PROGRAM INTEGRITY: OVERSIGHT OF RECOVERY AUDIT CONTRACTORS United States Senate Committee on Finance Hearing June 25, 2013 Statement Submitted by the Center for Medicare Advocacy, Inc. The Senate Finance Committee’s June 25 hearing … [Read more...] about Senate Hearing on Oversight of Recovery Audit Contractors: Center’s Statement Regarding Beneficiary Impact
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Medicare’s National Mail Order Program for Diabetic Testing Supplies
On July 1, 2013, Medicare Part B will implement a national mail-order competitive bidding program specifically for diabetic testing supplies. [1],[2] The program applies to all zip codes in the 50 United States, the District of Columbia, Puerto … [Read more...] about Medicare’s National Mail Order Program for Diabetic Testing Supplies
Judith Stein Quoted in McKnight’s Regarding the Long-Term Care Commission
On February 6, 2013, the Center for Medicare Advocacy’s founder and Executive Director, Judith Stein was appointed to serve on the newly formed national Commission on Long-Term Care, created as part of the American Taxpayer Relief Act (ATRA). … [Read more...] about Judith Stein Quoted in McKnight’s Regarding the Long-Term Care Commission
Let DMEPOS Competitive Bidding Proceed While Addressing Identified Problems and Concerns
Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program is once again under attack. Many questions have been raised about whether the program is fair to providers and whether … [Read more...] about Let DMEPOS Competitive Bidding Proceed While Addressing Identified Problems and Concerns
New Report: Immigrants and Immigration Reform are Good for Medicare
A new study published in Health Affairs reports that immigrant workers in the United States disproportionately contribute to the Medicare Program and help ensure its financial solvency and strength.[1] The study's authors found that between 2002 … [Read more...] about New Report: Immigrants and Immigration Reform are Good for Medicare
Good News: Trustees Project Longer Medicare Solvency
Today, the Medicare Trustees issued their annual report on Medicare's financial status. According to this year's report, the Part A (Hospital Insurance) Trust Fund has sufficient reserves to fully pay Medicare benefits until 2026 … [Read more...] about Good News: Trustees Project Longer Medicare Solvency
Jimmo v. Sebelius Improvement Standard Case Summary
Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the "Improvement Standard" case, Jimmo v. Sebelius, No. 11-cv-17 (D.VT), filed January 18, 2011. A … [Read more...] about Jimmo v. Sebelius Improvement Standard Case Summary
Why the Jimmo v. Sebelius Case Matters: Improvement Standard Stories
(print stories only) Mrs. Jimmo Lead plaintiff in the Improvement Standard case, Glenda Jimmo of Bristol, Vermont is blind and has had her right leg amputated due to complications from diabetes. She requires a wheelchair, and receives multiple … [Read more...] about Why the Jimmo v. Sebelius Case Matters: Improvement Standard Stories
Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
General Question: Are professional therapy services available under Medicare only for patients who are improving or who are expected to improve? Answer: No. The Jimmo Settlement confirms that services by a physical therapist, occupational … [Read more...] about Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
CMS Updates Guidance for Hospital Discharge Planning
On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) released an update of Appendix A of the State Operations Manual (SOM) revising its interpretive guidelines for hospital Discharge Planning.[1] Medicare discharge planning … [Read more...] about CMS Updates Guidance for Hospital Discharge Planning