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Latest News

CMS’s CY 2025 Final Rule: A Quick Summary

Apr 88 min read

Compliance

CMS’s CY 2025 Final Rule: A Quick Summary

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CMS 4205-P Proposed Rule: Top Five Takeaways

Nov 21, 20234 min read

Compliance

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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AI: The good, the bad, and the ugly in Medicare Advantage

Sep 12, 20234 min read

Compliance

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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The Inflation Reduction Act of 2022...Winter is Coming

Jul 26, 20232 min read

Part D

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, 20233 min read

Risk Adjustment

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, 20232 min read

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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It’s That Time Again: MTM Program Submission

Apr 26, 20233 min read

Compliance

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, 20233 min read

Risk Adjustment

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...

198 views0 comments

Aug 16, 20222 min read

Part D

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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SNP MOC Audit Readiness: Is your team prepared?

Aug 9, 20222 min read

Compliance

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, 20224 min read

Compliance

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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2023 MA and Part D Final Rate Announcement Includes 8.5% Revenue Boost, Increased Star Ratings

Apr 12, 20223 min read

Compliance

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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Have you Implemented and Tested the 2022 Audit Protocols?

Mar 29, 20221 min read

Compliance

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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The Annual Readiness Checklist: Beyond Marking the Box

Oct 18, 20214 min read

Operations

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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Improper Payments in Government Programs: Has The Other Shoe Already Dropped?

Oct 13, 20212 min read

Compliance

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, 20211 min read

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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