Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program is once again under attack. Many questions have been raised about whether the program is fair to providers and whether … [Read more...] about Let DMEPOS Competitive Bidding Proceed While Addressing Identified Problems and Concerns
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Medicare Coverage and the Affordable Care Act – What the Health Care Marketplaces (Exchanges) Mean for YOU
I HAVE MEDICARE.... and I need help paying for my medical expenses, including my Medicare premiums, coinsurance and drug costs. How can my state’s health care marketplace (a.k.a. exchange) help me? ► What programs are available in … [Read more...] about Medicare Coverage and the Affordable Care Act – What the Health Care Marketplaces (Exchanges) Mean for YOU
Joint Testimony on Bipartisan Medicare Reform Proposals
UNITED STATES HOUSE OF REPRESENTATIVES COMMITTEE ON WAYS & MEANS, SUBCOMMITTEE ON HEALTH HEARING ON "THE PRESIDENT'S AND OTHER BIPARTISAN PROPOSALS TO REFORM MEDICARE" WRITTEN TESTIMONY SUBMITTED JOINTLY BY CALIFORNIA … [Read more...] about Joint Testimony on Bipartisan Medicare Reform Proposals
April 2013 – Ongoing Due Process Concerns In Medicare Appeals
And Proposals for the Future of Medicare 1. PRESENTATIONS MEDICARE’S ADMINISTRATIVE REVIEW PROCESS - ONGOING DUE PROCESS CONCERNS & POSSIBLE SOLUTIONS During our October 2012 Alliance call, we discussed that through the … [Read more...] about April 2013 – Ongoing Due Process Concerns In Medicare Appeals
CMS’ Proposed Rules on Observation Status Would Not Help Beneficiaries
The Center for Medicare & Medicaid Services (CMS) recently issued proposed rules and an interim CMS Ruling to allow hospitals to bill Medicare Part B after a Part A claim is denied. 78 Fed. Reg. 16,632 (March 18, 2013).[1] These … [Read more...] about CMS’ Proposed Rules on Observation Status Would Not Help Beneficiaries
Center for Medicare Advocacy Testifies on Medicare Redesign
In testimony submitted today to the U.S. House Committee on Ways & Means, California Health Advocates, the Center for Medicare Advocacy, Inc. and the Medicare Rights Center urged lawmakers to reject Medicare redesign proposals that burden older … [Read more...] about Center for Medicare Advocacy Testifies on Medicare Redesign
Self-Help Packet for Home Health Care Appeals Including “Improvement Standard” Denials
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
Self-Help Packet for Hospital Discharge
Introduction Hospital Discharge Checklist Hospital Coverage Quick Screen Hospital Discharge Rights & Action Steps Glossary of Terms Federal Regulations Introduction The Center for Medicare Advocacy produced this packet to … [Read more...] about Self-Help Packet for Hospital Discharge
New CMS Website: Medicare Secondary Payer Conditional Payment Information
On January 10, 2013, President Obama signed legislation for the establishment of a website to provide information to beneficiaries about their Medicare Secondary Payer (MSP) obligations.[1] While there are exceptions, Medicare generally expects … [Read more...] about New CMS Website: Medicare Secondary Payer Conditional Payment Information
December 2012 – Update on Jimmo: the Improvement Standard Case
1. PRESENTATIONS UPDATE ON JIMMO: THE IMPROVEMENT STANDARD CASE In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about December 2012 – Update on Jimmo: the Improvement Standard Case