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
Medicare Coverage of Mental Health Services
In recognition of Older Americans' Mental Health Week (May 24-30, 2009), this Weekly Alert reviews the mental health services that are available under the Medicare Program. [1] Advocates seek improved access to mental health services, an … [Read more...] about Medicare Coverage of Mental Health Services
Consumer Assessment of Health Care Providers and Systems (CAHPS)
Beneficiary Satisfaction Measure is Not Used to It's Fullest Extent Unlike report cards that use clinical measures, The Consumer Assessment of health care Providers and Systems (CAHPS) reports patient ratings of their experience with … [Read more...] about Consumer Assessment of Health Care Providers and Systems (CAHPS)
Medicare Coverage of Power Mobility Devices: Tips and Reminders
When it comes to obtaining Medicare coverage for Mobility Assistive Equipment (MAE),[1] coverage criteria, particularly patient assessment standards, continue to be misunderstood by providers and beneficiaries. The spectrum of fraud and abuse … [Read more...] about Medicare Coverage of Power Mobility Devices: Tips and Reminders
Addressing Concerns about Quality of Care For Medicare Beneficiaries
When beneficiaries receive Medicare coverable health care, there is an expectation that the provider will listen to their concerns and assess and provide appropriate medical care. What can beneficiaries do if they believe that the prescribed medical … [Read more...] about Addressing Concerns about Quality of Care For Medicare Beneficiaries
New Rules Offer Better Protection for Medicare Patients
Medicare patients who are hospitalized sometimes find themselves being told to leave the hospital too soon, before they can safely be cared for at home or at a nursing home.[1] The protections provided for hospital patients in this … [Read more...] about New Rules Offer Better Protection for Medicare Patients