CMS compliance audit agent dispatched for Budget Narrative V4 plan review
Source type:
obs· Harvested: 2026-05-03 · Original date: 2026-05-03T11:50:49.786Z Metadata:{"project":"lunhsiangyuan","type":"feature","obs_id":64975}
obs/64975 · feature · 2026-05-03T11:50:49.786Z
CMS compliance audit agent dispatched for Budget Narrative V4 plan review
Dispatched a specialized CMS compliance audit agent to review the Budget Narrative V4 rescaling plan before implementation. The agent performs an 8-point regulatory audit checking federal grant compliance (2 CFR 200), Medicare billing separation, cooperative agreement milestone alignment, and cost reasonableness. This automated review targets high-risk areas: the 10% de minimis indirect rate election, potential Medicare duplicate billing for acupuncture services under NCD 30.3.3, subaward vs vendor classification for ResDAC and clinical sites, and the cost-absorption strategy of reducing per-participant recruitment from 900. The agent outputs traffic-light scoring with actionable corrections, ensuring the plan meets federal requirements before drafting begins. This implements the “GPT-5.5 review” step from the execution plan, catching compliance issues early rather than after document creation.
Concepts: [“pattern”,“gotcha”,“why-it-exists”]
Facts: [“Agent launched with ID acc538001e7ec5851 as background task named “cms-audit"",“Audit scope covers 8 compliance checkpoints: 2 CFR 200 indirect cost rules, Medicare duplicate billing risk, prohibited costs, cooperative agreement milestone structure, subaward vs vendor classification, N=500 rescaling reasonableness, HHS salary cap compliance, and per-patient cost transparency”,“Agent instructed to use traffic-light scoring (🟢/🟡/🔴) for each checkpoint with 1-2 sentence explanations and corrective actions”,“Output format requires overall compliance score out of 10 and zh-TW summary within 400 characters”,“Agent reads three context files: plan document at ~/.claude/plans/gpt5-5-curious-ocean.md, NOFO reference at ~/.claude/skills/MAHA/references/cms-nofo-v5.md, and current budget v0.6 at 05-budget/budget-v0.6_2026-04-26.md”,“Output file location: /private/tmp/claude-501/-Users-lunhsiangyuan/59c57055-8b12-40ab-b65a-4253a94634fc/tasks/acc538001e7ec5851.output”,“Specific compliance risks flagged for review include acupuncture NCD 30.3.3 pass-through billing, ResDAC vendor classification, and recruitment cost reduction from 900 per participant”]
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