Compliance in Coverage: Understanding Medicare Advantage Rules and Restrictions

Richelle Marting, Attorney at Law.

2023-11-28

  • Understand the Medicare Advantage regulatory requirements in place today

  • Identify key areas where CMS's 2024 Final Rule for Medicare Advantage plans clarified existing policies

  • Identify key areas where CMS's 2024 Final Rule for Medicare Advantage plans added new criteria to take effect January 1

  • Discuss the practical application of the rules, where they arise in healthcare workflows today

  • Discuss strategies for resolution of potential violations of the rule

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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