ADMINISTRATIVE UPDATE 1. Proposed Requirements of Participation for Nursing Facilities On July 16, 2015, the Centers for Medicare & Medicaid Services (CMS) published proposed rules to revise the nursing home Requirements of Participation … [Read more...] about September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues
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September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Administrative Update Proposed Requirements of Participation for Nursing Facilities (Toby Edelman) Overview of Proposed Rule - 80 Fed. Reg. 41267 (July 16, … [Read more...] about September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues
Comments on Revisions to the 2-Midnight rule
CMS-1633-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals … [Read more...] about Comments on Revisions to the 2-Midnight rule
Medicare Coverage of Skilled Care: Nine Services that are Skilled by Definition
The Center for Medicare Advocacy is concerned that Medicare beneficiaries are being denied Medicare coverage for skilled services that are specifically listed as covered by Medicare in federal regulations. Medicare covers various skilled therapies … [Read more...] about Medicare Coverage of Skilled Care: Nine Services that are Skilled by Definition
Case Study: Home Health Coverage and Medicare Advantage Plan Responsibilities
The Center for Medicare Advocacy received an e-mail inquiry from an individual requesting assistance advocating for her sister, Mrs. B. Mrs. B is a Medicare beneficiary enrolled in a Medicare Advantage plan and in need of home health … [Read more...] about Case Study: Home Health Coverage and Medicare Advantage Plan Responsibilities
2016 National Voices of Medicare Summit
and Senator Jay Rockefeller Lecture
On April 1, 2016, the Center for Medicare Advocacy held its third annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture. The event brought together leading experts and advocates to discuss best practices, challenges, … [Read more...] about 2016 National Voices of Medicare Summit
and Senator Jay Rockefeller Lecture
Center Comments to Senate Finance Committee Regarding Chronic Care Reform
June 22, 2015 The Honorable Orrin Hatch The Honorable Ron Wyden Chair, Committee on Finance … [Read more...] about Center Comments to Senate Finance Committee Regarding Chronic Care Reform
Center Comments Regarding Medicare Reimbursement of Skilled Nursing Facilities
CMS-1622-P: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection Submitted … [Read more...] about Center Comments Regarding Medicare Reimbursement of Skilled Nursing Facilities
Court Certifies Nationwide Class Action in Challenge to Medicare’s Review Process Delays
A federal judge in Connecticut has certified a nationwide class of beneficiaries who are challenging the Medicare program’s failure to render decisions at the administrative law judge (ALJ) level within the 90 days required by law. … [Read more...] about Court Certifies Nationwide Class Action in Challenge to Medicare’s Review Process Delays
Senate Finance Committee Approves Medicare Audit and Appeal Reform Bill
As we’ve previously reported, on April 28, 2015 the Senate Finance Committee held a hearing about the tremendous backlog of cases piled up at the Office of Medicare Hearings and Appeals (OMHA), the office that oversees Administrative Law Judges … [Read more...] about Senate Finance Committee Approves Medicare Audit and Appeal Reform Bill