People with chronic conditions and long-term illnesses are too often denied Medicare coverage on the grounds that they will not improve, need "maintenance services only," have "plateaued" or are "chronic and stable". Taken together, these reasons … [Read more...] about Medicare for People with Chronic Conditions
Search Results for: home health
Part D And People Who Are “Medically Needy”
Warning: this Alert may cause headaches. Those readers who have ever roamed the Serbonian Bog[1] that is Medicaid will feel right at home. THE MEDICAID BOG The so-called Medically Needy - Medicare beneficiaries whose Medicaid eligibility depends on … [Read more...] about Part D And People Who Are “Medically Needy”
Medicare Coverage of Power Mobility Devices: Tips and Reminders
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
New Rules Offer Better Protection for Medicare Patients
Medicare patients who are hospitalized sometimes find themselves being told to leave the hospital too soon, before they can safely be cared for at home or at a nursing home.[1] The protections provided for hospital patients in this … [Read more...] about New Rules Offer Better Protection for Medicare Patients
Resident Councils of Washington v. Leavitt
No. CV04-1691 (W.D. Wash.), filed July 30, 2004 Updated: January 3, 2008 Issue: Whether regulations that authorize states to allow Medicare and Medicaid certified nursing facilities to hire feeding assistants with eight hours of training violate the … [Read more...] about Resident Councils of Washington v. Leavitt
The Medicare Prospective Payment System (SNF)
Payment System Prior to July, 1998: Retrospective and Cost-Based Until July, 1998, nursing homes used to be reimbursed for care provided to Medicare Part A-covered residents residing in Medicare-certified beds through a retrospective cost-based … [Read more...] about The Medicare Prospective Payment System (SNF)