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
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Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials
Introduction Checklist for Outpatient Therapy Discharges Checklist for Outpatient Therapy Appeals Quick Screen: Medicare Coverage for Outpatient Therapy Outpatient Therapy Appeal Details Additional Information 1. Introduction Dear … [Read more...] about Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials
Multiple Sclerosis & Medicare
I have Multiple Sclerosis, but am under 65 years of age. Can I receive Medicare benefits? I have been told that my condition is stable. Can I still receive Medicare home health benefits? Can I receive Skilled Nursing Facility coverage … [Read more...] about Multiple Sclerosis & Medicare
CMA Community News – February 2014
Editor's Note: Last month, readers liked the larger text, but requested better contrasting font color. So, once again, please let us know what you think. A Message from the Executive Director News You Can Use Legislative Watch CMA In … [Read more...] about CMA Community News – February 2014
Center Executive Director Judith Stein Testifies Before House Energy & Commerce Committee about Medicare Advantage Plans
On March 13, 2014, Center for Medicare Advocacy Executive Director and Founder Judith Stein testified before the House Energy & Commerce Committee, Subcommittee on Health, at a hearing entitled "Keeping the Promise: Allowing Seniors to Keep … [Read more...] about Center Executive Director Judith Stein Testifies Before House Energy & Commerce Committee about Medicare Advantage Plans
Testimony of Judith A. Stein Re: Medicare Advantage
Testimony of Judith A. Stein Executive Director, Center for Medicare Advocacy, Inc. United States House of Representatives Energy & Commerce, Subcommittee on Health "Keeping the Promise: Allowing Seniors to Keep Their Medicare … [Read more...] about Testimony of Judith A. Stein Re: Medicare Advantage
Center Comments on Proposed Medicare Part C & Part D Rules
Centers for Medicare & Medicaid Services Department of Health & Human Services Attention: CMS-4159-P P.O. Box 8013 Baltimore, MD 21244-8013 March 7, 2014 Submitted Electronically: http://regulations.gov Re: CMS-4159-P To … [Read more...] about Center Comments on Proposed Medicare Part C & Part D Rules
February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
1. PRESENTATION: RE-REVIEW OF PREVIOUSLY DENIED CLAIMS PURSUANT TO THE JIMMO SETTLEMENT In addition to revising Medicare manual provisions to now allow Medicare coverage for skilled maintenance care, the Settlement Agreement in Jimmo v. … [Read more...] about February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
Medicare Hospice Care: We Want Your Stories!
Hospice is a program of care and support for people who are terminally ill. To qualify for Medicare hospice coverage, a doctor certifies that a person is terminally ill, with an expectation of six months or less to live. Once a person … [Read more...] about Medicare Hospice Care: We Want Your Stories!
December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues
1. PRESENTATION: CMS MANUAL PROVISIONS ISSUED PURSUANT TO THE JIMMO SETTLEMENT The Center for Medicare Advocacy is pleased to announce that the Medicare Policy Manuals have been revised pursuant to the Jimmo vs. Sebelius Settlement. … [Read more...] about December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues