Part C Archives - BluePeak Advisors

CMS Fall 2024 IVR M3P Member Materials Part C Part D SSBCI

2025 Plan Readiness: Are You Prepared?

As you put the final touches on Plan Year 2025 implementation, it is crucial for Medicare plans to stay ahead of the game and be prepared for the changes that…

BluePeak AdvisorsSeptember 23, 2024

February 2023 Medicare Part A Part B Part C Part D

BluePeak provides fresh insight into the CMS Proposed Rule for 2024

On December 27, 2022, the Centers for Medicare & Medicaid Services (CMS) published proposed rule (CMS_FRDOC_0001-3474) in the Federal Register. If finalized, this proposed rule would revise the Medicare Advantage…

BluePeak AdvisorsFebruary 3, 2023

MA Part C Part D Star Ratings

Early Release of Medicare Advantage and Part D Advance Notice: Part C & D Star Rating Changes

CMS published Part I of the Advance Notice of Methodological Changes for Calendar Year (CY) 2022 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies…

BluePeak AdvisorsDecember 18, 2020

CMS Compliance MA Part C Part D

Encounter Data – It’s Not Just Claims Data Anymore.

Background On September 14, 2020 CMS released The Advance Notice of Methodological Changes for Calendar Year (CY) 2022 for Medicare Advantage (MA) Capitation Rates and Part C and Part D…

BluePeak AdvisorsSeptember 21, 2020

CMS Part C Part D

Provider Directory Accuracy Monitoring and Use of the National Plan & Provider Enumeration System (NPPES)

On March 11, 2020 the CMS Part C and D User Call focused on Provider Directory accuracy and how the NPPES may support such accuracy. In case you missed it,…

BluePeak AdvisorsMarch 18, 2020

CMS IDS Part C Part D UMS

Universe Monitoring Service Case Study and Service Spotlight

Many of the proposed audit protocol changes for both the 2020 and 2021 audit season included changes to universes. An incomplete and incorrect universe can add 1 point toward your…

BluePeak AdvisorsMarch 18, 2020

Audits Call Log Review CMS Part C Part D Star Ratings

Accurate Call Classification and Handling-Strategies for Evaluating and Monitoring Your Customer Service Team

The Centers for Medicare & Medicaid Services (CMS) released an HPMS memo on August 20, 2019 providing an overview of the upcoming changes to program audits through 2021. These changes…

BluePeak AdvisorsMarch 18, 2020

DMP MA PACE Part C Part D RTBT

10 Things Plans Need to Know about the 2021 and 2022 Policy and Technical Changes Proposed Rule

On February 5, 2020, the Centers for Medicare & Medicaid Services (CMS) announced it will not be publishing a Call Letter for 2021. Rather, CMS is codifying guidance typically published…

BluePeak AdvisorsFebruary 25, 2020

CMS Data Reporting IRE Part C Part D

Got Data?

Independent Review Entity (IRE) Transparency Initiative Plans are continuously looking for data to better understand their appeals outcome. The IRE transparency initiative provides plans with several more tools. During the…

BluePeak AdvisorsDecember 17, 2019

CMS FWA Medicare Part B Part C Part D

CMS Fraud Conference–Working Together to Combat Fraud

From July 16-18th over 100 investigative minds met at the annual CMS Fraud Conference in Miami, Florida to talk about current fraud schemes, emerging schemes, data analytics and how to…

BluePeak AdvisorsAugust 2, 2019