This is Part Three of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care, and outlining the Center for Medicare Advocacy’s work to address these issues. We invite you to … [Read more...] about Medicare Coverage for Home Care Is Based On a Need For Skilled Care – Improvement Is Not Required
Search Results for: improvement
Jimmo v. Sebelius Return to Court: Judge Orders Medicare Agency to Provide More Education per Settlement in “Improvement Standard” Case
In an Opinion and Order released on August 18, 2016, Chief Judge Christina Reiss, the judge in Jimmo v. Burwell – the “Improvement Standard case” – ordered the federal government, through its Centers for Medicare … [Read more...] about Jimmo v. Sebelius Return to Court: Judge Orders Medicare Agency to Provide More Education per Settlement in “Improvement Standard” Case
Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case and Provide More Education
For Immediate Release Contact: Matthew Shepard, mshepard@medicareadvocacy.org or 860-456-7790. Aug. 18, 2016. Burlington, Vt. In an Opinion and Order filed late yesterday and released this morning, Chief Judge Christina Reiss, who oversees … [Read more...] about Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case and Provide More Education
Jimmo v. Sebelius Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case, Provide More Education
In an Opinion and Order released on August 18, 2016, Chief Judge Christina Reiss, who oversees the “Improvement Standard” case (Jimmo v. Burwell, No. 11-cv-17 (D.Vt.)), ordered the federal government, through its Centers for Medicare … [Read more...] about Jimmo v. Sebelius Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case, Provide More Education
Administration Plans Major Improvements to Nursing Home Compare
The federal nursing home website, Nursing Home Compare, is about to undergo major changes that should significantly improve the accuracy of information about nursing homes that is provided to the public. The Improving Medicare Post-Acute Care … [Read more...] about Administration Plans Major Improvements to Nursing Home Compare
August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIOs) and Other Issues
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
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
CMS Restructures Quality Improvement Organization (QIO) Program
Separating Beneficiary Complaint Review Functions from Quality Improvement Functions On May 9, 2014, the Centers for Medicare & Medicaid Services (CMS) announced the first phase of its restructuring of the QIO functions. In the first … [Read more...] about CMS Restructures Quality Improvement Organization (QIO) Program
Quality Assessment and Performance Improvement (QAPI) In Nursing Homes: Diverting CMS Attention from Enforcement
June 12, 2014 Quality Assessment and Performance Improvement (QAPI) In Nursing Homes: Diverting CMS Attention from Enforcement In the past few years, the Centers for Medicare & Medicaid Services (CMS) has focused considerable attention on … [Read more...] about Quality Assessment and Performance Improvement (QAPI) In Nursing Homes: Diverting CMS Attention from Enforcement
Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials
Introduction Checklist for Outpatient Therapy Discharges Checklist for Outpatient Therapy Appeals Quick Screen: Medicare Coverage for Outpatient Therapy Outpatient Therapy Appeal Details Additional Information 1. Introduction Dear … [Read more...] about Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials