Posts Tagged ‘EOCs’
AEP Best Practices – How to Produce Compliant & Effective Member Communications
Planning for AEP (Annual Enrollment Period) As health plans prepare for AEP (Annual Enrollment Period), they face a multitude of challenges—ranging from compliance issues to mitigating risk related to timing, data, and documents. To help navigate these challenges, here are some key strategies and Best Practices for Compliant and Effective Member Communications we recently shared…
Read MoreCodySoft® Allied Central Dashboard™ (ACD) FAQs
Creating, managing, and tracking recurring orders for mandated member materials fulfillment can be complex and time-consuming. Not to mention, file and data validation, SLA management, and tracking errors, issues, and processing audits—adds even more to manage. To ease the burden, that’s where the CodySoft® Allied Central Dashboard™ (ACD) comes in. By leveraging automation, the ACD…
Read MoreHow Can a “Single-Source Solution” Help Manage the Lifecycle of Member Communications?
If you are tasked with the challenge of managing the lifecycle of Member Communications—you likely need an efficient “Single-Source Solution” to help. Managing multiple vendors for document development & creation (ANOCs, EOCs, SBs/SOBs/SBCs, Pre & Post Enrollment materials), translations, Section 508 remediation, directories & formularies, as well as the sourcing of member communications print &…
Read More4 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…
Read MoreWhat Does CMS’s New Rule Regarding Electronic EOCs Mean for Health Plans?
In its 2019 annual notice, The Centers for Medicare & Medicaid Services (CMS) issued regulatory changes that impact how and when health plans must provide Evidence of Coverage (EOC) documents to members. What the Rule Allows The rule brings the following major changes to Medicare Advantage Organizations (MAOs), Medicare Prescription Drug Plans (PDPs), and section…
Read More3 Ways your Health Plan is Overspending – And How to Stop
Health plans today are feeling more pressure than ever before to do more with less. With increased scrutiny from The Centers for Medicare and Medicaid Services (CMS) and decreased budgets, leadership is constantly looking for ways to save money. Doing so might be easier than you think. Below are three ways that health plans are…
Read MoreErrors in ANOCs and EOCs could cost up to $55 per affected enrollee
Over the last several years, The Centers for Medicare and Medicaid Services (CMS) has taken an increasingly tough stance on health plans that distribute Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documents with unclear and/or inaccurate benefit information. CMS is no longer sending health plans warnings for these errors; they are imposing…
Read MoreBest Practices for Language beyond the CMS Model Language
The Centers for Medicare and Medicaid Services (CMS) templates for the Annual Notice of Changes (ANOC) and Evidence of Coverage (EOC) contain extensive model language that is required and must be used by every insurer. However, there are also numerous places in these documents where health plans have latitude and flexibility to use their own…
Read MoreMA and Part D Plans: Jumpstart Your CY2016 ANOC and EOC Documents Creation
In late January, CMS released the “CY 2016 PBP/SB Software List of Changes and Known Issues,” which includes a summary of the changes to the Plan Benefit Package (PBP) software that Medicare Advantage and Part D plans will use to upload their 2016 AEP materials bid submissions to CMS later this year.
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