CODY® expands health plan technology and consulting capabilities with $7.3 million Madena™ acquisition
Merger will combine deep experience of healthcare industry veterans nationwide TAMPA, Fla. (Jan. 27, 2021) – CODY®, a Tampa, Fla-based healthcare technology and consulting firm, has acquired Madena™ in a transaction valued at $7.3 million. Madena, a recognized consulting and software leader with an emphasis on enrollment, billing and reconciliation, is best known for its…
Read MoreThe Bridge – Volume 11
CMS Important News Releases With a general election, massive increases in COVID-19 cases across the country, and many organizations focusing on the Annual Election Period, you may have missed these important CMS news releases. Advance Notice of Methodological Change for 2022 CMS will calculate 100% of the risk score using the 2020 CMSHCC model (vs.…
Read MoreThe Bridge – Volume 10
We Wish You a Successful and Compliant AEP Season! While we are all in the throes of Annual Enrollment Period (AEP), Madena is looking to support you by dedicating a newsletter to upcoming critical activities that can easily be overlooked during this busy time. CMS Low Income Subsidy Processing Have you reached out to your…
Read MoreHow to Mitigate Compliance Risk & Improve Operations—An A-to-Z Approach
As the Centers for Medicare and Medicaid Services (CMS) increases its scrutiny and escalates enforcement, Compliance managers are on guard to ensure regulatory standards are met—and fines, sanctions, or even termination from CMS programs, are avoided. How can Compliance and Operations managers mitigate compliance risk and improve operations? The best way to avoid compliance errors…
Read MoreMedicare 2021 Timeliness Monitoring Project
In October CMS issued a memo regarding the 2020 Timeliness Monitoring Project (TMP). As in previous years, CMS will once again be conducting an industry-wide monitoring project in 2021. What’s changed? Beginning with the 2021 TMP, CMS will no longer collect the Part D Coverage Determination Appeals and Grievances universes used to evaluate these measures.…
Read MoreAre Your Policies and Procedures Audit-Ready?
Policies and procedures are essential tools for any organization. By clearly articulating the requirements established by external oversight bodies and internal standards, they are an effective control to support consistency, accountability, and compliance. To be effective, policies and procedures should be: Designed as tools that help employees make decisions related to their assigned tasks/responsibilities; Clear,…
Read MoreCMS Program Audits – Preparation Is Critical
Comprehensive preparation is critical to producing accurate universes and achieving a successful CMS Program Audit. Madena’s experts have dozens of years of experience and can help Part C and D plans with all aspects of the Audit process. How Madena Can Help With Your CMS Program Audit Development and implementation support of universe design – we…
Read MoreHow to be a Rising Star—What Ratings Mean and How to Improve Them
It’s no secret that Star Ratings can have a significant impact on a health plan’s membership and bottom line. As competition increases, it’s essential to have strategies in place to elevate or maintain a 4+ star rating. The Centers for Medicare and Medicaid Services (CMS) recently released Highlights of Contract Performance in 2021 Star Ratings.…
Read MoreCODY® hires Julie Hughes as Chief Compliance Officer
Julie Hughes expands leadership position with health plan compliance expertise CODY®, a Tampa, Fla.-based healthcare technology and consulting firm, has hired health plan compliance expert Julie Hughes as Chief Compliance Officer. In this role, Hughes will lead CODY’s internal compliance program and deliver compliance consulting services to clients. She will be instrumental in working across the organization…
Read MoreCODY® CEO authors chapter in new book for healthcare compliance professionals
Deb Mabari’s chapter covers payer privacy issues in the Health Care Compliance Association’s latest edition of “Health Care Privacy Compliance Handbook” TAMPA, Fla. (Oct. 27, 2020) – Deb Mabari, chief executive officer of CODY®, a Tampa, Fla.-based healthcare technology and consulting firm, has authored a chapter in the Health Care Compliance Association’s newest edition of…
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