If The Centers for Medicare and Medicaid Services (CMS) walked through your door today and asked to audit your health plan, would you be prepared? Unfortunately, for many Medicare Advantage and prescription drug plans, the answer is “no.” Yet, with CMS continuing to crack down on compliance violations, this hypothetical audit could very well become…

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With health plans now focused on finalizing their Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documents, the pressure is on to get materials in members’ hands by the Centers for Medicare and Medicaid Services’ (CMS) September 30 deadline. Finalizing these documents and getting them in the mail comes with a number of…

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