Medicare Blog

when requesting medicare referrals from current clients

by Leanna Dickens II Published 2 years ago Updated 1 year ago

When asking your existing clients for referrals, make sure you make the request specific, personal and easily actionable. If you’re able to, don’t forget to thank your clients if they did refer your friends to you. Sending them a personal note shows you value their business and appreciate the opportunity to work with them and their friends.

You can ask for referrals, but do not ask for or accept phone numbers. Calling a prospective enrollee, even one who is referred by a friend, is considered an unsolicited telephonic communication and is prohibited under the marketing guidelines.Feb 7, 2022

Full Answer

Is there a CMS guideline for asking for referral information?

But there are CMS guidelines (Medicare Marketing Guidelines section 30.8) you’ll have to follow when asking for referral information and when contacting those referrals.

Does Medicare require a referral to see a specialist?

Original Medicare benefits through Part A, hospital insurance and Part B, medical insurance, do not need their primary care physician to provide a referral in order to see a specialist. Complications with coverage can occur if you see a specialist who is not Medicare-approved or opts out of accepting Medicare payments.

How do you ask for referrals without asking for referrals?

Here are 4 easy ways to ask for referrals without asking for referrals. Limit your requests to your best clients. It’s best to ask clients with whom you’ve developed some level of mutual trust.

Can brokers ask for referrals for Medicare referrals?

Third, as stated in Section 70.1.1 of the Medicare Marketing Guidelines, “nominal gifts may not be in the form of cash or other monetary rebates, even if their worth is $15 or less.” That’s all, brokers. Now you’re ready to compliantly ask for referrals, thank those who provided referrals, and contact potential new enrollees.

How do I ask for Medicare referrals?

In a CMS compliant situation, you would 1) ask for referrals without mentioning any benefit to the enrollee and then 2) present a thank-you gift for the referrals he or she has provided. Second, the gifts you provide must be of a nominal value.

Can Medicare agents ask for referrals?

As a Medicare sales agent, you can ask for referrals, but you cannot collect phone numbers. Instead, you can ask your clients to refer you to their family members and friends. Just give your original client a few of your business cards and tell them that anyone who they meet and needs help, can contact you.

What is Medicare referral?

Referrals are authorizations that Medicare Advantage Plans usually require for services not provided by your primary care provider (PCP). For example, Health Maintenance Organizations (HMOs) generally require you to get a referral from your PCP in order to see a specialist or get an eye exam.

How do I increase my Medicare referral?

Tips on Building a Medicare Referral NetworkCreate an online presence for transparency. ... Build a local network of professionals to help boost referrals (financial advisors, other insurance agents, business owners, etc.).Look for ways to go the extra mile.

Can I give gifts for Medicare referrals?

Gifts To Referral Sources. The federal Anti-Kickback Statute ("AKS") prohibits soliciting, offering, giving, or receiving remuneration in exchange for referrals for items or services covered by federal healthcare programs (e.g., Medicare and Medicaid) unless the arrangement fits within a regulatory exception.

Is selling Medicare lucrative?

Selling Medicare can be very lucrative, but just like any other self-starter type of job, the more effort you put in, the bigger the payoff. When it comes to making money selling Medicare, there are two main ways you can earn income which include commissions and residual income.

How would you determine if a referral is required?

You Usually Need a Referral and Prior Approval To:See a specialist, such as a cardiologist if you have a heart problem.Have a procedure, such as removal of a skin cancer.Have special tests, such as a colonoscopy.Have surgery, such as a hip replacement.Visit urgent care for any urgent medical issues.More items...

What is the difference between a referral and a pre authorization?

A referral is an order from your PCP to see a specialist or receive certain medical services from some providers. Your PCP helps make the decision about whether specialist services are necessary for you. Prior authorization is approval from the health plan before you get a service or fill a prescription.

What is a referral authorization?

• A formal process that authorizes an HMO member to get care from a specialist or hospital. Most HMOs require patients to get a referral from their primary care doctor before seeing a specialist.

How do you get referred by other doctors?

How to refer a patient to another doctorInform the patient.Share information with the receiving doctor.Document patient referrals.Manage the patient referral process.

What are patient referrals?

A referral is a written request from one health professional to another health professional or health service, asking them to diagnose or treat you for a particular condition.

How do you make a referral in epic?

Select the Patient tab and click Referral by Member.The patient's active referrals appear, including any that are new, open, authorized, or pending review.To see all referrals, select Show All Referrals in the View Option field.For more information about a referral, click the referral ID link to view a report.

What is Medicare Advantage Plan Referral?

Medicare Advantage Plan Referral Requirements. Medicare works with private insurers to offer Medicare recipients more choices for coverage. These Medicare Advantage plans must provide the same benefits as Original Medicare, but they often include additional benefits and have their own specific provider network.

What is the primary care physician?

The function of a primary care physician is to help you establish health needs and then help you maintain common health goals and preventive care. An appointment with your primary care doctor is typically your first step in addressing any chronic or acute symptoms.

Do you need to consult a representative for insurance?

Each insurer can have policies that differ from these general guidelines, so it may be necessary to consult with a representative for your specific plan to verify their policy with regard to specialist referrals.

Do you need a referral for a special needs plan?

Special Needs Plans (SNPs). Some common yearly screenings and exams performed by specialists may not require a referral, but most do. As with other plans, non-emergency specialists must be in-network providers in order to qualify for coverage.

What is the best way to encourage referral business?

Most importantly, provide excellent service. This is the best way to encourage referral business.

Do Medicare agents need referrals?

As a Medicare agent, you need referrals to grow your business. You also need to stay mindful of the rules so you don’t run afoul of compliance issues. DON’T collect phone numbers. You cannot collect phone numbers or call people based on referrals.

How to ask for referrals?

Sometimes the best way to ask for referrals is simply directly asking. It doesn’t need to be awkward if you’ve earned the right to ask by going the extra mile for your client.

How to convince clients to recommend you?

Offering rewards can be an excellent way to convince clients to recommend you to other people. The type of referral program that suits you depends on many factors, including your business type.

How many people trust recommendations?

Did you know as many as 92% of people say they trust recommendations from friends and family more than traditional advertisements? Getting your existing clients to recommend your business can bring in good quality leads for new customers and sustainably grow your business.

What to do when customers send feedback?

If your customers send you some feedback during the project, thank them for the input and remind them that anyone else like them could use your services to send them your way.

Is it cheaper to retain an existing customer or acquire a new one?

Not only do repeat customers spend more, but loyal customers are also more likely to recommend you to others. It’s also 5-25% cheaper to retain an existing customer than it is to acquire a new one.

Do people trust referrals?

People are a lot more likely to trust a recommendation from a friend rather than an advertisement. So make sure you take advantage of this by getting your customers to rave about you even when you’re not around. Learn more about referral marketing in our article Word of mouth marketing and how it can work.

Is it important to get referrals?

Even though getting new customers is crucial to your business, don’t neglect your existing ones. Long term business relationships are essential when it comes to getting referrals. The happier your customers are, the longer they stay with you. Likewise, the longer they stay with you, the more people they can tell about you.

How many referrals do you get?

In fact, while most people make only one referral, 34% of people make two to 10 referrals. 3  Imagine, getting two or more new clients simply by asking a happy client or customer? That's the power of referrals.

What is the best referral method?

A study from Amplifinity showed the request method that produced the best results was the verbal referral, at a 32% success rate. 1  Other options include using a lead form, email, business cards, sharable link, and social media. Note that while social media may feel easier to do, it's also the least effective, converting at a measly 1%. 1 

Why is referral marketing important?

As a result, developing a referral system in your marketing plan is key to success.

What to do if clients say no to referrals?

If your clients say no to giving you a referral but they are receiving your emails or following you on social media, this is where your referral campaigns can help. For example, a person might not be comfortable giving you names but would forward an email or share social media with their network.

How to get in the habit of asking for referrals?

The first thing you have to do to get in the habit of asking for referrals is to overcome your fear. You can do so in the following ways: Remember that most people like to help other people if there is no negative cost to them. Remind yourself that the worst that can happen is that the client says, "No.".

What to do if someone doesn't offer you a name?

If they do offer names, take the names down and ask the person if they mind if you contact the people directly or if they would prefer to pass your information along to them. If they don't offer names, ask if you can leave them some additional business cards that they can pass along.

Do businesses ask for referrals?

Many of those running their own businesses don't bother with referrals. Maybe they assume their clients will pass along good word of mouth about them. Or perhaps they find asking for referrals uncomfortable. The problem with not proactively asking for referrals is that they're missing out on one of the most effective and affordable ways to get more clients .

How to get referrals from clients?

Directly ask for a referral from clients. Don’t be shy or hesitant about it, even if you secretly feel a little uncomfortable. The fact is, most customers won’t refer you unless you specifically ask them to. It’s not that they don’t want to be helpful.

Why are referrals from clients so crucial?

Before we look at how to get referrals, it’s worth looking at why this is so essential.

Why is referrals important?

Referrals from existing clients are one of the most effective ways to generate new business. This is true across industries and business models. It is especially important, however, for web designers and other freelancers. Getting web design clients or clients for your graphics, writing, SEO or other type of business depends largely on ...

How to thank a client for referrals?

Show gratitude. When you do get referrals from clients, be sure to thank the customer and show your gratitude with some gesture. At the very least, send them an email or call them. You might also give them a complimentary gift certificate as a thank you.

Why do you want to use your new customers?

This helps to motivate you to deliver the highest quality service to all of your customers, new and old.

How many times more likely are people to be influenced by referrals?

Research, in fact, shows that people are two to three times more likely to be influenced by a referral compared to traditional advertising.

Is it better to ask for referrals?

While it’s fine to simply ask for referrals from clients at your own pace, it’s even better if you do it more systematically. As your business grows, you’ll find it gets more difficult to keep track of your client referral requests. There are some ways to automate the process of asking for referrals from clients.

How to get referrals for clients?

Set a goal for how many client referrals you are going to get this week, then start calling your existing clients (or make this a part of your routine service calls). This will be great for you from a customer service standpoint, too. The Service Call Technique isn’t just a way to get referrals for current clients – it’s a way to make sure your clients are happy with your services; and once they say “YES!”, there’s a good chance they’ll provide an introduction to someone just like them.

How to get your client to setup a sales call?

Get your client to setup your sales call for you. Say something like: “Oftentimes, my clients give their friends a heads up that I’m going to give them a call. Will you send them an email or text message just to let them know they’re really going to enjoy talking to me and that they are going to want to take my call?”

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