Welcome and Housekeeping (David Lipschutz, Moderator) Changes to Medicare’s Quality Improvement Organizations (QIOs) (Alfred Chiplin and Terry Berthelot) Overview of QIO restructuring to separate the beneficiary complaint review … [Read more...] about August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIOs) and Other Issues
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August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIO) & Other Issues
1. CHANGES TO MEDICARE’S QUALITY IMPROVEMENT ORGANIZATIONS (QIOs) CMS has restructured its Quality Improvement Organization (QIO) Program to separate the beneficiary complaint review functions from the quality improvement … [Read more...] about August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIO) & Other Issues
Fournier v. Leavitt
No. CV 08-2309-PHX-ROS (D.Ariz.), filed December 18, 2008. Appeal filed March 6, 2012 (No. 12-15478, 9th Cir.).Issue: Whether the Secretary's exclusion of coverage for dental care in extraordinary circumstances where the care is … [Read more...] about Fournier v. Leavitt
June 2014 – Losing Your Voice: Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
1. MEDICARE’S COVERAGE OF CAPPED RENTAL ITEMS DURING PART A INSTITUTIONAL STAYS: LOSING ACCESS TO SPEECH GENERATING DEVICES (SGDs)CMS Changes Its Coverage of Speech Generating DevicesThrough a new interpretation of longstanding … [Read more...] about June 2014 – Losing Your Voice: Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
June 2014 – Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Medicare’s Coverage of Capped Rental Items During Part A Institutional Stays: Losing Access to Speech Generating Devices (SGDs) (Alfred Chiplin) Overview of Medicare coverage … [Read more...] about June 2014 – Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
CMA Community News – April 2014
A Word from the Executive DirectorNews You Can UseCMS Backs Off on Leveling the Playing Field for Traditional Medicare and Private PlansAfter announcing that Medicare Advantage payment rates would be reduced in an effort to bring … [Read more...] about CMA Community News – April 2014
April, 2014 – Ongoing Medicare Appeal Concerns & Other Issues
1. LITIGATION UPDATESJimmo v. Sebelius (Improvement Standard) No. 11-cv-17 (D.Vt. filed 1/18/11). As reported during previous Alliance calls, the Settlement in Jimmo was approved on January 24, 2013 during a scheduled fairness … [Read more...] about April, 2014 – Ongoing Medicare Appeal Concerns & Other Issues
April 2014 – Ongoing Medicare Appeals Concerns and Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Litigation Update (Gill Deford) Jimmo – Improvement standard Bagnall (Observation) Other litigation Re-Review of Previously Denied Claims … [Read more...] about April 2014 – Ongoing Medicare Appeals Concerns and Other Issues
Thank You for Becoming a CMA Community Member
You should receive a receipt for your Membership Fee by email shortly. If you do not, please contact Scott Perkins at sperkins@medicareadvocacy.org.We will talk to you at our next "Ask the Expert" call! … [Read more...] about Thank You for Becoming a CMA Community Member
CMA Community News – March 2014
A Message from the Executive Director News You Can Use Legislative Watch CMA In the CommunityA Message from the Executive DirectorSince I wrote you last month, the Center for Medicare Advocacy hosted our 1st Annual National … [Read more...] about CMA Community News – March 2014