Medicare benefits are administered directly by the government, whereas Medicare Advantage (MA) plans are managed by commercial or private plans. When navigating the world of Medicare Advantage plans it is vital that your front desk, billing and treating doctors have a solid understanding of the many aspects of regulatory compliance that surrounds these plans. In…

Download Reference Documents Aetna FDR Guide BCBS FDR Toolkit Cigna FDR Guide Medical Mutual FDR Guide CMS DEI Strategic Plan Sample Waiver Form  

Know the Rules Providers who have mastered the rules and regulations surrounding traditional Medicare are often surprised to find that Medicare Advantage plans have their own set of rules. These are not optional. It is vital that a clinic locates these resources and requirements on each payer’s provider portal. We have listed some of these…

Download Support Tools Medicare Advantage (MA) Verification Form Master Template

Data That Leads to Reimbursement By building a solid data collection and verification process, a clinic can increase reimbursement and reduce frustration. This tutorial will walk you through the ins and outs of gathering information that will assist the clinic in submitting clean, payable claims. You may think that verification is too time consuming but…