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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