Codyconsulting.com

What Does CMS’s New Rule Regarding Electronic EOCs Mean for …

WEBBenefits for Health Plans. CMS estimates this new rule has the potential to save health plans $54 million a year. These savings will come from eliminating or significantly …

Actived: 9 days ago

URL: https://codyconsulting.com/what-does-cmss-new-rule-regarding-electronic-eocs-mean-for-health-plans/

Combining Medicare and Medicaid into One Program

WEBThe status quo of government-sponsored health programs is beginning to fail. The government recently reported that Medicare will run out of money in less than 20 years …

Category: Health Go Health

Collateral Management Module®

WEBThe CodySoft ® Collateral Management Module ® was created specifically for health plans as a solution for these challenges. It’s the first application of its kind to incorporate …

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CMS’s Plan Benefit Package (PBP) Software—Technical Redesign …

WEBGoing live on April 7, 2023—the new web-based Plan Benefit Package (PBP) Software Technical Redesign will live within the Health Plan Management System (HPMS) and …

Category: Health Go Health

An Advance Look at Medicare Advantage Benefits Changes for …

WEBAn Advance Look at Medicare Advantage Benefits Changes for CY2020. April 15, 2019. Every year, the Centers for Medicare and Medicaid Services (CMS) …

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An Inside Look at Plan Benefit Package (PBP) Software

WEBThe PBP module was developed to provide health plans with a single Centralized Source of Truth™ and allow for real-time, enterprise-wide benefit data …

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Case Study: Leading Health Plan Manages the Entire Lifecycle of …

WEBThe Health Plan. A leading Medicare Advantage & Commercial Group Plan, located in the Southwest with 52 hospitals, more than 800 patient care sites, 7,300 active physicians, …

Category: Health Go Health

Provider Directory Accuracy—Why is it Important

WEBAbout CODY: CODY ® works with over 70 government-funded, commercial, and ACA health plans across 50 states and Puerto Rico. We help align internal …

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Consolidating COB & MSP Data

WEBThe Centers for Medicare and Medicaid Services (CMS) requires MA and PDP health plans to update systems timely and accurately. Consolidating and analyzing …

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CODY® expands health plan technology and consulting …

WEBMerger will combine deep experience of healthcare industry veterans nationwide. TAMPA, Fla. (Jan. 27, 2021) – CODY ®, a Tampa, Fla-based healthcare …

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The Medicare Timeliness Monitoring Project (TMP)—What to …

WEBJune 8, 2022. CMS continues to conduct an industry-wide Timeliness Monitoring Project (TMP). This project is a retrospective review of 2022 data. It allows CMS to collect data …

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4 Ways to Help Maintain Version Control

WEB4 Ways to Help Maintain Version Control. January 30, 2019. Health plans struggle to keep track of the different iterations of documents as they build and produce …

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AEP Enrollment Processing Tips—Do’s & Don’ts from End-to-End …

WEBDO: Audit your enrollment forms and train agents on their correct use: Ensure the correct plan year enrollment form is used to avoid unnecessary denials. …

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New CMS Guidelines for Individuals Not Lawfully Present

WEBWe are making systems changes for lawfully present status to the Batch Eligibility Query (BEQ) process, and Daily Transaction Reply Report (DTRR). Through …

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Call Center Monitoring — Star Rating Measure Tips for Success

WEBThere are two measures in the Star Ratings: C28 – Call Center – Foreign Language Interpreter and TTY Availability, and. D01 – Call Center – Foreign Language …

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Health Care Privacy Compliance Handbook, 3rd Edition 5.

WEBData in transit via website, secure FTP, or API exchanges must also be encrypted to prevent the communication lines from being compromised or data from …

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