Our country has a patchwork of different types of health insurance coverage, including individual insurance policies, employer-based insurance coverage plans available through the new Affordable Care Act, Medicaid, and Medicare – the … [Read more...] about 29. Medicare Needs to Address Enrollment Confusion and Notify People When it’s Time to Enroll
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Center Comments to Senate Finance Committee Regarding Chronic Care Reform
June 22, 2015The Honorable Orrin Hatch The Honorable Ron Wyden Chair, Committee on Finance … [Read more...] about Center Comments to Senate Finance Committee Regarding Chronic Care Reform
26. Medicare Needs a Timely Way for Patients to Appeal Hospice Denials
By Howard Back, a Medicare Beneficiary from CaliforniaMedicare funding for hospice services is a wonderful thing.But there is a missing element in the system: there is no timely way a hospice patient can appeal failure of a hospice to provide … [Read more...] about 26. Medicare Needs a Timely Way for Patients to Appeal Hospice Denials
Non-Emergent Ambulance Transport: Don’t Lose Out on Coverage
Part B of Medicare will generally cover up to 80% of emergent and non-emergent ambulance transports when medically necessary and when transport by any other means could endanger your health. There are also origin/destination requirements; … [Read more...] about Non-Emergent Ambulance Transport: Don’t Lose Out on Coverage
June 2015 – Reforming Medicare’s Appeals System & Other Issues
LEGISLATIVE UPDATE1.Senate Finance Committee Addresses Medicare Appeals SystemOn previous Alliance calls, we have discussed that through the Center’s extensive experience with the Medicare administrative appeals process, we continue to … [Read more...] about June 2015 – Reforming Medicare’s Appeals System & Other Issues
Long Term Care Hospitals
What are Long Term Care Hospitals? When is Coverage Available in the LTCH? Additional Advocacy Tips Articles and UpdatesLong Term Care Hospitals (LTCHs) provide care to … [Read more...] about Long Term Care Hospitals
Bundling Payments for Post-Acute Care
The traditional Medicare program pays individual health care providers for the specific services and care they provide to beneficiaries and guarantees that patients have “freedom of choice”[1] to select their Medicare providers. A … [Read more...] about Bundling Payments for Post-Acute Care
Senate Finance Committee Holds Hearing on Medicare Appeals Backlog – Proposed Solutions Are of Great Concern
On April 28, 2015, the Senate Finance Committee held a hearing entitled “Creating a More Efficient and Level Playing Field: Audit and Appeals Issues in Medicare.”[1] As noted by Chairman Hatch in his opening statement, … [Read more...] about Senate Finance Committee Holds Hearing on Medicare Appeals Backlog – Proposed Solutions Are of Great Concern
Observation Status Update
Observation Status – hospital patients’ classification as outpatients, which makes them ineligible for Medicare Part A coverage of their subsequent stay in a skilled nursing facility (SNF) when they do not have “inpatient” … [Read more...] about Observation Status Update
Final 2016 CMS Call Letter for Medicare Parts C and D Released
Every year, the Centers for Medicare and Medicaid Services (CMS) issues payment, performance and other rules that apply to Medicare Advantage (MA) and Part D plans that choose to participate in the Medicare program in the following calendar year. … [Read more...] about Final 2016 CMS Call Letter for Medicare Parts C and D Released