All MA organizations (MAOs) that are effective before 1/1/2009 must submit a QIP and CCIP to CMS using their standard submission templates. The templates can be found here: http://optimalsolutionsgroup.com/CMS/index.html Questions can be answered by the CMS contractor: EMAIL: maqro@optimalsolutionsgroup.com PHONE: 866-962-6826 CMS has extended the data submission deadline to Aug 27, 2010. This is...
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Wednesday Barack Obama appointed Dr. Donald Berwick as the Administrator to the Centers of Medicare and Medicaid Services using a recess appointment. Dr. Berwick is a Harvard professor and a patient care specialist. He would be able to serve in his role though next...
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CMS has posted an update their 2010 MA Part C and Cost Plan Technical Reporting Specifications. The update contains clarifications to commonly asked questions from plans. Part C reporting is a compliance requirement and plans that fail to submit data on time and in...
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A key change included in the health reform legislation of 2010 was a change to the payment methodology for Medicare Advantage plans. As of today, CMS has not released...
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CMS has planned a major overhaul of their MARx system impacting enrollment file layouts and changes to TRR processing in April 2011. Here is a run down of the...
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Dynamic Healthcare Systems, a provider of enterprise technology solutions for Medicare-focused health plans, today announced that VIVA Health, Inc., a managed care company with over 32,000 Medicare Advantage members,...
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