Compliance
Best Practices for Reporting on Plan Oversight of Agents
For Medicare Advantage Organizations (MAOs), Part D Plans and Cost Plans, reporting on “Plan Oversight of Agents” can be a labor-intensive and time-consuming process that presents a number of challenges along the way.
Read More3 Challenges to Reporting on Plan Oversight of Agents
Each year, Medicare Advantage Organizations (MAOs), Part D Plans and Cost Plans are required to submit data on their Part C and D plans to The Centers for Medicare and Medicaid Services (CMS) for the previous calendar year.
Read More3 Benefits of Outsourcing the Creation of ANOC and EOC Documents
Preparing materials for the Annual Enrollment Period (AEP) – namely Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documents – can be a time-consuming, labor-intensive process wrought with compliance risk. Yet, completing these documents on time and in compliance is extremely important, as CMS has taken an increasingly tough stance on plans that…
Read More3 Ways to Start Preparing for This Year’s ANOCs and EOCs Now
For Medicare Advantage (MA) and Prescription Drug Plans (PDPs) it is never too early to start thinking about preparing for the Annual Enrollment Period (AEP) – especially drafting and distributing the Annual Notification of Changes (ANOC) and Evidence of Coverage (EOC) materials.
Read MoreFor MA Plans: Increased Payments will mean Increased Compliance
By now, it is safe to assume that health plans across the nation have thoroughly read and examined CMS’ Final Medicare Advantage (MA) Rate Announcement and Call Letter for 2016. I think we all heard a collective sigh of relief with the announcement that reimbursements would increase, rather than decrease, in the coming year.
Read MoreCODY® Experts Share Insights on Increased Government Oversight in MHPA Webinar
In September, Cody Consulting hosted the webinar “Increasing Federal Government Oversight…And How Medicaid Plans Can Prepare” as part of the Medicaid Health Plans of America (MHPA) Wednesday Webinar series. The presentation, which can now be viewed on the MPHA website, shared with attendees an overview of the type and level of oversight that the states…
Read MoreSurviving the 2015 AEP Materials Creation Process – Part 2 of 2
Medicare plans are mid-way through the process of creating Annual Election Period (AEP) materials – namely, Annual Notification of Change (ANOC) and Evidence of Coverage (EOC) documents – that are due to members by the end of September. At this stage of the game, tension is running high. By now, many health plans have likely…
Read MoreSurviving the 2015 AEP Materials Creation Process – Part 1 of 2
The Centers for Medicare & Medicaid Services (CMS) recently released its model documents for the 2015 Annual Enrollment Period (AEP). The rigorous, highly complex rules and regulations for member marketing materials wreak havoc on health plans year after year – and the clock is now ticking. Medicare plans must create, print and deliver AEP materials,…
Read MoreHow Medicaid Plans can Prepare Compliance Efforts for Increased CMS Oversight
The writing is on the wall. There are well-documented issues of a lack of uniformity and accountability surrounding state Medicaid programs. Understanding CMS’s history of recognizing problems and acting to find solutions, it stands to reason the agency will, in the future, establish compliance programs for state Medicaid plans that mirror those of Medicare. When…
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