AIS Products on the Medicare Part D Prescription Drug Benefit

MEDICARE PART D: A COMPREHENSIVE ANALYSIS OF CMS RULES distills from thousands of pages of CMS regulations and guidance the major rules, guidelines and deadlines you need to comprehend the complex Medicare drug benefit program. It includes nine detailed chapters on sponsors, eligibility and enrollment, formularies, CMS enforcement and much more. ($124)

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PART D APPEALS & GRIEVANCES: STRATEGIES FOR MINIMIZING COMPLIANCE RISKS examines key issues surrounding Part D appeals and grievances. This report, based on a January 25, 2007, audioconference, shares expert advice on how to structure an effective appeals and grievances procedure — one that will help you avoid becoming a target of CMS enforcement. ($137) PDF version also available.

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Upcoming and Recent Audioconferences & Seminars on Medicare Part D

THE TOP 5 PART D AUDIT RISKS: HOW YOU CAN AVOID BECOMING A CMS TARGET, a recording of a 90-minute audioconference held on May 28, 2009. Dorothy DeAngelis and Richard Merino of FTI Consulting outline the areas CMS is now stressing in its Part D audits, and what preventive steps you should take to reduce your chances of strict penalties and sanctions. ($329)

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COMPLYING WITH CMS’S NEW ‘LOCK-IN PRICING’ RULE: IMMEDIATE STEPS PART D SPONSORS MUST TAKE, a recording of a 90-minute audioconference held on March 19, 2009. Learn to read and renegotiate contracts with PBMs, and develop mechanisms for implementing the “negotiated price” provision, to reduce your risk of severe sanctions and significant monetary penalties — from Steve Arbaugh of ATTAC Consulting Group and Susan Hayes of Pharmacy Outcome Specialists. ($329)

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RECONCILING PART D ENROLLMENT DATA: STRATEGIES TO AVOID BECOMING AN ENFORCEMENT TARGET, a recording of a 90-minute audioconference held on January 13, 2009. Learn the details of effective strategies to improve your enrollment and membership reconciliation processes and ensure that they are in compliance with CMS requirements, from three experts with Global Pharmaceutical Solutions (GPS) — Managing Partner Erin Costell, and Senior Consultants Marye Issacs and Julian Nadolny. ($329)

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FINAL MEDICARE MARKETING RULES: THE TIME TO CHANGE AND COMPLY IS NOW!, a recording of a 90-minute audioconference held on October 23, 2008. Gorman Health Group’s managed care marketing and regulatory experts Jeff Fox and Jean LeMasurier detail the steps you should be taking to ensure that your MA and Part D marketing is effective and compliant, both in the upcoming open-enrollment season and beyond. ($329)

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VACCINE COVERAGE AND BILLING STRATEGIES UNDER PART D, a recording of a 90-minute audioconference held on September 25, 2008. Andrea Serrate, CPA, vice president of specialty and payer services for Poc Network Technologies, Inc., provides valuable intelligence about CMS’s new vaccine coverage and administration billing requirements and options. Learn how to cover and bill for vaccines correctly to avoid CMS sanctions and enforcement action. ($329)

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NEW MEDICARE ADVANTAGE AND PART D MARKETING RULES: KEY STRATEGIES FOR HEALTH PLANS, a recording of 90-minute audioconference held on June 5, 2008. Find out what steps you need to take as soon as possible, to ensure that your Medicare Advantage and Part D marketing is both effective and compliant under the CMS rules released May 8 — from Gorman Health Group’s Jeff Fox and Mary Kaye Thibert. ($329)

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A full listing of AIS products and audioconferences is available at the AIS MarketPlace.