What does Medicare cover? When does Medicare cover skilled nursing facility care? Can a patient who is receiving non-skilled "custodial" services receive Medicare coverage in a SNF? What are examples of skilled services in a … [Read more...] about Nursing Home / Skilled Nursing Facility Care
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Issue Brief – July 2019 – Legislative Updates, Rollback of Nursing Home Oversight & other Issues
1. UPDATES on the BENES Act and PART D LEGISLATIONGuest Speaker: Lindsey Copeland from the Medicare Rights CenterBeneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (S. 1280/H.R. 2477)Medicare Rights Center … [Read more...] about Issue Brief – July 2019 – Legislative Updates, Rollback of Nursing Home Oversight & other Issues
Issue Brief – May 2019 – Medicare Oral Health Coverage & Other Issues
1. MEDICARE & ORAL HEALTH UPDATESMedically Necessary CoverageThe Center for Medicare Advocacy has long advocated for coverage of medically necessary oral health care, which is currently supported by the Medicare statue, but is, … [Read more...] about Issue Brief – May 2019 – Medicare Oral Health Coverage & Other Issues
CMA Alert – July 11, 2019
Observation Status and Surprise Medical Bills Government Watchdog Agency Issues Report Highlighting “Significant Vulnerabilities” in Medicare’s Hospice BenefitObservation Status and Surprise Medical BillsThe Center for Medicare … [Read more...] about CMA Alert – July 11, 2019
Observation Status and Surprise Medical Bills
The Center for Medicare Advocacy frequently hears from Medicare beneficiaries and their families about patients who receive treatment, tests, and services for multiple days while they are in a hospital bed but who are called “outpatients.” If these … [Read more...] about Observation Status and Surprise Medical Bills
Joint Comments on SNF Rules, Including Important Group Therapy Changes
June 18, 2019Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1718-P P.O. Box 8016 Baltimore, MD 21244-8016Re: Medicare Program; Prospective Payment System and Consolidated Billing for … [Read more...] about Joint Comments on SNF Rules, Including Important Group Therapy Changes
CMA Alert – June 13, 2019
The National Association of Insurance Commissioners Recognizes Maintenance Therapy, Bolstering the Jimmo Settlement Agreement Inadequate Personal Care at Home Increases Overall Medicare Costs The New York Times Reports On HUD-Backed Nursing … [Read more...] about CMA Alert – June 13, 2019
The National Association of Insurance Commissioners Recognizes Maintenance Therapy, Bolstering the Jimmo Settlement Agreement
The National Association of Insurance Commissioners (NAIC) is a standard-setting and regulatory support organization governed by chief insurance regulators from across the country. NAIC’s website indicates that organizational members and its … [Read more...] about The National Association of Insurance Commissioners Recognizes Maintenance Therapy, Bolstering the Jimmo Settlement Agreement
CMA Comments on SNF Payment & Quality for FY 2020
(Due) June 18, 2019Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1718-P P.O. Box 8016 Baltimore, MD 21244-8016Re: Medicare Program; Prospective Payment System and Consolidated … [Read more...] about CMA Comments on SNF Payment & Quality for FY 2020
CMA Alert – More Bad News for Medicare and ACA, and Some Comments
More Health Care Sabotage: Inadequate Funding for Navigators Court Ruling May Lead to Even More Overpayments to Medicare Advantage MedPAC Discusses Requiring a Three-Day Hospital Stay for All Post-Acute Care, Threatening Access to Care House … [Read more...] about CMA Alert – More Bad News for Medicare and ACA, and Some Comments