Despite the Jimmo case’s confirmation that Medicare coverage of a stay in a skilled nursing facility (SNF) is appropriate to maintain a resident’s functional status, when the nursing or therapy services must be provided by a professional … [Read more...] about Jimmo Implementation: Beneficiary Successfully Appeals Denial of Maintenance Therapy
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January 2018 – Medicare Appeals & Other Issues
MEDICARE APPEALS Expedited v. Standard Appeals – Not Knowing the Difference Can Cost You Your Appeal Rights Here’s the Issue Expedited Medicare appeals and standard Medicare appeals are designed to address different things … [Read more...] about January 2018 – Medicare Appeals & Other Issues
CMA Alert – Home Health News; More SNF Enforcement News
Beneficiary Protections Expanded in Revised Home Health Conditions of Participation Nursing Home Residents Are At Risk Elder Justice: What “No Harm” Really Means for Residents, December Issue Available Now Beneficiary … [Read more...] about CMA Alert – Home Health News; More SNF Enforcement News
Beneficiary Protections Expanded in Revised Home Health Conditions of Participation
This is Part Six of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Beneficiary Protections Expanded in Revised Home Health Conditions of Participation
CMA Alert – SNF Enforcement Halted; Know Your Medicare Appeals; Ultimate Health Care Sabotage; More
This Week In Health Care Sabotage New Fact Sheet - Expedited v. Standard Medicare Appeals: Not Knowing the Difference Could Cost You Your Appeal Rights CMS Halts Enforcement, as Requested by the Nursing Home Industry This Week In Health … [Read more...] about CMA Alert – SNF Enforcement Halted; Know Your Medicare Appeals; Ultimate Health Care Sabotage; More
CMS Halts Enforcement, as Requested by the Nursing Home Industry
In October of 2016, the Obama Administration issued a Final Rule regarding the Requirements of Participation (RoP) for nursing homes. The Final Rule was issued, in part, because the regulations had “not been comprehensively reviewed and updated … [Read more...] about CMS Halts Enforcement, as Requested by the Nursing Home Industry
The Promise and Failure of Medicare Home Health Coverage
1.The Problem The Center for Medicare Advocacy has been hearing from people who meet Medicare coverage criteria but are unable to access Medicare-covered home health care, or the appropriate amount of care. These problems have been escalating in … [Read more...] about The Promise and Failure of Medicare Home Health Coverage
November 2016 – The Election’s Impact on Medicare, New Nursing Home Requirements of Participation and Other Issues
MOVING FORWARD WITH HOPE It’s no surprise that the election has left many of us worried and disoriented. But we’ll regroup. We may not understand where we’ve landed, but we’ll acclimate and march forward – … [Read more...] about November 2016 – The Election’s Impact on Medicare, New Nursing Home Requirements of Participation and Other Issues
CMS Releases New Nursing Facility Regulations: Both Pluses and Minuses for Nursing Facility Residents
For Immediate Release Contact: Toby S. Edelman, Senior Policy Attorney TEdelman@MedicareAdvocacy.org, (202) 293-5760 The Centers for Medicare & Medicaid Services has just released a comprehensive revision of federal nursing facility … [Read more...] about CMS Releases New Nursing Facility Regulations: Both Pluses and Minuses for Nursing Facility Residents
Center Submits Comments to CMS on Physician Fee Schedule, Joint Replacement Model Proposed Rules
In collaboration with a number of other advocacy organizations, this week the Center for Medicare Advocacy submitted comments to CMS about two sets of proposed rules: Revisions to Payment Policies Under the Physician Fee Schedule and Other … [Read more...] about Center Submits Comments to CMS on Physician Fee Schedule, Joint Replacement Model Proposed Rules