Medicare Advantage: Membership Services

<p><span style="font-weight:normal;">This course discusses the obligations of a Medicare Advantage Organization (MAO) and of the Centers for Medicare and Medicaid Services (CMS) regarding Member Services. Topics in this course include: Operations; MAO Operational Functions; </span><span style="font-weight:normal;">Classification of Complaints, Appeals, and Grievances; Required Skills; </span><span style="font-weight:normal;">and CMS Call Center Monitoring <span>&nbsp;</span>and Required Disclosures. After completing this course, learners will be able to identify an MAO’s Member Services functions, recognize CMS’ regulatory requirements related to Member Services, recognize the importance of classification of member complaints, and be aware of CMS’ call center monitoring process and member disclosure requirements.</span></p>

After this course learners will be able to identify the functions of member services in a medicare advantage organization. recognize cms regulatory requirements related to member services. recognize how to classify member calls as inquiries, grievance and appeals. recognize elements of the cms call center monitoring process