A few other tips for designing your training materials include: Plan your materials in a way that puts employees in control of their own learning Include interactive and hands-on elements to allow employees to work together Invite feedback throughout the training
Full Answer
What is module 11 of the Medicare Advantage program?
Module 11, “Medicare Advantage and Other Medicare Health Plans,” explains Medicare health plan options other than Original Medicare.
What is the Medicare presentation module?
This module is designed for presentation to trainers and other information givers. It can be easily adapted for presentations to people with Medicare. The module consists of 64 PowerPoint slides with corresponding speaker’s notes and check-your-knowledge questions. It can be presented in about 45 minutes.
What is a Medicare Advantage plan?
Medicare Advantage Plans are another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare.
What are standardized marketing materials for Medicare Advantage plans?
Medicare Advantage organizations and Prescription Drug Plan Sponsors must use standardized marketing material language and format, without modification (except where specified by CMS). Examples of standardized documents include, but aren’t limited to: Plan Annual Notice of Change (ANOC)
What is CMS training in healthcare?
The Centers for Medicare & Medicaid Services (CMS) has developed two web-based training (WBT) courses. The courses are: Part C Organization Determinations, Appeals, and Grievances, and. Part D Coverage Determinations, Appeals, and Grievances.
How do I become a CMS expert?
CMS Experience and Training. Gain at least 2 years of work experience with CMS. Usually, an expert should have 5 to 7 years of experience; however, since the CMS market is changing and growing rapidly, a younger person may have an advantage of being on the cutting edge of technology.
Does CMS require FWA training?
Sponsors must provide general compliance and fraud, waste and abuse (FWA) training for all employees of their organization and entities they partner/contract with to provide benefits or services.
Do Medicare Advantage plans follow CMS guidelines?
Medicare Advantage Plans Must Follow CMS Guidelines In the United States, according to federal law, Part C providers must provide their beneficiaries with all services and supplies that Original Medicare Parts A and B cover. They must also provide any additional benefits proclaimed in their Part C policy.
What is the name of the official CMS training website?
The Quality, Safety & Education Portal (QSEP) provides the full curriculum of surveyor training and guidance on health care facility regulations. QSEP is an online platform that empowers learners to lead and manage their own learning in order to master the content.
What is a CMS surveyor?
CMS Survey Process Surveyors look at patient records for the absence of compliance with relevant CoPs and will turn to staff to ask why something was not documented or why a process deviated from stated policy. Typically, they spend less time on the patient care units than TJC surveyors do.
What are the seven elements of a compliance program?
Seven Elements of an Effective Compliance ProgramImplementing written policies and procedures. ... Designating a compliance officer and compliance committee. ... Conducting effective training and education. ... Developing effective lines of communication. ... Conducting internal monitoring and auditing.More items...
What are core requirements of compliance program?
CMS requires an effective compliance program to include seven core requirements:Written Policies, Procedures, and Standards of Conduct. ... Compliance Officer, Compliance Committee, and High-Level Oversight. ... Effective Training and Education. ... Effective Lines of Communication. ... Well-Publicized Disciplinary Standards.More items...
Does Medicare require a compliance program?
Compliance Program Requirement The Centers for Medicare & Medicaid Services (CMS) requires Sponsors to implement and maintain an effective compliance program for its Medicare Parts C and D plans.
What is the biggest disadvantage of Medicare Advantage?
Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.
What are 4 types of Medicare Advantage plans?
Below are the most common types of Medicare Advantage Plans.Health Maintenance Organization (HMO) Plans.Preferred Provider Organization (PPO) Plans.Private Fee-for-Service (PFFS) Plans.Special Needs Plans (SNPs)
Who is the largest Medicare Advantage provider?
UnitedHealthcareUnitedHealthcare is the largest provider of Medicare Advantage plans and offers plans in nearly three-quarters of U.S. counties.
What is a training module?
A training module is a segment of an overall elearning course that focuses on a specific topic or objective. Think of it like a chapter of a book. Each training module (or chapter) acts as a step in a learner’s journey, each time edging closer to completing the overall course.
How to create the best training modules
Here are our recommended steps to follow when building effective training modules:
Creating training modules with Elucidat
Produce high-quality training modules aligned with your goals and needs up to 4x faster with Elucidat. Leverage our Learning Accelerator feature to access our extensive template library and get inspiration for your next project.
What does a Medicare card show?
The Medicare card shows the type of Medicare coverage (Part A and/or Part B) you have and the date the coverage started. Your card may look slightly different from this one; it’s still valid. The Medicare card also shows your Medicare claim number. For most people, the claim number has 9 numerals and 1 letter.
When does a new health insurance plan start?
For most people, this is the one time each year that changes can be made. If you make a change during this time, your new coverage starts on January 1 if the plan gets your request by December 7. Generally, your enrollment will begin the first of the month after the plan gets your enrollment request.
How to find a Medigap policy?
To find a Medigap policy in your area by computer or phone: Visit Medicare.gov and use the Medigap comparison tool. Call 1-800-MEDICARE (1-800-633-4227).
When does the SNF benefit period end?
The benefit period ends when you haven’t received any inpatient hospital care (or skilled care in a SNF) for 60 days in a row. If you go into a hospital or a SNF after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period.
How long do you have to enroll in SEP?
For most people, this means you had group health plan coverage since you turned 65. You can enroll using the SEP at any time while you have group health plan coverage based on active, current employment. If you lose either the group health plan coverage orthe current employment, you have 8 months to enroll.
How to create a training program?
Follow these steps to start creating your employee training program: 1. Assess training needs. Assessing the needs of the workplace requires following these steps:
What is one on one training?
This one-on-one type of training focuses on fostering a working relationship between an employee and a coach or mentor, typically a supervisor or trusted veteran employee. The one-on-one training style allows for continued support throughout the employee's training.
What are some examples of training goals?
Some examples of goals include increasing ROI and decreasing costs, teaching employees a new procedure or showing them how to use new equipment.
Why is group training important?
Group training activities. Group training can be useful in sparking discussion, training through collaboration and team-building. It allows employees to train together in an environment that best fits their group's needs.
What is hands on training?
Hands-on training encompasses any practical training conducted directly on the job. This type of training focuses on the specific role and the employee's proficiency at performing it. Hands-on training has both short- and long-term development benefits for individuals.
What do you expect your employees to do after training?
Ask yourself what you expect your employees to be able to do after they complete training. This can be knowledge, a skill or a simple but necessary proficiency. These will be your learning objectives. From there, you can begin creating content that supports progression towards each objective.
What are some ways to facilitate learning?
When you know what your employees need to learn, you can start developing activities that will facilitate the training, such as demonstrations, pamphlets or hands-on exercises.