Donations from individuals like you help the Center for Medicare Advocacy fight on behalf of individuals across the country. We want to share a story with you about just one of those people. Mrs. B. has lived with multiple sclerosis for decades. She … [Read more...] about Help CMA Protect Medicare and Health Care
Search Results for: maintenance
Concern over Skilled Nursing Facilities’ Upcoding Medicare Reimbursement Should Not Be Allowed to Deprive Residents of Necessary Care
Between 2006 and 2008, skilled nursing facilities (SNFs) increasingly billed for residents' care at higher-paying reimbursement categories (upcoding) under Medicare's prospective payment system. Medicare uses Resource Utilization Groups … [Read more...] about Concern over Skilled Nursing Facilities’ Upcoding Medicare Reimbursement Should Not Be Allowed to Deprive Residents of Necessary Care
Quick Medicare Facts & Statistics
"...Medicare has been a boon to the elderly and their children. Surveys show that beneficiaries are overwhelmingly satisfied with their care. Before Medicare, only 56 percent of the elderly had hospital insurance; the program has contributed to … [Read more...] about Quick Medicare Facts & Statistics
Lawsuit Filed to Block Illegal Denials of Services to Medicare Patients with Chronic Illness
For Immediate ReleaseJanuary 18, 2011Contact: Matt Shepard 860-456-7790 _____________________ Center for Medicare Advocacy Lead Counsel in National Class-Action Suit Burlington, VT − Today, The Center for Medicare Advocacy and co-counsel … [Read more...] about Lawsuit Filed to Block Illegal Denials of Services to Medicare Patients with Chronic Illness
New Medicare Home Health Regulations: Improvement is Not Required to Obtain Coverage
The Centers for Medicare & Medicaid Services (CMS) issued new regulations on November 17th regarding coverage for home health services. The new regulations clarify Medicare coverage for home health services, including physical therapy, … [Read more...] about New Medicare Home Health Regulations: Improvement is Not Required to Obtain Coverage
Medicare Coverage of Mental Health and Substance Abuse Services
What does Medicare cover for an inpatient psychiatric hospital stay? Are outpatient psychiatric services covered by Medicare? How much will Medicare pay for mental health and substance use services, and what out-of-pocket costs will … [Read more...] about Medicare Coverage of Mental Health and Substance Abuse Services
Cases
Hough v. Becerra U.S. District Court, District of New Jersey In this case, a retired public school teacher in New Jersey seeks coverage of her “off-label” (non-FDA-approved) use of a critically-needed medication. Medicare denied coverage of the … [Read more...] about Cases
Part D / Prescription Drug Benefits
Introduction to Medicare Part D This section constitutes an introduction to Part D. For more detailed information on any of the topics in this section, please click on the links within the topics. There, you will also find relevant legislative, … [Read more...] about Part D / Prescription Drug Benefits
Part B
What items or services are covered by Medicare Part B? Are routine physical exams covered under the Medicare Part B benefit? What does it mean if my doctor "accepts assignment?" Does Medicare Part B pay for the entire cost of Part B … [Read more...] about Part B
Medicare Advantage
WHAT IS MEDICARE ADVANTAGE? In addition to the government's traditional Medicare program, Medicare offers individuals the option to receive services through a variety of private insurance plans. These private insurance options are part of … [Read more...] about Medicare Advantage