COVID-19 for Compliance Professionals: Medicare Advantage Plans

Generally, Medicare Advantage Organizations (MAOs) maintain provider networks and either limit an enrollee’s ability to obtain Medicare-covered services from out-of-network providers or charge enrollees more when they receive services from out-of-network providers.

On March 10, 2020, CMS released guidance for MAOs (as well as for Part D sponsors) regarding certain obligations as well as permitted flexibilities related to disasters and emergencies resulting from COVID-19.

2018 Annual Best Compliance Practices Announced

The Annual Best Compliance Practices Forum is upon us (October 15-16; DC Metro) and it will be an exciting Forum. Eleven Best Practices have been selected from all submissions nationally. Best Practices are selected by a panel of senior compliance professionals who...

Who Has the Best Compliance Practices?

The Annual Best Compliance Practices Forum is upon us (October 15-16; DC Metro) and it will be an exciting Forum. Ten to twelve Best Practices will be selected from all submissions nationally with five Best Practices already approved. Best Practices are selected by a...

Best Practices Deadline Extended

While submissions are coming in, many potential submitters have asked for more time to assemble their submissions. With this in mind, we are extending the submission deadline for the Annual Healthcare Best Compliance Practices Forum until August 15 provided that the...

OIG Releases Work Plan Mid-Year Update

The HHS Office of Inspector General today released its Work Plan Mid-Year Update for Fiscal Year 2015 which according to the OIG website, “summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations...

Compliance Officer Hurdles

You may enjoy this article from the Report on Medicare Compliance in which Mark Pastin discusses hurdles that compliance officers often face. Click this link to view the article: Report on Medicare Compliance