CODY® Insights

Sharing Protected Health Information (PHI)

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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Tips for CPE Audit Tracer Evaluations

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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An Advance Look at Medicare Advantage Benefits Changes for CY2020

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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4 Ways to Help Maintain Version Control

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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CODY hires Devang Shah as Enterprise Architect

Tampa-based CODY has hired seasoned managed care technology veteran Devang Shah as Enterprise Architect. In this role, Shah will create and execute a long-term strategic roadmap for the architecture of CODY’s IT systems, including CodySoft®, a revolutionary suite of web-based software products designed specifically for health plans and their complex environment. CODY works with more…

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CODY launches CodySoft® Plan Benefit Package Module®

New CodySoft® module revolutionizes the way health plans manage data TAMPA, Fla. (Nov. 28, 2018) — Adding to its already extensive list of tools and services for health plan marketing and compliance departments, CODY has launched the CodySoft® Plan Benefit Package (PBP) Module®. The module allows plans to import data from multiple sources, including directly…

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What Health Plans Can Expect from CMS in 2019

In 2018, The Centers for Medicare & Medicaid Services (CMS) announced regulatory changes that impacted how and when health plans must provide Evidence of Coverage (EOC) documents to members. Uncoupling the EOC from the Annual Notice of Change (ANOC) document mailing, allowing for electronic delivery of the EOC and extending the EOC delivery deadline to…

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4 ways to reduce – or eliminate – errors in your ANOCs and EOCs

The accuracy of Annual Notice of Changes (ANOC) and Evidence of Coverage (EOC) documents is an important requirement for all health plans. The Centers for Medicare and Medicaid Services (CMS) takes errors in these documents very seriously and penalties are given to health plans that distribute documents with errors. CMS recently announced changes to the…

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PERSPECTIVES: Combining Medicare and Medicaid into One Program

The status quo of government-sponsored health programs is beginning to fail. The government recently reported that Medicare will run out of money in less than 20 years unless drastic changes are made. But how can our health care system be altered to correct deficiencies and adjust to changing conditions, avoid a huge financial crisis in…

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