Health plans are wondering “where are my updated Medicare Communications and Marketing Guidelines (MCMG)?” For the second consecutive year, the Centers for Medicare & Medicaid Services (CMS) stated that there will be no updated MCMG for CY2021. Instead, plans are instructed to use the existing MCMG and related memos from CY2020. How will changes be…

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The face of America is changing. Race relations are evolving. Social interaction has been altered, perhaps forever. The economy is transforming. And our healthcare crisis is ripe for disruption. Is this revolution going to be painful or painless, bloody or bloodless? Are you prepared for seismic shifts in the way our country provides healthcare? Forbes…

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In an age of uncertainty, some things are certain. Virtual Workplaces can and do work. CODY has been a virtual company since inception. We are innovators, not just in the marketplace, but in how we operate internally. Our culture embraces automation and we are constantly increasing our productivity.  We believe in bottom line ROI results…

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The new CodySoft Module is part of an enterprise-wide solution to help health plans manage critical aspects of CMS compliance and reporting. TAMPA, Fla. (May 5, 2020) – CODY®, a Tampa, Fla.-based technology provider and consulting firm, has announced a new addition to its CodySoft® toolkit for health plans. The Appeals and Grievances Module® is…

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CODY Consulting Announces Several Strategic Staff Promotions; Invites New and Existing MA Plans to Grow with Us Tampa, FL (June 16, 2019): Tampa based CODY Consulting Group, a consulting and technology company serving health plans nationwide, has announced a significant expansion to its leadership team. This is in response to the company’s substantial growth in…

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Dude, where’s my flying car Electronic Medical Record/Electronic Health Record (EMR/EHR)? The year is 1989, and the panel discussion focuses on electronic medical records. One panelist expresses concern about the vulnerability of such a system: imagine if someone walked by with a high-powered magnet. A more forward-thinking panelist remarks that the same thing would happen…

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CPE Audit Tracer Presentations continue to be a hot button for plan sponsors.  CMS auditors frequently find compliance and operational deficiencies through the tracer process. Since the Compliance Officer is responsible for the management of tracer presentations, it is crucial that the Compliance Program employs strict protocols for the development of the tracer presentations and…

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Every year, the Centers for Medicare and Medicaid Services (CMS) updates its Plan Benefit Package (PBP) Software that Medicare Advantage (MA) and Part D plans use as part of their bid submissions. The PBP Beta Software is released in late January to allow plans to test and provide feedback before the full version is available…

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Health plans struggle to keep track of the different iterations of documents as they build and produce CMS-required documents such as the Annual Notice of Change (ANOC), Evidence of Coverage (EOC), Summary of Benefits (SB) and other member and provider materials. The good news is, achieving version control is not impossible. In fact, with the…

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