Welcome and Housekeeping (David Lipschutz, Moderator) Litigation Update (Ali Bers) Jimmo (Improvement standard) Court order for additional education issued August 18, 2016 Exley (formerly … [Read more...] about September 2016 – Progress In Impact Litigation & Other Issues
Search Results for: observation
Center for Medicare Advocacy Submits Comments on Troubling Proposed Rules
The Center recently submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding the following proposed rules. Appeals Since 1986, the Center has represented thousands of Medicare beneficiaries seeking coverage of … [Read more...] about Center for Medicare Advocacy Submits Comments on Troubling Proposed Rules
Center Comments on Proposed Rule that Would Significantly Alter the Medicare Administrative Appeals Process
August 29, 2016 Office of Medicare Hearings and Appeals Department of Health & Human Services Attention: HHS-2015-49 5201 Leesberg Pike, Suite 1300 Falls Church, VA 22041 Submitted electronically … [Read more...] about Center Comments on Proposed Rule that Would Significantly Alter the Medicare Administrative Appeals Process
CMS Delays Implementation of NOTICE Act Until Fall 2016
Beginning August 6, 2016, the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act)[1] requires hospitals to provide written and oral notice, within 36 hours, to patients who are in observation or other outpatient … [Read more...] about CMS Delays Implementation of NOTICE Act Until Fall 2016
A Model to Waive the Three-Day Inpatient Hospital Stay Requirement for Care in a Skilled Nursing Facility
In order for Medicare Part A to pay for a patient’s stay in a skilled nursing facility (SNF), the patient must first have spent at least three consecutive days as an inpatient in an acute care hospital.[1] For many Medicare beneficiaries, … [Read more...] about A Model to Waive the Three-Day Inpatient Hospital Stay Requirement for Care in a Skilled Nursing Facility
July 2016 – Proposed Medicare Appeals Rules & Other Issues
PROPOSED RULE TO REVISE MEDICARE ADMINISTRATIVE APPEALS PROCESS As discussed during previous Alliance calls, there is a significant backlog of cases at the third and fourth levels of the Medicare administrative appeals process, the administrative … [Read more...] about July 2016 – Proposed Medicare Appeals Rules & Other Issues
July 2016 – Proposed Medicare Appeals Rule & Other Issues
NATIONAL MEDICARE ADVOCATES ALLIANCE CALL Monday, July 11th, 2016 – 2:00 P.M., Eastern Time Call-in Number: 1 (888) 206-2266 Pass Code: 9874704 NOTE: We ask people calling from the same location to gather around one … [Read more...] about July 2016 – Proposed Medicare Appeals Rule & Other Issues
Further Center Comments on the NOTICE Act – June 2016
June 16, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Ave., S.W. Washington, D.C. … [Read more...] about Further Center Comments on the NOTICE Act – June 2016
ALS-MAP: Webinar 1 Q&A
Medicare Access Project for People Living With ALS Medicare Overview – With an Emphasis on the Home Health Care Benefit Frequently Asked Questions and Answers General Home Health Questions "Homebound" … [Read more...] about ALS-MAP: Webinar 1 Q&A
GAO Report Highlights Certain Problems with Medicare Appeals
On June 9, 2016, the Government Accountability Office (GAO) publicly released a report (dated May 2016) titled “Medicare Fee-For-Service: Opportunities Remain to Improve Appeals Process”.[1] Among other things, the report … [Read more...] about GAO Report Highlights Certain Problems with Medicare Appeals