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Why CMS Compliance Phone Calls Remain a Priority for Medicare Advantage Providers Through AEP

AEP is upon us, and Medicare Advantage and Supplement providers have their CMS compliance programs up and running. They use these plans to ensure their frontline sales staff remains compliant with the strict rules regulating their interactions with Medicare recipients and their representatives. TrendSource has long served as a trusted partner for Medicare Advantage and Supplement providers, with over a decade and a half experience helping clients ramp up for AEP.

This year, like every year, we have meticulously helped our clients set up their frontline compliance efforts, with a range of CMS Compliance programs ranging from phone calls and online interactions to in-person events and appointments.

Each client chooses the right combination of programs based on their needs.

CMS Call Center Audits Handsome

CMS Compliance Phone Calls Remian the Most Popular CMS Compliance Measure

Despite the array of different CMS Compliance options, CMS Phone Call Audits remain by far the most popular. There’s a good reason for this.

Think about it—the vast majority of people making inquiries about Medicare Advantage Plans are, obviously, Medicare recipients. These Medicare recipients are, by definition, senior citizens. Senior citizens, most of them early Baby Boomers, trust phones more than online interactions, particularly when they are concerned with important information like their health care.

For this reason, the vast majority of outreach that Medicare eligible people make is via the telephone, where providers have entire call centers established to receive them.

This makes CMS phone calls a vulnerable point of potential compliance violations, both for the sheer number of interactions it entails and the deep employee roster dedicated to manning it.

TrendSource CMS Compliance Phone Calls

CMS Phone call audits handsome

TrendSource has a long history of helping clients monitor and document their CMS compliance efforts. When TrendSource compliance programs find small scale violations, providers can correct these quickly, both leaving a record of their compliance efforts should CMS inquire and ensuring their employees learn their compliance lessons.

At the end of the day, it’s not all about compliance and checking boxes. CMS rules exist for a reason, to protect an often-vulnerable population. By doing everything they can to ensure their phone calls are above board, Medicare Advantage Providers not only stay on the right side of CMS regulations, but they also ensure their customers get accurate information in an accountable manner. That’s the magic of CMS Phone Call Audits.

Happy AEP!

Learn More About CMS Compliance Audits




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