NATIONAL MEDICARE ADVOCATES ALLIANCE CALLMonday, July 11th, 2016 – 2:00 P.M., Eastern TimeCall-in Number: 1 (888) 206-2266 Pass Code: 9874704NOTE: We ask people calling from the same location to gather around one … [Read more...] about July 2016 – Proposed Medicare Appeals Rule & Other Issues
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ALS-MAP: Webinar 1 Q&A
Medicare Access Project for People Living With ALSMedicare Overview – With an Emphasis on the Home Health Care BenefitFrequently Asked Questions and AnswersGeneral Home Health Questions "Homebound" … [Read more...] about ALS-MAP: Webinar 1 Q&A
Center Comments on Proposed Changes to Physician Payments
June 27, 2016Centers for Medicare & Medicaid Services Department of Health & Human Services Attention: CMS–5571–P P.O. Box 8013Baltimore, MD 21244–8013Submitted electronically to: www.regulations.gov … [Read more...] about Center Comments on Proposed Changes to Physician Payments
Exley v. Burwell: Fairness Hearing on Class Action Settlement about Delays in ALJ Appeals Rescheduled to August 1, 2016
As previously reported, a court preliminarily approved settlement in the case of Exley v. Burwell, 3:14-cv-1230 (JAM) (D. Conn.), in March of this year. Since then the government requested and the plaintiffs agreed to a revision in the proposed … [Read more...] about Exley v. Burwell: Fairness Hearing on Class Action Settlement about Delays in ALJ Appeals Rescheduled to August 1, 2016
Case Study: Enrolled In a Medicare Advantage Plan Without Her Knowledge Through “Seamless Conversion Enrollment”
October 21, 2016 - Update on Seamless Conversion: CMS is revisiting the seamless conversion enrollment policy and is temporarily suspending its acceptance of any new seamless enrollment proposals. Read more...Ms. M., a Medicare beneficiary … [Read more...] about Case Study: Enrolled In a Medicare Advantage Plan Without Her Knowledge Through “Seamless Conversion Enrollment”
Center Comments on Proposed Part B Payment Model
May 9, 2016Centers for Medicare & Medicaid Services Department of Health & Human Services Attention: CMS–1670–P Mail Stop C4–26–05 7500 Security Boulevard Baltimore, MD 21244–1850Submitted … [Read more...] about Center Comments on Proposed Part B Payment Model
Coverage for Medically Necessary Oral Health Care Is Unduly Restricted By Medicare’s Dental Policy
Medicare coverage for medically necessary oral health care is supported by the Medicare statute, its legislative history and, in some instances, even CMS policy. For this purpose, “medically necessary oral health care” refers to … [Read more...] about Coverage for Medically Necessary Oral Health Care Is Unduly Restricted By Medicare’s Dental Policy
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
CMS Issues Many Important Proposed Medicare Rules
The Centers for Medicare & Medicaid Services (CMS) has recently issued a host of Medicare-related proposed rules that are currently open for comment, including the following:MACRA (Physician Payment)On April 27, 2016, CMS released a … [Read more...] about CMS Issues Many Important Proposed Medicare Rules
May 2016 – Medicare Coverage of Oral Health & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Medicare’s Coverage of Oral Health (Wey-Wey Kwok) Medically necessary oral health care Goal: add a comprehensive oral health benefit to … [Read more...] about May 2016 – Medicare Coverage of Oral Health & Other Issues