In its most recent report on nursing home payments and quality, February 2013, the Office of Inspector General (OIG), Department of Health and Human Services (HHS) reports that many skilled nursing facilities (SNFs) failed to provide adequate care … [Read more...] about Medicare Paid $5.1 Billion to SNFs that Did Not Provide Care-Planning and Discharge-Planning (February 2013 OIG Report)
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April 2013 – Ongoing Due Process Concerns in Medicare Appeals
And Proposals for the Future of Medicare Welcome and Housekeeping (David Lipschutz, Moderator) Presentation: Medicare’s Administrative Review Process – Ongoing Due Process Concerns & Possible … [Read more...] about April 2013 – Ongoing Due Process Concerns in Medicare Appeals
April 2013 – Ongoing Due Process Concerns In Medicare Appeals
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
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
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
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
Warning: Medicare Payment Limits Are Bad for Health!
One of the deficit reduction proposals being discussed to achieve savings from Medicare is to introduce new cost-sharing for home health care. As a means to ward off such potential home health co-payments, some instead suggest capping Medicare … [Read more...] about Warning: Medicare Payment Limits Are Bad for Health!
Special Report – Independence of Medicare Administrative Law Judges Threatened by Office of Inspector General’s Recommendations
In November, the Office of Inspector General (OIG) issued a report entitled, "Improvements are Needed at the Administrative Law Judge Level of Medicare Appeals." The report can be found at … [Read more...] about Special Report – Independence of Medicare Administrative Law Judges Threatened by Office of Inspector General’s Recommendations
Annual Medicare Payment Limits for Home Health – Even Worse Than Co-Pays for Beneficiaries
The Center for Medicare Advocacy has represented Medicare beneficiaries since 1986. As one of the few advocacy organizations in the nation solely serving Medicare beneficiaries, we strongly oppose home health episodic payment caps or any other such … [Read more...] about Annual Medicare Payment Limits for Home Health – Even Worse Than Co-Pays for Beneficiaries