Medicare Archives - Page 4 of 4

Decreased HSD Tables Application Requirement Now Leads to CMS Network Adequacy Review Later

Decreased HSD Tables Application Requirement Now Leads to CMS Network Adequacy Review Later Part C applications may have decreased requirements for the submission of a key management staff organizational chart…

BluePeak AdvisorsNovember 29, 2017

Street signs one stating 2018 and pointing left, the other stating 2019 and pointing right

CMS HPMS Medicare Uncategorized

Getting Ready for Early Application Tasks and Understanding 2019 Application Changes

Submit Notice of Intent to Apply (NOIA) Now Each year, the Centers for Medicare and Medicaid Services (CMS) accepts applications from new plan sponsors, as well as existing Medicare Advantage-Prescription…

BluePeak AdvisorsNovember 27, 2017

CMPs CMS Medicare News Uncategorized

CMS Expands Penalties in 2017: One-Third Financial Audit Findings Will Cost You More This Year

The Centers for Medicare & Medicaid Services (CMS) is now considering deficiencies found from one-third financial audits for potential enforcement actions, including Civil Money Penalties (CMPs), according to a memo…

Kim Mullins, MBASeptember 15, 2017

CMS Medicare News Uncategorized

You’re Going to Want BluePeak’s Online Provider Directory Review Service

From February to August, the Centers for Medicare & Medicaid Services (CMS) conducted the second round of online provider directory reviews of 64 Medicare Advantage Organizations (MAOs). CMS reviewed online…

BluePeak AdvisorsSeptember 15, 2017

CMPs CMS Medicare Part C Part D

Cost of Non-Compliance

Did you know... Forty-six percent of sponsors subject to a 2016 Program Audit received a Civil Money Penalty (CMP) for violations of Medicare Parts C and D requirements found by…

Michelle Rigby, CFEJuly 17, 2017

CMPs CMS Medicare Part C Part D PBM

CMS Expands Penalties in 2017

One-Third Financial Audit Findings Will Cost You More This Year The Centers for Medicare & Medicaid Services (CMS) is now considering deficiencies found from one-third financial audits for potential enforcement…

Angela MuncyJuly 7, 2017