On December 9, 2009, the Centers for Medicare & Medicaid Services (CMS) issued final regulations for the Medicare Claims Appeals Process (Parts A & B combined) and for the application of certain appeals provisions to the Medicare … [Read more...] about CMS Issues Final Rules for Medicare Appeals
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CMS Issues Final Rules for Medicare Appeals
On December 9, 2009, the Centers for Medicare & Medicaid Services (CMS) issued final regulations for the Medicare Claims Appeals Process (Parts A & B combined) and for the application of certain appeals provisions to the Medicare prescription … [Read more...] about CMS Issues Final Rules for Medicare Appeals
“Observation Status” Harms SNF Patients As Well As Hospital Patients
Advocates at the Center for Medicare Advocacy are working on a case involving an individual who was in a hospital bed for four days but was never "formally admitted". Instead, the hospital accorded her "observation status". … [Read more...] about “Observation Status” Harms SNF Patients As Well As Hospital Patients
Goodbye POS, Hello LI NET: More Help for Dually Eligible People
In 2006 the Centers for Medicare & Medicaid Services (CMS) created the "Point-of-Sale Facilitated Enrollment" (POS) process, administered by WellPoint. The purpose of the POS is to assist people who are dually eligible for Medicare and … [Read more...] about Goodbye POS, Hello LI NET: More Help for Dually Eligible People
LI NET: More Help for Dually-Eligible People
In 2006 the Centers for Medicare & Medicaid Services (CMS) created the "Point-of-Sale Facilitated Enrollment" (POS) process, administered by WellPoint. The purpose of the POS is to assist people who are dually eligible for Medicare and … [Read more...] about LI NET: More Help for Dually-Eligible People
Medicare Discharge Planning: Think Through Your Needs
Introduction Discharge planning[1] is an important tool for reviewing and making arrangements for on-going healthcare needs across healthcare settings, including hospitals, skilled nursing facilities, home health, or hospice. When focusing on … [Read more...] about Medicare Discharge Planning: Think Through Your Needs
Medicare for People with Chronic Conditions
People with chronic conditions and long-term illnesses are too often denied Medicare coverage on the grounds that they will not improve, need "maintenance services only," have "plateaued" or are "chronic and stable". Taken together, these reasons … [Read more...] about Medicare for People with Chronic Conditions
Medicare and Discharge Planning: Thinking Through Your Needs
Discharge planning[1] is an important tool for reviewing and making arrangements for on-going healthcare needs across healthcare settings, including hospitals, skilled nursing facilities, home health, or hospice. When focusing on discharge planning, … [Read more...] about Medicare and Discharge Planning: Thinking Through Your Needs
Landers v. Leavitt
No. 3:04CV1988JCH (D. Conn.), filed Nov. 23, 2004 Last Updated: September 22, 2009 Issue: Whether the Secretary's policy of not counting time in an emergency room or in "observation status" towards the three-day qualifying hospital … [Read more...] about Landers v. Leavitt
The Center for Medicare Advocacy v. U.S. Department of Health and Human Services
No. 1:05CV2266 (D.D.C.), filed November 23, 2005 Updated: April 9, 2009 Issue: Whether HHS violated the Freedom of Information Act when it failed to respond to a request for documents about the videoconferencing technology to be … [Read more...] about The Center for Medicare Advocacy v. U.S. Department of Health and Human Services