1. LEGISLATIVE UPDATE: THE IMPACT ACT OF 2014 On October 6, 2014, President Obama signed into law the “Improving Medicare Post-Acute Care Transformation Act of 2014” or IMPACT Act. The bill resulted from a bipartisan, … [Read more...] about October 2014 – The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) & Other Isues
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Center for Medicare Advocacy Sues to Fix Broken Medicare Appeals System
On August 26, 2014, the Center for Medicare Advocacy filed a nationwide class action lawsuit in United States District Court (Lessler et al. v. Burwell, 3:14-CV-1230, D. Conn.). The five named plaintiffs, from Connecticut, New York and Ohio, have all … [Read more...] about Center for Medicare Advocacy Sues to Fix Broken Medicare Appeals System
Center for Medicare Advocacy Sues to Fix Broken Medicare Appeals System
August 26, 2014 – The Center for Medicare Advocacy filed a nationwide class action lawsuit in United States District Court in Connecticut today (Lessler et al. v. Burwell, 3:14-CV-1230, D. Conn.). The five named plaintiffs, from Connecticut, … [Read more...] about Center for Medicare Advocacy Sues to Fix Broken Medicare Appeals System
Fournier v. Leavitt
No. CV 08-2309-PHX-ROS (D.Ariz.), filed December 18, 2008. Appeal filed March 6, 2012 (No. 12-15478, 9th Cir.). Issue: Whether the Secretary's exclusion of coverage for dental care in extraordinary circumstances where the care is … [Read more...] about Fournier v. Leavitt
Deficiencies for “Sufficient” Staffing
The federal Nursing Home Reform law requires nursing facilities to have "sufficient" staff to meet their residents' needs.[1] Sufficient nursing staff is universally recognized as a key requirement for making high quality of care … [Read more...] about Deficiencies for “Sufficient” Staffing
Observation Status – Notice and Appeal
Connecticut Passes Observation Notice Law On June 12, 2014, Connecticut Governor Dannel P. Malloy signed into law a requirement that, starting October 1, 2014, Connecticut hospitals give oral and written notice to patients placed on observation … [Read more...] about Observation Status – Notice and Appeal
Senior Policy Attorney Toby S. Edelman Testifies about Observation Status before Congress
Center for Medicare Advocacy Senior Policy Attorney Toby S. Edelman will testify before the House Ways and Means Health Subcommittee on Tuesday, May 20, 2014 at 9:30 AM regarding current hospital issues in the Medicare program, specifically the … [Read more...] about Senior Policy Attorney Toby S. Edelman Testifies about Observation Status before Congress
Hospice and Access to Medications – New CMS Guidance
On March 10, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a memorandum to Part D Plan Sponsors and Medicare Hospice Providers entitled, "Part D Payment for Drugs for Beneficiaries Enrolled in Hospice – Final 2014 … [Read more...] about Hospice and Access to Medications – New CMS Guidance
Medicare Physician Payment – Another One-Year Fix Passes Congress, With Usual “Extenders” and Some New, Permanent Payment Policies
On Tuesday, April 1st, President Obama signed into law the "Protecting Access to Medicare Act of 2014" (H.R. 4302).[1] This bill is a one year short-term "fix" or "patch" to pending Medicare physician payment cuts under … [Read more...] about Medicare Physician Payment – Another One-Year Fix Passes Congress, With Usual “Extenders” and Some New, Permanent Payment Policies
CMA Report: Inappropriate Use of Antipsychotic Drugs in Nursing Homes, Part Three – Recommendations to Improve the Citing of Deficiencies
As required by the 1987 federal Nursing Home Reform Law,[1] CMS has developed, tested, and periodically revised a survey protocol that state surveyors, who are generally employed by the state health departments, must use to determine nursing … [Read more...] about CMA Report: Inappropriate Use of Antipsychotic Drugs in Nursing Homes, Part Three – Recommendations to Improve the Citing of Deficiencies