Medicare Archives

Sample Compliance Documents

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

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Medicare Advantage Compliance

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 below to assist…

MA Verification Form

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

Part C Verification Process

Medicare Part C- The Advantage Plans

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…

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Medicare Verification Form

Download Support Tools The KMC University Medicare Verification Form is designed to guide the staff member in collecting the necessary information for Medicare coverage verification. Throughout this course, we advise clinics to refrain from depending on the patient to know their coverage and benefits. It will only lead to bad information and delayed reimbursement. The…