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Self Help Packet

The Jimmo v. Sebelius Settlement Agreement: An Issue Brief for Medicare Providers

January 15, 2020

January 2020 Download this Brief Table of Contents What is the Jimmo Settlement Agreement? Does Jimmo Apply to My Practice? What Does Jimmo Mean for My Patients? Are Providers Implementing Jimmo? How Do PDPM and … [Read more...] about The Jimmo v. Sebelius Settlement Agreement: An Issue Brief for Medicare Providers

Filed Under: Article, Self Help Packet Tagged With: Jimmo-practice-tip, The Improvement Standard

Jimmo “Improvement Standard” Appeal Letter Template

October 24, 2019

[Date] [Attorney’s Name] [Address] Re: [Beneficiary’s Name], Medicare No. [XXXXX] To Whom It May Concern: I am writing on behalf of my client, [Full Name], to request an expedited reconsideration. The skilled nursing facility (SNF) … [Read more...] about Jimmo “Improvement Standard” Appeal Letter Template

Filed Under: Self Help Packet Tagged With: Jimmo-practice-tip, The Improvement Standard

Medicare Home Health Coverage Booklet

November 29, 2018

WHAT IS NEEDED TO QUALIFY FOR  MEDICARE HOME HEALTH COVERAGE? The patient must be homebound. (This does not mean the patient can never leave home. For example, patients can leave home occasionally, go to adult day care, religious services, … [Read more...] about Medicare Home Health Coverage Booklet

Filed Under: Self Help Packet Tagged With: Brochure, Home Health

Cobertura De Medicare Para Salud Domiciliaria

November 29, 2018

¿QUÉ SE NECESITA PARA CALIFICAR PARA COBERTURA DE SALUD DOMICILIARIA DE MEDICARE? El paciente debe ser confinado. (Esto no significa que el paciente nunca puede salir de su hogar. Por ejemplo, los pacientes pueden salir del hogar … [Read more...] about Cobertura De Medicare Para Salud Domiciliaria

Filed Under: Self Help Packet Tagged With: Brochure, Home Health

Checklist for Medicare Nursing Home “Improvement Standard” Denials

October 25, 2018

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Checklist to help Medicare beneficiaries and their families respond to unfair Medicare denials for skilled nursing facility care based on an … [Read more...] about Checklist for Medicare Nursing Home “Improvement Standard” Denials

Filed Under: Article, fact-sheet, Self Help Packet Tagged With: alert, Appeal Tips, Jimmo-practice-tip, Skilled Nursing Facility, snf, The Improvement Standard, Weekly Alert

Checklist for Medicare Home Health Care “Improvement Standard” Denials

October 18, 2018

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Checklist to help Medicare beneficiaries and their families respond to unfair Medicare denials for home health care based on an erroneous … [Read more...] about Checklist for Medicare Home Health Care “Improvement Standard” Denials

Filed Under: Article, fact-sheet, Self Help Packet Tagged With: alert, Appeal Tips, Home Health, Jimmo-practice-tip, The Improvement Standard, Weekly Alert

Medicare Fully Informed Project

October 15, 2018

Providing Medicare Beneficiaries with Complete, Objective Information to Help Them Make the Best Enrollment Decision Updated for 2019 The Center for Medicare Advocacy and the National Committee to Preserve Social Security and Medicare have … [Read more...] about Medicare Fully Informed Project

Filed Under: Article, Self Help Packet Tagged With: alert, Enrollment, Medicare Advantage, Medicare Enrollment, Weekly Alert

Self-Help Packet for Ambulance Appeals

January 14, 2015

Introduction Checklist for Ambulance Appeals Quick Screen – Should My Ambulance Transport Be Covered By Medicare? Ambulance Transport Appeal Details Additional Information Glossary of Terms Medicare Regulations for Coverage … [Read more...] about Self-Help Packet for Ambulance Appeals

Filed Under: Self Help Packet Tagged With: Appeal Tips

Self-Help Packet for Medicare “Observation Status”

August 5, 2014

Introduction How to Use This Packet Observation Status Self-Help Federal Regulations – Requirements for Medicare Coverage for Skilled Nursing Facility Care Pertinent Federal Regulations for Medicare … [Read more...] about Self-Help Packet for Medicare “Observation Status”

Filed Under: Self Help Packet Tagged With: Appeal Tips

Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials

April 1, 2014

Introduction Checklist for Outpatient Therapy Discharges Checklist for Outpatient Therapy Appeals Quick Screen: Medicare Coverage for Outpatient Therapy Outpatient Therapy Appeal Details   Additional Information 1. … [Read more...] about Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials

Filed Under: Self Help Packet Tagged With: Appeal Tips, Medicare Part B

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

Medicare: Build Back Better

By prioritizing Medicare beneficiaries and the health systems that serve them, we can avoid drastic national consequences. The Center for Medicare Advocacy proposes a five-part plan that will make Medicare a bulwark against the worsening health and economic challenges facing the American people.

Learn more.

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