The Centers for Medicare and Medicaid Services has an effective medicare compliance program that decreases the risk of economic losses, reputational damage, and even criminal acts. This promotes a culture of prevention, detection, and resolution throughout the industry. Understanding Medicare compliance is key to maintaining a clean record and making more sales.
As an agent, you have the responsibility to protect the sensitive information of beneficiaries. This can reduce the risk of identity theft and the negative impact it will have on your clients. PHI (Protected Health Information) and PII (Personally Identifiable Information) can be classified as “non-public” personal information that can individually identify someone. These items can include:
We have a responsibility to protect Non-Public Information at all times. Do not use or give out Non-Public Information to anyone without approval. Accessing PHI, when it is not needed to complete your job, or just out of curiosity, is strictly prohibited.
It is your responsibility to keep confidential and proprietary information secure and protected from inappropriate access at all times. You must securely store it and protect it from other parties in your household or while traveling.
When you are handling confidential information, remember the following:
There are some circumstances where a beneficiary’s confidential information could be compromised. Keep the following in mind:
At Senior Market Advisors, we make sure our agents have the tools they need. Our compliance team makes sure you are educated on all CMS rules and regulations. Plus, our lead management system, online sales training, custom quote engine, and top tier commissions make sure our agents are set up for success. Ready to start contracting? Fill out this form or give us a call at 844-452-5020.