Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Self Help Packet

Self-Help Packet for Home Health Care Appeals Including “Improvement Standard” Denials

Introduction Checklist for Home Health Appeals Quick Screen: Should My Home Health Care Be Covered By Medicare? Home Health Appeal Details Additional Information The “Improvement Standard” Myth and Home Health … [Read more...] about Self-Help Packet for Home Health Care Appeals Including “Improvement Standard” Denials

Self-Help Packet for Skilled Nursing Facility Appeals Including “Improvement Standard” Denials

Introduction Checklist for Skilled Nursing Facility (SNF) Appeals Quick Screen: Should My SNF Care Be Covered By Medicare? Skilled Nursing Facility Appeal Details Additional InformationThe “Improvement Standard” Myth and Skilled Nursing Facility … [Read more...] about Self-Help Packet for Skilled Nursing Facility Appeals Including “Improvement Standard” Denials

Advocacy Tips: Medicare Administrative Law Judge (ALJ) Hearing Process

1. First StepsReview the Center for Medicare Advocacy’s Self-help Packets and coverage guidelines regarding the particular level of care involved in the appeal at: https://www.medicareadvocacy.org.Watch for, receive and review the Medicare … [Read more...] about Advocacy Tips: Medicare Administrative Law Judge (ALJ) Hearing Process

Expedited v. Standard Medicare Appeals: Not Knowing the Difference Could Cost You Your Appeal Rights!

Here’s the Issue Expedited Medicare appeals and standard Medicare appeals are designed to address different things and there are situations where a Medicare beneficiary must pursue both types of appeals.Expedited Appeals – … [Read more...] about Expedited v. Standard Medicare Appeals: Not Knowing the Difference Could Cost You Your Appeal Rights!

Choosing Between Traditional Medicare and Medicare Advantage

If you are eligible for Medicare you can chose between getting Medicare benefits through traditional Medicare (also known as original Medicare and traditional Medicare) or a Medicare Advantage (MA) plan.  Making this choice is personal and requires … [Read more...] about Choosing Between Traditional Medicare and Medicare Advantage

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