THE FIGHT TO PROTECT THE ACA, MEDICARE AND MEDICAID The President-Elect and Republican leaders in Congress have promised to repeal, and at some point, “replace” the Affordable Care Act. They also plan to gut the Medicaid program … [Read more...] about January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
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HHS Inspector General: Observation Status is a Growing Problem for Patients
HHS Inspector General: Observation Status is a Growing Problem for Patients In a new report, Vulnerabilities Remain Under Medicare’s 2-Midnight Hospital Policy,[1] the HHS Inspector General documents and confirms what Medicare beneficiaries … [Read more...] about HHS Inspector General: Observation Status is a Growing Problem for Patients
Hospitals Must Give Patients Notice of Their Observation Status, Beginning March 8, 2017
Effective August 6, 2016, the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act)[1] requires acute care hospitals to provide oral and written notification to patients who are classified as outpatients or observation … [Read more...] about Hospitals Must Give Patients Notice of Their Observation Status, Beginning March 8, 2017
CMS Delays Implementation of NOTICE Act Until Fall 2016
Beginning August 6, 2016, the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act)[1] requires hospitals to provide written and oral notice, within 36 hours, to patients who are in observation or other outpatient … [Read more...] about CMS Delays Implementation of NOTICE Act Until Fall 2016
A Model to Waive the Three-Day Inpatient Hospital Stay Requirement for Care in a Skilled Nursing Facility
In order for Medicare Part A to pay for a patient’s stay in a skilled nursing facility (SNF), the patient must first have spent at least three consecutive days as an inpatient in an acute care hospital.[1] For many Medicare beneficiaries, … [Read more...] about A Model to Waive the Three-Day Inpatient Hospital Stay Requirement for Care in a Skilled Nursing Facility
Proper Use of Electronic Health Records Could Enhance Patient Care
If properly utilized, Electronic Health Records (EHR) could increase the quality of care for Medicare’s beneficiaries and lower program costs. EHRs provide the possibility of easy transfer of information between providers, and better patient … [Read more...] about Proper Use of Electronic Health Records Could Enhance Patient Care
July 2016 – Proposed Medicare Appeals Rules & Other Issues
PROPOSED RULE TO REVISE MEDICARE ADMINISTRATIVE APPEALS PROCESS As discussed during previous Alliance calls, there is a significant backlog of cases at the third and fourth levels of the Medicare administrative appeals process, the administrative … [Read more...] about July 2016 – Proposed Medicare Appeals Rules & Other Issues
July 2016 – Proposed Medicare Appeals Rule & Other Issues
NATIONAL MEDICARE ADVOCATES ALLIANCE CALL Monday, July 11th, 2016 – 2:00 P.M., Eastern Time Call-in Number: 1 (888) 206-2266 Pass Code: 9874704 NOTE: We ask people calling from the same location to gather around one … [Read more...] about July 2016 – Proposed Medicare Appeals Rule & Other Issues
Further Center Comments on the NOTICE Act – June 2016
June 16, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Ave., S.W. Washington, D.C. … [Read more...] about Further Center Comments on the NOTICE Act – June 2016
May 2016 – Medicare’s Coverage of Oral Health & Other Issues
MEDICARE’S COVERAGE OF ORAL HEALTH Current Centers for Medicare & Medicaid Services (CMS) policy[1] broadly bars Medicare coverage for practically all dental services. The Center for Medicare Advocacy firmly believes that … [Read more...] about May 2016 – Medicare’s Coverage of Oral Health & Other Issues