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On January 26th & 27th, Madena will be sponsoring the Medicare Advantage Member Accounting & Reconciliation conference at the Sanibel Harbour Marriott Resort & Spa in Fort Myers, Florida. The Madena booth will be manned by veteran enrollment analysts and industry regulatory experts. Come stop by and meet the team, we’d be delighted to answer […]
Two months have past since the AEP cutoff and I’m wondering how everyone is managing with their annual Reconciliation Review and Retroactive Adjustment work. This is something I would often wondered about every year for the last six years as the Program Director of the Retroactive Processing Contract (RPC). I would wait week after week from January through April until the discrepancies came in to analyze, process, and report back to CMS. Now I am here in the MAPD community in a new capacity and can come right out and ask: How is everyone doing with their Post-AEP Reconciliation Review?
After months of consideration, I decided to leave the RPC team in mid January and start my own Medicare Enrollment Consulting practice. This was not an easy decision for many reasons, but felt like the right decision. I had the distinct privilege of working with talented and deeply passionate people at Reed, Central Office, the Regional Offices and the MAPD Organizations. Working with CMS and the organizations to better understand the enrollment needs and challenges that exist between the two has become a personal passion of mine since I started this work. After having worked so closely with CMS Central Office for the past 6 years and gaining a solid understanding of their expectations and standards, I’ve chosen to dedicate my work and practice to helping the MAPD community improve their enrollment operations to meet those standards. After contributing to the success of reducing the number of retroactive submissions and improving the RPC Turn-Around-Time; I realized the other ways in which I could support the organizations achieve much greater success in meeting CMS’ enrollment standards was best served by leaving the RPC to provide more focused services.