NEWS & UPDATES

2801, 2020

DMC Exploring the On-Demand Creation and Printing of Personalized Provider Directories (Provider, Facility and Pharmacy Directories)

January 28th, 2020|

DMC Exploring the On-Demand Creation and Printing of Personalized Provider Directories (Provider, Facility and Pharmacy Directories)

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DMC is currently investigating the opportunity for producing Personalized Provider Directories based on a data feed received direct from Health Plans whereby provider listings are appended with latitude/longitude data. The requesting Member’s address is then converted to a latitude/longitude coordinate with an automated radius query launched that is built around the member’s location and the providers’ corresponding latitude/longitude coordinates. A personalized PD would be generated with a specified minimum number of Providers identified in the radius pull based on the Provider Listings/Types (i.e. minimum of 10 Primary Care Physicians, minimum of 5 Cardiologists, 3 Oncologists, etc.). The automation solution would then generate a CSV print file to be sent to the DMC print shop for print production and fulfillment on 48 hour turn basis.

2701, 2020

DMC Provider, Facility and Pharmacy Directory (PD) & Formulary Updates with Printing and Mailing Solutions

January 27th, 2020|

DMC Provider, Facility and Pharmacy Directory (PD) & Formulary Updates with Printing and Mailing Solutions

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DMC will program your Health Plan’s English and foreign language PD updates in just 3 – 5 business days each month. This includes the programming of English and foreign language PDs. DMC also updates Formularies for its Health Plan customers on a monthly basis. The DMC process insures compliance of the CMS requirement that health plans update their PD’s and formularies on a monthly basis. Of course, Section 100.3 “Changes and Corrections to Existing Documents” of the Medicare Communications and Marketing Guidelines (MCMG) requires that these materials be updated must be updated within 30 calendar days of receipt of updated or corrected information from the provider/pharmacy to ensure accurate information is provided to enrollees.

In addition to updating your Plans PD and formulary materials DMC would then be able to fulfill mailing Member request for PDs, Formularies and other materials through its print-on-demand/mailing fulfillment program. DMC offers an automated SFTP protocol for Member Data Files to be uploaded by health plans to DMC’s website. All communications regarding the status of Member mailings take place through the DMC automated Client Portal. Automated email notifications are provided to DMC health plan customer team members. DMC produces all books through a print-on-demand process that includes printing, binding, and mailing in just 2 business days; thereby, complying with the CMS 3 business day rule requirement. This production turnaround is available for quantities ranging from just 1 book per member data file; to thousands of books per member data file. DMC would mail all packages as Bound Printed Matter Parcel (BPM) packages, appending your Plan’s member data files with IMpb barcodes that provide proof of mailing and proof of delivery for each Member.

2703, 2018

CUSTOMIZED CLOUD-BASED CLIENT PORTAL SOLUTION

March 27th, 2018|

CUSTOMIZED CLOUD-BASED CLIENT PORTAL SOLUTION

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DMC’s programming team has moved the DMC Health Plan Client Portal Solution to a Cloud Based AWS Server with redundancy and technical enhancements. DMC can demonstrate its Client Portal Solution for your Plan that includes an automation solution for the real-time mail tracking and delivery confirmation of all ANOC/EOCs, Post Enrollment Kits, and other Member Materials (i.e. Provider Directories, EOCs, etc.). DMC helps make Compliance Confirmation simple and easy.

DMC will be updating the Client Portal in 2020 to include on-line access to all original documents mailed to the Members (static and variable data components). Instant access to PDFs of all mailed components will be made available through our MEMBER SEARCH FUNCTION that can be used by your call center personnel. Call center personnel will also be able to interact with the Client Portal to order Member replacement materials.

DMC will provide fulfillment services for a Plan’s Member document requests within 48 hours. When DMC fulfills these member requests we provide corroborating documentation in the form of USPS mailing statements and appended Member data files. DMC appends the USPS IMpb barcode to the Member data files, which then provides proof as to the timing of the fulfillment (date mailed) and proof of delivery (USPS Delivery Confirmation). Plus, DMC can effectuate these mailings at the Bound Printed Matter Parcel rate (standard mail/marketing mail rate), which is far less costly than whatever method might be used by Plans that are fulfilling these Member requests internally at their offices.

2807, 2016

TURNKEY SOLUTIONS – ANOC/EOC PROGRAMMING PRINTING AND MAILING

July 28th, 2016|

TURNKEY SOLUTIONS – ANOC/EOC
PROGRAMMING PRINTING AND MAILING

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Direct Media Communications, Inc. (“DMC”) has been creating, printing, and mailing ANOC/EOC materials for Medicare Health Plans, including MAPD, DSNP, MMP, CSNP and COST Plans now for more than a decade. DMC has established a virtually flawless track record with on-time mailings and 100% accurate assembled/inserted package content.

“DMC can assist your Plan with turnkey solutions, including Document Creation, Document Review, and the Variable Data Programming of multiple ANOCs and EOCs across multiple Plans to save both time and money for Plans operating in multiple markets. DMC has completed the ANOC and EOC development of 108 versions of these books for a single Plan using just 3 Basic Programmed Dynamic Variable Templates. DMC uses a Proprietary Program Data Grid solution to rip Plan benefits through the dynamic templates and thereby eliminate the tedious task of populating CMS Model Documents. Once DMC programs your Plan’s ANOC and EOC Templates, we can populate variations across hundreds of Plan versions in a matter of a single day.

Our competition wants to sell you a complex software program that still leaves your Plan responsible for developing its own materials. DMC’s Consultants and VDP Programming Team start with this year’s CMS Model Documents and then assist in the development of a Plan Benefit Crosswalk that is used to provide an automated solution to the development of ANOC and EOC documents. For substantially less than what our competition wants to charge for their software; with just spending a mere fraction of the price tag required for their software solution, DMC will provide you and your Plan with finished 2021 ANOC/EOC documents.”

2807, 2016

CMS CHANGES RULES – READ THE NEW DIRECTORY AND FORMULARY REQUIREMENTS AVOID FINES & SANCTIONS

July 28th, 2016|

CMS CHANGES RULES – READ THE NEW
DIRECTORY AND FORMULARY REQUIREMENTS
AVOID FINES & SANCTIONS

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Equally as important as the ANOC/EOC Mailings, CMS is now requiring monthly updates of Plan Provider Directory books, Pharmacy Directory books and Formulary books. The 2017 Final Call letter to Medicare Advantage Organizations continued to emphasize the importance of material accuracy in Formularies and Plan Provider/Pharmacy Directories. The increased monitoring and enforcement actions especially as to Provider Directories and Pharmacy Directories has been launched due to preliminary data collected by the PNA (Pilot Program) that found severe violations with the Part D and Part C requirements. For example, 1/3 of the psychiatrists listed by a New York Health Plan as Plan Providers were in fact not affiliated with that Plan. CMS has made it clear that it will be issuing fines and enrollment sanctions against Plans that do not keep these materials updated on a monthly basis.

CRITICAL CMS UPDATE

Medicare Managed Care Manual

Chapter 4 – Benefits and Beneficiary Protections:

110.2.2 – Provider Directory Updates (Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16)

Section 110.2.2

“If new information is received – MAO’s are expected to update hardcopy provider directories…. every 30 days.”

2807, 2016

PROGRAMMED PDs, Pharmacy PDs and Formularies in Just 24 Hours Print & Mail Books on a Next Day Basis

July 28th, 2016|

PROGRAMMED PDs, Pharmacy PDs and
Formularies in Just 24 Hours
Print & Mail Books on a Next Day Basis

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DMC has developed Proprietary Provider Directory, Pharmacy Directory and Formulary software update programs through which DMC can provide monthly updates to your Plans books in just 24 hours, with no hourly assembly/document creation fees; DMC bills a flat page rate for its program solutions. Just pick up and the phone and by the next day you could have updated Provider Directories, Pharmacy Directories, and Formularies. Plus, DMC provides Translation Solutions and 508 Remediation Solutions on an as needed basis. First time programming of books does require an initial 6.7 hour programming charge in addition to the flat page rate charge; but, all subsequent updates are billed strictly on a flat page rate basis. DMC also offers a Next Day fulfillment program for the mailing of Provider Directories and Pharmacy Directories. Call us today for the most competitive programming rates in the nation.