Confident that your Organization is compliant with Medicare Parts C and D Program Requirements? Ran out of time to conduct a mock CMS-audit of operational areas?read more
The Contract Year 2021 application process with CMS requires detailed planning and enough lead time to efficiently meet application deadlines.read more
In the midst of baseball’s post season, I can’t help but compare CMS program audits to America’s favorite pastime. Medicare Advantage (MA) and Prescription Drug Plans that weren’t audited by CMS yet this year can safelyread more
We are entering the second week of the new contract year. Has your CMS Account Manager (AM) scheduled a strategic conversation with you yet?read more
I am often called in to work with teams or sets of individuals in conflict when personalities seem to be clashing. Clients will often describe for me personality clashes, differences in “style,” and communication problems.read more
Auto-assigned and facilitated 2019 enrollments began processing in October 2018. Is your 4Rx data compliant with CMS?
Auto-assigned and facilitated 2019 enrollments began processing in October 2018. Is your 4Rx data compliant with CMS?read more
Training cannot be emphasized enough. It is a crucial component to the organization’s development and success.read more
In Part 2 of this blog series we outlined the vital role the independent auditor (IA) plays in the success of your validation audit.read more
In Part 1 of our Independent Validation Audit blog series we indicated that a validation audit is likely in your future if you have recently been audited by CMS. In Partread more
Part 1: Did you just finish a CMS program audit and are now required to hire an independent auditor?
Whether you just finished a CMS program audit and are required to hire anread more
It is crunch time, the Medicare Annual Enrollment Period (AEP) is in full swing. Your materials are hitting the homes of your members and prospects, commercialsread more
Members are the most important factors in a successful health plan. Happy members are even better. How are you generating satisfied members?read more