Introducing CASE – Your pathway to improving reconciliation of enrollment data

Madena is pleased to introduce CASE, a reconciliation and certification process focusing on the enrollment aspect of Medicare compliance to provide a thorough independent assessment of the reconciliation results of MAPDs. CASE was created by leveraging over a dozen years’ of collective Medicare enrollment experience to provide an effective scorecard to improve and enhance the…

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Post-AEP season

Two months have past since the AEP cutoff and I’m wondering how everyone is managing with their annual Reconciliation Review and Retroactive Adjustment work. This is something I would often wondered about every year for the last six years as the Program Director of the Retroactive Processing Contract (RPC). I would wait week after week from January through April until the discrepancies came in to analyze, process, and report back to CMS. Now I am here in the MAPD community in a new capacity and can come right out and ask: How is everyone doing with their Post-AEP Reconciliation Review?

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