Question

Ms. Lopez is an independent agent under contract with MarketCo, a third-party marketing organization. MarketCo has a contract with BestCare health plan, a Medicare Advantage (MA) organization, to offer marketing services through its contracted agents and agencies. Ms. Lopez returns calls to individuals who contact MarketCo in response to its mailers promoting BestCare health plan. Which of the following best describes the responsibilities of Ms. Lopez?

Answer 1

Answer:

Ms. Lopez is considered a marketing representative of BestCare and thus is obligated to comply with CMS marketing requirements, including those regarding using only approved call scripts.

Answer 2

The scenario painted above means that Ms. Lopez is considered a marketing representative of BestCare and thus is obligated to comply with CMS marketing requirements, including those regarding using only approved call scripts

Under Centers for Medicare and Medicaid Services (CMS) rules, Ms. Lopez is a marketing representative of BestCare because she is promoting its policies by taking calls from individuals inquiring about it.

As a marketing representative, the CMS imposes some rules on how she should approach people about the policies of BestCare including:

• In the case where call scripts need to be approved, se only the approved versions when calling people.
• When calling, do not claim to be endorsed by Medicare.
• Do not call people without their permission
• Do not call people on the Do Not Call Registry.
• Do not call late at night or early in the morning

Ms. Lopez is to follow these rules when returning calls and if she does not, her actions could lead to BestCare being sanctioned by the CMS.

Ms. Lopez is therefore obligated to comply with CMS requirements because they govern the correspondence between MA organizations and people.

For other things that the CMS does, here is a related link - https://brainly.com/question/1909464

The other options of this question are:

• a. Ms. Lopez is considered a marketing representative of BestCare and thus is obligated to comply with CMS marketing requirements, including those regarding using only approved call scripts
• b. Ms. Lopez is considered a marketing representative of BestCare but is exempt from the marketing rules regarding approved call scripts because she works directly for MarketCo.
• c. Ms. Lopez no longer needs to be concerned about state licensure since she is marketing an MA product subject to federal rules.
• d. Ms. Lopez needs to maintain state licensure, but because she is working for a third-party marketing organization she is exempt from CMS training requirements that apply to BestCare captive agents.