Public Sector

CMS Policies & Procedures

Maintaining current policies and procedures that are compliant with the ever-changing CMS rules and guidance can be an overwhelming task for Medicare Advantage plans. Rely on the expertise of Reden & Anders consultants to assist you.

Dedicated team of consultants continuously update Reden & Anders’ master document of Medicare Advantage policies and procedures.

Customized and organized documentation

Reden & Anders can customize necessary documents to your specific culture and structure. We work with you to ensure the appropriate documentation is in place. In addition, Reden & Anders can provide comprehensive training of sales staff/agents regarding the updated materials.

Value

  • Maintain CMS-compliant policies and procedures
  • Customize documentation with updated CMS rules
  • Organize appropriate documentation

Comprehensive procedures and documents

A sample list of procedures and documents includes:

  • Provider Manual
  • Sales Training Manual and Sales Staff/Agent Training
  • Enrollment and Disenrollment
  • Appeals and Grievances
  • Claims and Claims Denial Notices
  • Customer Service
  • Billing
  • Compliance Manual