When it comes to obtaining Medicare coverage for Mobility Assistive Equipment (MAE),[1] coverage criteria, particularly patient assessment standards, continue to be misunderstood by providers and beneficiaries. The spectrum of fraud and abuse … [Read more...] about Medicare Coverage of Power Mobility Devices: Tips and Reminders
Article
Don’t “Fix” Medicare Out of Existence
Much of the current talk about the problems of Medicare misses the point. The proposals could end up "fixing" a successful program out of existence. Before supporting any fix, remember: Medicare has been a success Medicare assures the … [Read more...] about Don’t “Fix” Medicare Out of Existence
Weichardt v. Leavitt
WEICHARDT v. LEAVITT No. C 03-05490 VRW (N.D.Cal.), filed December 5, 2003 Updated: January 3, 2008 Issue: Whether CMS’ promulgation of final rules not requiring timely advance written notice to hospitalized Medicare beneficiaries who are … [Read more...] about Weichardt v. Leavitt
Healey v. Leavitt
No. 398CV00418 DJS (D.Conn.), filed March 4, 1998 Last Updated: September 21, 2007 Issue: Whether the Secretary of HHS failed to ensure that home health agencies provided sufficient notice and hearing rights to home health patients whose services … [Read more...] about Healey v. Leavitt
Addressing Concerns about Quality of Care For Medicare Beneficiaries
When beneficiaries receive Medicare coverable health care, there is an expectation that the provider will listen to their concerns and assess and provide appropriate medical care. What can beneficiaries do if they believe that the prescribed medical … [Read more...] about Addressing Concerns about Quality of Care For Medicare Beneficiaries
Webber v. McClellan
No. CV05-4219-PHX-NVW (D.Ariz.), filed December 22, 2005 Updated: April 5, 2007 Issue: Whether regulations issued by CMS on March 8, 2005, which, inter alia, establish a new cadre of ALJs to handle only Medicare claims and which make it virtually … [Read more...] about Webber v. McClellan
Is it Time for Federal Regulation of the Assisted Living Industry?
Introduction The assisted living industry is regulated by states. No federal law regulates, or even defines, assisted living. It has generally been assumed that Congress would not become involved in assisted living until either (1) a … [Read more...] about Is it Time for Federal Regulation of the Assisted Living Industry?
Lirot v. Leavitt
No. 3:05CV824(RNC) (D.Conn.), filed May 24, 2005 Updated: August 26, 2006 Issue: Whether the Secretary's regulation (42 C.F.R. ' 405.910(i)(1)), effective May 1, 2005, that prohibits Medicare contractors from sending copies of the notice of … [Read more...] about Lirot v. Leavitt
Erb v. McClellan
No. 2:05-cv-6201 (E.D.Pa.), filed November 30, 2005 Last Update: August 25, 2006 Issue: Whether CMS' implementation of so-called "passive enrollment" into a Medicare managed care plan for over 110,000 dual eligibles in … [Read more...] about Erb v. McClellan
CT DSS v. Leavitt
No. 399CV2020(SRU) (D.Conn.), filed October 18, 1999 Last Updated: August 25, 2006 Issue: Whether the Dept. of Health and Human Services (via CMS) violates the Medicare statute and due process clause by allowing a fiscal intermediary, United … [Read more...] about CT DSS v. Leavitt