Posted on January 07, 2016
On Friday, November 13, 2015, the Federal Centers for Medicare and Medicaid Services or CMS released updates to the previous 2016 Call Letter and Medicare Marketing Guidelines (MMG).
Medicare Advantage Organization (MAOs) and Medicare-Medicaid plans (MMPs) must contact providers quarterly instead of monthly, as previously required. This revision was due to the comments they received from industry groups: that the monthly communication may impose an undue burden on providers; and that it may not guarantee more accurate provider data.
These ongoing quarterly communications will ensure accurate "real time" provider directory information and that there are no changes in the following data requirements:
The phrase to produce accurate data in "real time" was defined as a 30-day time frame to implement provider information changes.