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.
Supporting over 30 health plans nationwide in their compliance towards CMS Marketing Guidelines, TrendSource is in a unique position to identify the top violations that occurred during AEP 2015. Based on over 4,000 completed secret shop compliance audits during the 2015 AEP season, we found the following to be the top violation trends.
That’s a wrap! The AEP 2015 season has come to a close, and health plans are now working to deliver the services promised to their new beneficiaries.
It’s officially summer, and we all know what that means! No, not sunshine, 4th of July BBQs …those in the Medicare world know that summer means the Medicare Annual Enrollment Period (AEP) is fast approaching.
For the past eight years, the Center for Medicare & Medicaid Services (CMS) has conducted secret shops to ensure that marketing representatives, agents, and brokers comply with CMS marketing requirements and guidelines.