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
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Cases
Barton Reeves v. Becerra U.S. District Court, Connecticut In this case, the Medicare agency made a fundamental error of law when it denied coverage of skilled nursing facility (SNF) care for a Connecticut resident. After a hearing with an … [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
Improvement Standard and Jimmo News
Watch the 2023 Jimmo Symposium | Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation Originally held September 27, 2023, this virtual meeting brought together advocates, providers, beneficiaries, and others to discuss practical … [Read more...] about Improvement Standard and Jimmo News
Discharge Planning
Rights and Procedures for Medicare Beneficiaries in Various Care Settings What does "Discharge Planning" plan for? What is the hospital supposed to do to prepare me for discharge? How do I get notified? How can I argue being … [Read more...] about Discharge Planning
Medicare Coverage for People with Disabilities
I'm not 65 yet, but I am disabled. Can I get Medicare coverage? I heard that I had to collect disability for 24 months to be eligible. Is this ALWAYS true? I have trouble getting private insurance. Can my illness disqualify me for Medicare … [Read more...] about Medicare Coverage for People with Disabilities
Chronic Conditions
Services for Beneficiaries with Chronic Conditions Many beneficiaries and providers often have questions about obtaining Medicare and Medicare Advantage coverage for services provided to individuals with on-going, chronic conditions. Medicare … [Read more...] about Chronic Conditions
Glossary of Terms
The letters at the top of the glossary chart will act as alphabetical links. To search for a specific word or phrase on this page, use the Ctrl+F keys on your keyboard, and enter the word you are looking … [Read more...] about Glossary of Terms