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Condensed Appeals & Grievance Guidance

April 25, 2019

Webinar sponsored by Inovaare
Real Compliance in Real Time

What do the changes really mean?

As part of an initiative to streamline the appeals and grievance process, CMS has merged Chapter 13 and Chapter 18 into one Part C & D appeals guidance document.

The combining of these chapters will better align Part C and Part D appeals policy, identify differences between the two, provide an unambiguous interpretation of current policy, and update guidance based on the latest Part C and D 2019 regulation. CMS has also clarified expectations about the required documentation by health plans and its communication with their members.

Webinar Details


Topic: Condensed Appeals & Grievance Guidance

The webinar will address the new CMS guidance and the concerns it has raised including:

  1. Documentation
  2. TAT Calculation
  3. Notification Details
  4. Representative Details
  5. Dismissal Notice Details
  6. Procedures for Handling Withdrawn Appeals
  7. Procedures for Handling Withdrawn Grievances
  8. Enrollee Requests for Case File Content

Register Now

Speakers

stephanieStephanie Donahue
Senior Manager, Compliance Solutions
Inovaare Corporation
Brenda WadeBrenda Wade
Chief Compliance Officer
Inovaare Corporation

Date: Thursday, April 25, 2019
Time: 10–11 a.m. PT (1–2 p.m. ET)


Join us for a Live Discussion and overview of what has changed in the new guidance issued by the CMS on the current Parts C & D appeals policy, what impact it could have on health plans and what you can do to manage the changes most effectively.

Don’t miss this chance to dive into the changes and the impact it will have!

If you have any specific questions you would like answered during the Webinar, please feel free to submit them to us by 04/14/19.


We look forward to your participation in this interactive discussion.

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