CMS 4205-P Proposed Rule: Top Five Takeaways
On November 15, 2023, CMS issued a proposed rule that proposes revisions to regulations governing Medicare Advantage (MA or Part C), the...
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- Sep 12
- 4 min
AI: The good, the bad, and the ugly in Medicare Advantage
When most of us think about artificial intelligence (AI) in healthcare, we don’t usually think about an algorithm determining if our...
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- Jul 26
- 2 min
The Inflation Reduction Act of 2022...Winter is Coming
Looking ahead to 2025 for Part D benefits, things don’t look too rosy for health plans. The Inflation Reduction Act of 2022 will be...
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- Jun 26
- 3 min
What is the No Upcode Act?
A bipartisan bill has recently been introduced by Senators Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) aimed at addressing risk...
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- May 9
- 2 min
2024 Final Rule: Top 5 Take Aways for Sales and Marketing Teams
Now that Medicare Advantage plans, FMOs, and other Third-Party Marketing Organizations (TPMOs) have had a chance to review the 2024 Final...
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- Apr 26
- 3 min
It’s That Time Again: MTM Program Submission
2024 Submission The 2024 Medication Therapy Management Program (MTMP) submission date is June 7 and the MTMP attestations are due June...
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- Apr 7
- 3 min
Calendar Year 2024 Rate Announcement
On March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued its Announcement of Calendar Year (CY) 2024 Medicare...
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- Aug 16, 2022
- 2 min
Part D Benefit Administration Testing (BAT)
Part D Pharmacy Directors and Formulary administrators, Rebellis is ready to assist you with your 2023 BAT testing! Benefit...
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- Aug 9, 2022
- 2 min
SNP MOC Audit Readiness: Is your team prepared?
CMS Program Audits are in full swing this summer, but are you truly prepared? If you are a Special Needs Plan (SNP) and you are not quite...
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- Jul 15, 2022
- 4 min
CMS 2021 Audit & Enforcement Report
On June 7, 2022, The Centers for Medicare & Medicaid Services (CMS) announced the release of the 2021 Part C and Part D Program Audit and...
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- Apr 12, 2022
- 3 min
2023 MA and Part D Final Rate Announcement Includes 8.5% Revenue Boost, Increased Star Ratings
The Centers for Medicare and Medicaid Services (CMS) published the Announcement of Calendar Year (CY) 2023 Medicare Advantage (MA)...
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- Mar 29, 2022
- 1 min
Have you Implemented and Tested the 2022 Audit Protocols?
Now that we are through the gates of AEP/OEP season, it’s time to focus on key upcoming events: Program Audits and Timeliness Monitoring...
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- Oct 18, 2021
- 4 min
The Annual Readiness Checklist: Beyond Marking the Box
Co-Authored by Jennifer Young and Wendy Karsten Sign-up for our newsletter and we will send you a copy of our best practice CMS Readiness...
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- Oct 13, 2021
- 2 min
Improper Payments in Government Programs: Has The Other Shoe Already Dropped?
Co-Authored by Betsy Seals, CEO and Martha Goodlin, RN Over the past several years, we have seen an increase in CMS, OIG, and DOJ...
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- Oct 11, 2021
- 1 min
CMS Memo: “Third Party Marketing” Creates a Ripple Effect Felt Far and Wide…Are We Having Fun Yet?
Anyone who has had the pleasure of navigating the Sales and Marketing Compliance realm this past year has experienced a brand-new...
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