What types of Medicare events can I hold?
In general there are 2 types of Medicare Events you can hold, Educational Events and Sales Events. The educational event is meant for you to share information, and answer any questions your prospects or their care-givers may have.
Can I show a Medicare beneficiary at an event?
At your event, you are allowed to show a Medicare Beneficiary anything on a carriers website, but avoid digging into the specifics. You could utilize a Scope of Appointment (SOA) to collect information compliantly, and make an appointment to discuss at a later time.
Should I host a Medicare sales event or educational event?
If you’re looking to grow your Medicare Client base then you will eventually want to consider hosting a Medicare Sales Event or an Educational Event. Before you go rushing out and scheduling an event there are some important things to consider to ensure a successful, compliant event, that will benefit both you and your attendees.
What is beneficiaries Services Medicare?
Beneficiary Services Medicare is a health insurance program designed to assist the nation's elderly to meet hospital, medical, and other health costs. Medicare is available to most individuals 65 years of age and older.
What is an informal Medicare marketing event?
Informal sales events are held in a less structured style or in a less formal environment. And, typically utilizes a table, kiosk, or a recreational vehicle (RV) staffed by a plan representative who can discuss plan products. Remember, beneficiaries must approach agents first.
How are Medicare events categorized?
There are two types of sales events: formal and informal. Here's what sets them apart: Formal Sales Events: Agent presents plan-specific information to an audience invited to the occasion. Informal Sales Events: Agent offers plan info upon request only while at a table, booth, kiosk, or RV.
What is informal sales presentation?
Informal types of sales presentations include: Elevator pitches: This is where you make contact with a prospect and have just a few minutes to discuss your offerings. These can take place at your business or at a conference, social event or unrelated business meeting. The key is to always be prepared to pitch.
What is bundling at a sales event?
Bundling is a marketing strategy where companies sell several products or services together as a single combined unit. The bundled products and services are usually related, but they can also consist of dissimilar items which appeal to one group of customers.
How many types of events are there?
Events can be classified on the basis of their size, type and context (event education, 2013). There are three main categories which events go under. These events are private, corporate and charity which are explained below.
What are the different types of events based on their content and purpose?
There are many types of events!A speaker session (a guest speaker presentation, panel discussion, etc.)Networking sessions.Conferences.A seminar or half-day event.Workshops and classes.VIP experiences.Sponsorships.Trade shows and expos.More items...•
What are some examples of informal events?
Informal Events definitionMaterial Events.Special Events.Potential Material Event.Events.Material Event.Medical event.Potential Event of Default.Consultation Termination Event.More items...
What is informal event?
Informal events, on the other hand, are the events which do not adhere to the standard mode of formal dressing and event protocols. They are flexible and can incorporate many elements without paying attention to whether they are formally acceptable or not.
What are the 4 types of sales presentation?
4 Sales Presentation Methodsmemorized,persuasive selling,needs-satisfaction, and.problem-solution method.
What is tying and bundling?
Tying occurs when a supplier makes the sale of one product (the tying product) conditional upon the purchase of another (the tied product) from the supplier (i.e. the tying product is not sold separately). Bundling refers to situations where a package of two or more products is offered at a discount.
Which is an example of product bundling?
McDonald's Happy Meals are an example of product bundles. Instead of selling a burger, soda, and french fries separately, they are sold as a combination, which leads to more sales than offering them separately.
What are bundled services?
Research Brief. Bundling is a fast-growing trend in the commercial sector. The term is applied when services previously purchased separately are consolidated and purchased together from the same provider—e.g., janitorial and building maintenance.
What are the two types of marketing events under Medicare?
There are two main types of Marketing/Sales events under Medicare regulations – Formal and Informal . 1- Formal marketing/sales events are typically structured in an audience/presenter style with a salesperson or plan representative formally providing specific plan sponsor information via a presentation on the products being offered.
Can educational events be advertised as sales?
Educational events ARE NOT marketing/sales events and can only be advertised as educational.
Is an educational event a sales event?
Educational events may not include any sales activities such as the distribution of marketing materials or the distribution or collection of plan applications. Educational events must be explicitly advertised as “educational,” otherwise they will be considered by CMS as sales/marketing events.
What are the two types of events that Medicare can hold?
In general there are 2 types of Medicare Events you can hold, Educational Events and Sales Events. The educational event is meant for you to share information, and answer any questions your prospects or their care-givers may have. An educational event is not intended for sales activities like distributing plan specific marketing materials ...
What is Medicare Educational Event?
A Medicare Educational Event gives agents an opportunity to get in front of prospects and their caregivers who are looking to learn about Medicare, Medicare Advantage, Part D and other Medicare related programs.
How much notice do you need to give for a cancellation?
If you have to cancel an event, there are best practices you should be aware of. You should strive to give your attendees at least 48 hours notice of the cancellation. Along with the following best practices, you should follow up with your carriers as they may have specific requirements regarding event cancelation.
How long do you have to stay at a venue after the start time?
You or your rep must remain their until at least 30 min. after the original start time.
Can you require a prospect to fill out contact information to RSVP?
You cannot require potential prospects to fill out contact information to RSVP to your sales event. Your marketing materials must also contain the disclaimer: “For accommodations of persons with special needs at meetings call <phone number and TTY number>".
Can you hand out marketing materials at an educational event?
You’re not trying to steer people toward any product with an educational event. Nevertheless, you are allowed to hand out generic marketing material, business, cards, etc. You are also allowed to complete Scope of Appointment (SOA) forms for future appointments and collect them during an educational event.
Can you hold a virtual event over an in person event?
This means that many agents will be opting to hold a virtual event over an in person event. Be sure to check with your carriers to verify what your options are, and to understand any rules they may have for giving a compliant virtual event.
What is the primary focus of a presentation?
Giving Your Presentation. Remember, during educational events, your primary focus is to educate attendees. It is not to lead or attempt to lead attendees toward a specific plan or set of plans. Follow the guidelines below to help ensure your compliance.
Can you market Medicare plans?
During them, you cannot market specific plans. If marketing is your goal, you must hold and follow CMS’ guidelines for a Medicare sales event. As for the when and where, educational events may be held in a public venue. Under no circumstance should you hold them in in-home or one-on-one settings.
Can Medicare send secret shoppers?
Keep in mind, carriers may send secret shoppers to your educational events. If you violate CMS’ Medicare Communications and Marketing Guidelines, you could be subject to: Medicare beneficiaries need your expertise, and you need their trust and business.
Can you hold a virtual Medicare event?
The answer will depend on health of your state and counties, the lockdown or restrictions of states and counties, and if your carriers are even allowing in-person member events at this time. In some cases, you may be able to hold a compliant virtual Medicare educational event, but again, check with your carriers first.
How many SNFs are harmed by an adverse event?
It reported that one in three skilled nursing facility (SNF) beneficiaries were harmed by an adverse event or temporary harm event within the first 35 days of their skilled stay.
What is CMS in nursing homes?
The Centers for Medicare & Medicaid Services (CMS) has compiled information and resources related to adverse events in nursing homes to assist providers to identify, track, and systematically investigate adverse events that have occurred, as well as develop and implement systemic interventions that will help prevent adverse events.
What is the CMS campaign?
In response to the OIG report on adverse events in skilled nursing facilities, CMS launched a year-long campaign to create strategies and actions among CMS and its partners to raise awareness of, and reduce adverse events in nursing homes.
What is the IHI SNF trigger tool?
This tool provides step-by-step instructions for using this methodology to identify adverse events in SNFs, guidance on designing a Trigger Tool review, and detailed descriptions of the Trigger Tool components. There is no cost to register on the IHI website in order to download the PDF.
What is the National Action Plan for Adverse Drug Event Prevention?
The Department of Health and Human Services’ National Action Plan for Adverse Drug Event Prevention provides a framework to minimize the occurrence of common, dangerous, and preventable adverse drug events related to anticoagulants, diabetic agents, and opioid medications.
What is the CDC's National Healthcare Safety Network?
The CDC’s National Healthcare Safety Network: The CDC’s National Healthcare Safety Network (NHSN) provides nursing homes and other long term care facilities with a customized system to track infections in a streamlined and standardized way. When facilities track infections, they can identify opportunities for prevention ...
What is Medicare Advantage?
Medicare Advantage is an alternative to the original Medicare plan reimbursed under Medicare Part A. (Submit CMS-1500 or UB-04, depending on type of services provided.) Medicare Prescription Drug Plans (Medicare Part D) add prescription drug coverage to the Original Medicare Plan, some Medicare Cost Plans, some Medicare Private Fee-for-Service ...
What is Medicare special needs?
Medicare special needs plans cover all Medicare Part A and Part B health care. services for individuals who can benefit the most from special care for chronic illnesses, care management of multiple diseases, and focused care management.
What does Medicare Part B cover?
Medicare Medical Insurance (Medicare Part B) pays for physician services, outpatient hospital care, durable medical equipment, and some medical services that are not covered by Part A. (Submit CMS-1500 claim for services.)
When will Medicare pay for the donut hole?
Then, each year thereafter, Medicare beneficiaries pay less for prescription drugs in the "donut hole" until complete coverage of the donut hole is implemented in 2020. Medicare Cost Plan. is a type of HMO that works in much the same way and has some of the same rules as a Medicare Advantage Plan.
What is conditional primary payer?
conditional primary payer status and process the claim under the following circumstances: • A plan that is normally considered primary to Medicare issues a denial of payment that is under appeal. • A patient who is physically or mentally impaired fails to file a claim with the primary payer.
How many days does a patient have to be out of the hospital?
begins with the first day of hospitalization and ends when the patient has been out of the hospital for 60 consecutive days.Medicare literature uses the term "spell of illness" instead of benefit period. Lifetime reserve days.
What happens when Medicare beneficiaries have other health insurance?
When a Medicare beneficiary has other insurance (like employer group health coverage), rules dictate which payer is responsible for paying first. Please review the Reporting Other Health Insurance page for information on how and when to report other health plan coverage to CMS.
What is Medicare for seniors?
Medicare is a health insurance program designed to assist the nation's elderly to meet hospital, medical, and other health costs. Medicare is available to most individuals 65 years of age and older.
What is the CMS?
The Centers for Medicare & Medicaid Services (CMS) is the federal agency that manages Medicare. When a Medicare beneficiary has other health insurance or coverage, each type of coverage is called a "payer.". "Coordination of benefits" rules decide which one is the primary payer (i.e., which one pays first). To help ensure that claims are paid ...
How long does it take for Medicare to pay a claim?
When a Medicare beneficiary is involved in a no-fault, liability, or workers’ compensation case, his/her doctor or other provider may bill Medicare if the insurance company responsible for paying primary does not pay the claim promptly (usually within 120 days).
Does Medicare pay a conditional payment?
In these cases, Medicare may make a conditional payment to pay the bill. These payments are "conditional" because if the beneficiary receives an insurance or workers’ compensation settlement, judgment, award, or other payment, Medicare is entitled to be repaid for the items and services it paid.