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
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June 2015 – Reforming Medicare’s Appeal System & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Legislative Update Senate Finance Committee Addresses Medicare Appeals System (David Lipschutz & Judith Stein) Hearing on April 28, 2015 re: … [Read more...] about June 2015 – Reforming Medicare’s Appeal System & Other Issues
June 2015 – Reforming Medicare’s Appeals System & Other Issues
LEGISLATIVE UPDATE 1.Senate Finance Committee Addresses Medicare Appeals System On previous Alliance calls, we have discussed that through the Center’s extensive experience with the Medicare administrative appeals process, we continue to … [Read more...] about June 2015 – Reforming Medicare’s Appeals System & Other Issues
Bundling Payments for Post-Acute Care
The traditional Medicare program pays individual health care providers for the specific services and care they provide to beneficiaries and guarantees that patients have “freedom of choice”[1] to select their Medicare providers. A … [Read more...] about Bundling Payments for Post-Acute Care
Documenting Skilled Nursing Care for Medicare Coverage
June 10, 2015, 2:00pm - 3:00 PM EST Cost: $99.00 per site This webinar will examine proper documentation of skilled care for the purposes of obtaining Medicare coverage. The presentation will examine how to: Identify skilled care and … [Read more...] about Documenting Skilled Nursing Care for Medicare Coverage
18. Medicare Doesn’t Cover Long-Term Nursing Home Care
Medicare is a wonderful program. It provides important health insurance for millions of older and disabled people. But, contrary to common belief, Medicare does not cover long-term care in skilled nursing facilities (often referred to as … [Read more...] about 18. Medicare Doesn’t Cover Long-Term Nursing Home Care
Center Attorneys Meet with Senate Finance Committee Staff Members About Changes to Medicare Appeals Process
The Medicare appeals system is not working. The success rate at the first two levels of appeal is staggeringly low for beneficiaries. It can take years to get an ALJ hearing decision – the third level of appeal, and the first real opportunity … [Read more...] about Center Attorneys Meet with Senate Finance Committee Staff Members About Changes to Medicare Appeals Process
Senate Finance Committee Holds Hearing on Medicare Appeals Backlog – Proposed Solutions Are of Great Concern
On April 28, 2015, the Senate Finance Committee held a hearing entitled “Creating a More Efficient and Level Playing Field: Audit and Appeals Issues in Medicare.”[1] As noted by Chairman Hatch in his opening statement, … [Read more...] about Senate Finance Committee Holds Hearing on Medicare Appeals Backlog – Proposed Solutions Are of Great Concern
April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Legislative/Budget Update Medicare physician payment (Sustainable Growth Rate, or SGR) (David Lipschutz) House passed SGR bill – review of what … [Read more...] about April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
LEGISLATIVE/BUDGET UPDATE 1.Medicare Physician Payment (SGR) In an effort to address the perennial issue of payment for Medicare physicians -- the fundamentally flawed reimbursement system known as the sustainable growth rate or SGR – the … [Read more...] about April 2015 – The Potential Impact of the “Doc Fix” & Other Issues