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CMS Compliance Audits for Medicare Advantage Plans

Posted by TrendSource on 9/11/23 3:22 PM

As the CMS Annual Election Period for 2023 approaches, companies selling Medicare Advantage Plans are rightfully preparing their staff for a simultaneous influx of inquiries and enhanced scrutiny. This is the yearly reality of selling Medicare Advantage plans, and companies have long built in processes to ensure they are rising to the occasion each and every year.

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

What is a CMS Call Center Audit?

Posted by TrendSource on 10/13/22 7:00 AM

As we begin AEP 2022, Medicare Supplement Providers are in constant contact with potential customers at a variety of touchpoints, including phone calls, formal and informal events, and 1:1 appointments. In order to accommodate this influx of consumers, Supplement Providers expand their sales force, meaning that oftentimes relatively newer employees are immediately in prime time, on the front lines and in CMS’s crosshairs.

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

Why Supplement Providers Should Run CMS Compliance Audits Year Round

Posted by TrendSource on 10/11/22 7:45 AM

As we approach the Annual Election Period (AEP), supplement providers are rightly preparing their call center and in-person sales force for increased volume and heightened regulatory attention from the Center for Medicare/Medicaid Services (CMS).

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

What is the CMS Annual Election Period (AEP)?

Posted by TrendSource on 10/4/22 12:17 PM

The Annual Election Period (AEP) is a period of time in which Medicare-eligible people are given the opportunity to shop for and commit to new Medicare supplemental plans. In 2022, AEP occurs between October 15 and December 7.

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

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

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