Strategic Consultation and Compliance
As the Medicare landscape continues to evolve, organizations offering Medicare Advantage (MA) plans need reliable consulting partners to stay competitive and compliant. At Lewis & Ellis, we provide comprehensive Medicare Advantage consulting services, supporting health plans as they navigate the complexities of MA offerings. Our services cover a wide range of aspects, from strategic guidance to actuarial certification, aimed at optimizing your MA plans and operations.
Strategic Medicare Advantage Consultation
Our team of seasoned actuaries and consultants deliver strategic insights, helping you align your MA offerings with your organizational goals and the changing healthcare landscape. With our deep understanding of Medicare Advantage and its intricate components, we advise on the design and pricing of MA plans, while optimizing your risk adjustment processes.
Bid Preparation and Submission
With extensive experience in Medicare Advantage bidding, we assist organizations in the preparation and submission of accurate and competitive MA bids. Our consultants ensure your bids adhere to CMS requirements, are actuarially sound, and strategically positioned for success in the marketplace.
Medicare Advantage Compliance
Navigating the regulatory requirements of MA plans can be challenging. We provide robust compliance consulting, ensuring your MA plans meet all CMS guidelines, from risk adjustment validation (RADV) audits to the actuarial certification process. We also keep you informed about regulatory updates and their potential impact on your plans.
MA Risk Adjustment and Star Ratings
We understand the critical role that risk adjustment and star ratings play in the success of MA plans. Our experts can help optimize your risk adjustment processes to ensure accurate reimbursement. Additionally, we provide guidance on improving your star ratings, which can enhance member satisfaction and attract potential enrollees.
MA Encounter Data Submission
Our team is equipped to help with the complexities of MA encounter data submission. We provide detailed guidance on how to accurately submit data, ensuring compliance with CMS regulations and maximizing potential revenue.
At Lewis & Ellis, we're dedicated to supporting organizations in the Medicare Advantage space. By leveraging our deep industry expertise and commitment to service excellence, we provide comprehensive solutions that cater to your Medicare Advantage needs.