The Medicare Advantage Implementation Toolkit

Managing Medicare Advantage Implementation Madness

Medicare Advantage plans, also known as Medicare Replacement plans or Part C plans, are becoming more and more popular to Medicare beneficiaries. In 2024, about 32.8 million people were enrolled in these plans, representing more than half of the eligible Medicare population. This number has been steadily climbing, driven by various factors like extra benefits offered by these plans.

Unlike Medicare Part B, Medicare Advantage plans often require providers to navigate different networks, prior authorization processes, and varying coverage rules for services. Providers must understand each plan’s benefits and limitations, which can differ significantly from the more standardized coverage under Part B. This can complicate billing, coding, and overall care coordination.

What You’ll Learn:

In this laser-focused, topic-driven Medicare Advantage Implementation Toolkit, you’ll learn how to compliantly implement Medicare Advantage plans in your practice. Whether you’re deciding whether to participate or already working with these plans, the toolkit provides the knowledge and resources to make informed, strategic decisions.

Toolkit Includes:

• • Tutorial videos that explain what you need to know about Medicare Advantage plans
  • A real-world example case to help train staff in proper documentation and data gathering
  • Tips on identifying QMB status on all Medicare patients
  • An overview of required federal training and regulations for MA plans
  • A Medicare Advantage Insurance Verification form to simplify billing and information collection
  • Downloadable Reference Documents to support your verification and billing process.

Approximate time to complete: 3 hours

Certificate of Completion Provided

Enhance Your Training with Personalized Support

Want expert insight tailored to your office’s specific needs? You can bundle a Solution Consultation with your Medicare Advantage Implementation Toolkit purchase. One of our certified specialists will walk through your setup, help implement processes, and answer your questions to ensure you’re ready for success.

💡 Note: To bundle a discounted 30-minute consultation and help with implementation, give us a call at (855) 832-6562 and add it to this order!