A Medicare Supplement provider needed to ensure it remained compliant with Center for Medicare/Medicaid Services (CMS) regulations during the Annual Election Period (AEP). They were particularly concerned about in-person meetings between prospective customers and their agents, namely 1:1 appointments, informal events, and formal events, all of which connected licensed providers to potential customers.
Topics: CMS, Compliance, CMS Compliance, Mystery Shopping
A national insurance company selling Medicare Supplements was concerned about remaining compliant with Centers for Medicare and Medicaid Services (CMS) guidelines and regulations year-round. Having already established a robust Annual Election Period (AEP) compliance program, they were looking to expand their compliance mystery shops, particularly in their call centers.
Topics: CMS, CMS Compliance, Mystery Shopping, Health Care Compliance
Background and Client Goals
A licensed Medicare Advantage and Medicare Supplement plan provider needed assistance monitoring their extended salesforce during CMS’s Annual Election Period (AEP).
Topics: CMS, Health Care, CMS Compliance, AEP, Health Care Compliance