Medicare Advantage

UL’s compliance training solutions for Medicare Advantage plans respond to the evolving requirements of CMS, OIG and other regulatory agencies. Our standardized courses provide compliance training in subjects as diverse as enrollment and disenrollment, claims adjudication, FWA and the False Claims Act. Customized courses provide plan-specific training that, when coupled with our compliance curricula, assures access to necessary training by all relevant parties, whether they be employees or subcontractors. Marketing and sales training provides brokers, agents and other downstream entities, regardless of their location, the necessary information to comply with requirements for MA, MAPD, PPFS and PDP plans.

Customized, plan-specific training minimizes the potential for dissatisfied enrollees, negative publicity, and loss of reputation. UL’s KnowledgeWire^® learning management system supports the critical communication conduit with the plan’s compliance officer, the employees and downstream entities, enabling the distribution of critical information and the reporting of potential fraud, waste and abuse.

UL's comprehensive Medicare Advantage compliance solutions enable health plans to achieve and maintain compliance with regulations related to the following:

• Bids and benefits;
• Claims and appeals;
• Enrollment and disenrollment;
• Marketing and sales;
• Fraud, waste and abuse;
• False Claims Act.