serve different roles (public health surveillance, drug/device regulation, and medical research, respectively) and do not conduct payer-style billing audits with mandated response timelines in the same way.

The organization is the Centers for Medicare & Medicaid Services. CMS administers Medicare and Medicaid and enforces compliance through audits of billing data. When CMS initiates an audit, it issues a data request with a defined deadline, and providers must supply the requested documentation within that timeframe to support the billed claims. The other agencies—CDC, FDA, and NIH—serve different roles (public health surveillance, drug/device regulation, and medical research, respectively) and do not conduct payer-style billing audits with mandated response timelines in the same way.