Posts Tagged ‘Evidence of Coverage’
CMS Reposts CY2023 ANOC & EOC Models
On August 1, CMS reposted the revised Contract Year (CY) 2023 Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) models due to several identified issues. CMS distributed its “Model Notice Corrections” memo the following day, highlighting many of the changes. This is the first time since 2018 that CMS has provided revised models…
Read MoreRevised CMS CY23 ANOC & EOC Models — Expected Soon!
Keep an eye out for an upcoming CMS memo regarding the reposting of the CY23 ANOC & EOC models. Per CMS, the documents revealed several issues. Rather than sending a “very detailed” and lengthy corrections memo, CMS’s memo will coincide with the reposting of the models and include a summary of changes. The revised models…
Read MoreCMS Model Materials—Significant Changes for CY23
Wow! The CMS model materials were released weeks earlier than previous years, and we’re thankful for that! There are significant changes for CY23: most notably the reduction in length, reorganization, and reduction of tables and language. View the CY23 Models here: https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/MarketngModelsStandardDocumentsandEducationalMaterial CMS Model Materials Notable Changes Annual Notice of Change (ANOC)—Notable Changes (applies to…
Read MoreComing Soon – CY23 Model Materials
In May, CMS expects to release the Contract Year (CY) 2023 model materials. These will be posted on the CMS site, CMS Marketing Models, and will include: Annual Notice of Change (ANOC) Evidence of Coverage (EOC) ANOC and EOC standardized model instructions Provider Directory Also expected to be released in May are the CY23 Part…
Read MoreHow to Produce AEP Documents & Manage Plan Benefits with Compressed Timelines
The second post in our AEP Best Practices series focuses on the critical path of the Annual Enrollment Period—how to produce AEP documents efficiently & manage plan benefits effectively with compressed timelines. It’s important to understand the risks and challenges with compressed timelines for health plans with several Plan Benefit Packages (PBPs). Here’s a graphic…
Read MoreAn Inside Look at Plan Benefit Package (PBP) Software
Health plans have a variety of uses for plan benefit information: CMS bid review and approval, Medicare Plan Finder, member materials (such as ANOCs, EOCs, and SBs), customer service, sales, appeals and grievances, claims, and more. However, this information is typically housed in multiple locations and managed independently with “no centralized source of truth”, making…
Read MoreCODY® 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…
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 MoreAre you Outsourcing your ANOC and EOC Creation to the Best People for the Job?
Preparing materials for the Annual Enrollment Period (AEP) – namely Annual Notice of Changes (ANOC), Evidence of Coverage (EOC), and Summary of Benefits (SB) documents – can be a time-consuming, labor-intensive process wrought with compliance risk. As a result, many health plans opt to outsource the creation of these documents to a third-party vendor. There…
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…
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