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In-Person CMS Compliance Audits in a Post-Pandemic World

Posted by TrendSource on 6/24/21 9:23 AM

Last year, the CMS compliance industry, and the Medicare Supplement Providers it regulates, had to adapt on the fly to an unprecedented situation that was both frightening and confusing. With only a few months before the Annual Enrollment Period (AEP) began, the COVID-19 pandemic led to lockdowns that made in-person events ill-advised and, ultimately, untenable.

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Topics: CMS, Health Care, CMS Compliance, Health Care Compliance

In an AEP Like None Before It, Providers Need CMS Compliance Market Research

Posted by TrendSource on 8/13/20 9:40 AM

As we’ve learned through the pandemic, some things can be canceled and others can be postponed, but there are some events that simply cannot be moved. Think of it this way: Coachella 2020 was canceled, the NBA season was postponed, but the national election has to happen on November 3. Same with Easter and Commencement and the daily mail route. Unlike weddings or concerts, these things just can’t be moved. 

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Topics: Market Research, Health Care Compliance, Health and Safety

Market Research 101: What is a CMS Compliance Audit

Posted by TrendSource on 10/31/19 9:45 AM

We are back for the next round of Market Research 101, but before we wax poetically about another market research methodology, we must acknowledge: we are nearing the end of our digital market research seminar. Sadly, all good things must come to an end and Market Research 101 is getting there quickly.

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Topics: Health Care, Healthcare Solutions, CMS Compliance, Health Care Compliance, Market Research 101

Hard Skills and Transition Fills: The Top AEP 2017 Violations

Posted by Nick Bravo on 1/11/17 1:07 PM

During Medicare’s Annual Election Period (AEP), TrendSource Trusted Insight designs and executes secret shop programs for over 30 Medicare Advantage plans, helping companies ensure their sales agents comply with mandated CMS guidelines. Based on more than 4,000 individual projects, we identified the top violation per audit type and, while some have appeared in years past, others were previously unseen. By alerting our clients to these issues, they were able to implement corrective actions. Below, we outline, in no specific order, some of the top AEP 2017 violations.

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Topics: CMS, Health Care, Healthcare Solutions, CMS Compliance, AEP, Health Care Compliance

AEP 2016 Findings: Top Violations Per Audit Type

Posted by Dean Robertson on 2/29/16 3:13 PM

Every year, TrendSource executes Secret Shop programs with over 30 Medicare Advantage plans during the Annual Enrollment Period to ensure their sales agents are meeting CMS Marketing Guidelines. Based on over ~4000 Secret Shops completed, we were able to identify the top violations per audit type that occurred during AEP 2016. Some of these violations were an issue last year; however, some of these violations are new issues we were able to relay to our clients for corrective action.*

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Topics: CMS, Health Care, AEP, Health Care Compliance

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