Plan Library - Medicare

Record Retention for Part D
Review Part D record retention requirements, including documentation standards, compliance guidelines, and timelines for maintaining pharmacy records.
Screening for Food and Drug Allergies
Learn how to screen for food and drug allergies with evidence-based guidelines, key questions, and best practices to support accurate diagnosis and patient safety.
Sequestration
Guidelines for sequestration, including Medicare payment reductions, billing impact, and reimbursement adjustments for affected claims.
Service Denial Letter
Guidelines for issuing Service Denial letters, including requirements, timelines, and documentation for notifying Medicare members of SNF coverage termination.
Transition Fill
Learn about transition fill policies, including temporary medication coverage, eligibility requirements, and guidelines to ensure continuity of care during plan changes.
Utilization Management - HMSA Akamai Advantage®
Overview of utilization management for HMSA Akamai Advantage, including policies, review processes, and tools used to ensure appropriate, high-quality Medicare care.