National Medicare Advocates Alliance ISSUE BRIEF #15 … [Read more...] about February 13, 2012 – Extender Bill, Therapy Caps and Health Reform Challenges
Search Results for: medically necessary oral health
Amended Appeal Rules for Employer and Individual Health Plans
On June 24, 2011, the Centers for Medicare & Medicaid Services (CMS), in conjunction with the Internal Revenue Service (IRS) and the Employee Benefits Security Administration (EBSA), released amendments to a set of interim final rules regarding … [Read more...] about Amended Appeal Rules for Employer and Individual Health Plans
Medicare Coverage of Mental Health and Substance Abuse Services
What does Medicare cover for an inpatient psychiatric hospital stay? Are outpatient psychiatric services covered by Medicare? How much will Medicare pay for mental health and substance use services, and what out-of-pocket costs will … [Read more...] about Medicare Coverage of Mental Health and Substance Abuse Services
In Major Milestone, Medicare to Cover Additional Dental Treatments
The Centers for Medicare & Medicaid Services (CMS) just announced that Medicare will begin making payment in 2023 for dental services necessary to identify and eliminate oral and dental infections prior to, and contemporaneously with, organ … [Read more...] about In Major Milestone, Medicare to Cover Additional Dental Treatments
Center Submits Comments on 2022 Medicare Physician’s Fee Schedule
The Centers for Medicare & Medicaid Services (CMS) recently released the 2023 Medicare Physician Fee Schedule (PFS) proposed rule. It included a proposal to broaden reimbursement for medically necessary dental services and sought comments on … [Read more...] about Center Submits Comments on 2022 Medicare Physician’s Fee Schedule
Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues
I. NEW REPORT ON MEDICARE ADVANTAGE OVERPAYMENTS On October 4, 2023, Physicians for a National Health Program (PNHP) released a report titled “Our Payments Their Profits”, showing that insurance companies offering Medicare Advantage (MA) plans … [Read more...] about Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues
Center Comments on 2024 Physician Fee Schedule
September 11, 2023 Submitted Electronically via www.regulations.gov The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid Services7500 Security BoulevardBaltimore, MD 21244 Re: Medicare … [Read more...] about Center Comments on 2024 Physician Fee Schedule
CMA Alert | July 14, 2022
Medically Necessary Oral Health Coverage Included in Medicare Proposed Rule Last week the Centers for Medicare & Medicaid Services (CMS) released the 2023 Medicare Physician Fee Schedule (PFS) proposed rule, with publication in the Federal … [Read more...] about CMA Alert | July 14, 2022
CMA Alert | July 7, 2022
Voices of Medicare | Medicare Advantage Network Inadequacy We recently heard from a Medicare Advantage (MA) enrollee from the Dallas-Forth Worth metropolitan area who went several months without seeing a gastroenterologist due to Cigna’s failure … [Read more...] about CMA Alert | July 7, 2022
Issue Brief – March 2022 – Litigation Update Including Observation Status, Off label Drugs & Other Issues
LITIGATION UPDATE (Beneficiary Appeals of Observation Status). In November 2011, the Center for Medicare Advocacy and Justice in Aging filed a proposed class action lawsuit on behalf of individuals who have been denied Medicare Part A coverage … [Read more...] about Issue Brief – March 2022 – Litigation Update Including Observation Status, Off label Drugs & Other Issues