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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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