And Proposals for the Future of Medicare 1. PRESENTATIONS MEDICARE’S ADMINISTRATIVE REVIEW PROCESS - ONGOING DUE PROCESS CONCERNS & POSSIBLE SOLUTIONS During our October 2012 Alliance call, we discussed that through the … [Read more...] about April 2013 – Ongoing Due Process Concerns In Medicare Appeals
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February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
1. PRESENTATIONS UPDATE ON JIMMO: SETTLEMENT APPROVED In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
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 Information The “Improvement Standard” … [Read more...] about Self-Help Packet for Skilled Nursing Facility Appeals Including “Improvement Standard” Denials
Jimmo v. Sebelius: Federal Settlement Invalidated Medicare Improvement Requirement
Based on an article by Judith A. Stein, Executive Director, Center for Medicare Advocacy, Copyright © 2013 Bloomberg BNA (2/2013). Mrs. “P” was 68 years old and living with Amyotrophic Lateral Sclerosis (ALS, commonly known as Lou … [Read more...] about Jimmo v. Sebelius: Federal Settlement Invalidated Medicare Improvement Requirement
Judge Approves Settlement in Jimmo vs. Sebelius After Court Hearing
Completion of legal process for beneficiaries with long-term and chronic conditions January 24, 2013 - Mansfield, Conn. – The Center for Medicare Advocacy, along with its co-counsel Vermont Legal Aid are pleased that the Settlement … [Read more...] about Judge Approves Settlement in Jimmo vs. Sebelius After Court Hearing
Improvement Standard Fairness Hearing Scheduled: Next Step to Eliminating Harmful Standard for Good
January 16, 2013 - Mansfield, Ct. – The Center for Medicare Advocacy, along with its co-counsel Vermont Legal Aid and the law firm of Wilson Sonsini Goodrich & Rosati, marks a critical next step toward finalizing its class action lawsuit … [Read more...] about Improvement Standard Fairness Hearing Scheduled: Next Step to Eliminating Harmful Standard for Good
Notes from the Cliff: The Deal and Its Impact on Medicare
This week, the U.S. House of Representatives voted to approve legislation passed by the Senate to address the "fiscal cliff"- the concurrent expiration of tax cuts and the beginning of automatic spending cuts (the Sequester) set to … [Read more...] about Notes from the Cliff: The Deal and Its Impact on Medicare
Comments on Improvement Standard Settlement Due January 10, 2013
This Notice to Class of Proposed Settlement of Class Action and of Fairness Hearing describes the proposed settlement in the Improvement Standard case. If you wish to object to the settlement, you must do so in writing via letter or card … [Read more...] about Comments on Improvement Standard Settlement Due January 10, 2013
The Improvement Standard: Real Stories
In October 2012, the Center for Medicare Advocacy announced the settlement of the “Improvement Standard” class action lawsuit, Jimmo vs. Sebelius. For more than thirty years, the wrongful interpretation of the Medicare statue led to the … [Read more...] about The Improvement Standard: Real Stories