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
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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
The Improvement Standard: Real Stories
In October 2012, the Center for Medicare Advocacy announced the settlement of the “Improvement Standard” class action lawsuit, Jimmo vs. Sebelius. For more than thirty years, the wrongful interpretation of the Medicare statue led to the … [Read more...] about The Improvement Standard: Real Stories
Settlement Reached to End Medicare’s “Improvement Standard”
Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the "Improvement Standard" case, Jimmo v. Sebelius.[1] A proposed settlement agreement[2] … [Read more...] about Settlement Reached to End Medicare’s “Improvement Standard”
October 2012 – Updates on Medicare Appeals and Complaints
National Medicare Advocates Alliance Issue brief #18 1. PRESENTATIONS ADMINISTRATIVE REVIEW PROCESS: LITTLE SUCCESS, LONG DELAYS Based upon the Center’s extensive experience with the Medicare administrative appeals … [Read more...] about October 2012 – Updates on Medicare Appeals and Complaints