1. LEGISLATIVE UPDATE: THE IMPACT ACT OF 2014On October 6, 2014, President Obama signed into law the “Improving Medicare Post-Acute Care Transformation Act of 2014” or IMPACT Act. The bill resulted from a bipartisan, … [Read more...] about October 2014 – The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) & Other Isues
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August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIOs) and Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Changes to Medicare’s Quality Improvement Organizations (QIOs) (Alfred Chiplin and Terry Berthelot) Overview of QIO restructuring to separate the beneficiary complaint review … [Read more...] about August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIOs) and Other Issues
August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIO) & Other Issues
1. CHANGES TO MEDICARE’S QUALITY IMPROVEMENT ORGANIZATIONS (QIOs) CMS has restructured its Quality Improvement Organization (QIO) Program to separate the beneficiary complaint review functions from the quality improvement … [Read more...] about August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIO) & Other Issues
June 2014 – Losing Your Voice: Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
1. MEDICARE’S COVERAGE OF CAPPED RENTAL ITEMS DURING PART A INSTITUTIONAL STAYS: LOSING ACCESS TO SPEECH GENERATING DEVICES (SGDs)CMS Changes Its Coverage of Speech Generating DevicesThrough a new interpretation of longstanding … [Read more...] about June 2014 – Losing Your Voice: Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
June 2014 – Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Medicare’s Coverage of Capped Rental Items During Part A Institutional Stays: Losing Access to Speech Generating Devices (SGDs) (Alfred Chiplin) Overview of Medicare coverage … [Read more...] about June 2014 – Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues
CMA Community News – May 2014
A Word from the Executive DirectorAs you will see in this issue, Center staffers have been busy this month testifying before Congress and meeting with lawmakers and policy leaders to educate them about issues affecting access to health care for … [Read more...] about CMA Community News – May 2014
April, 2014 – Ongoing Medicare Appeal Concerns & Other Issues
1. LITIGATION UPDATESJimmo v. Sebelius (Improvement Standard) No. 11-cv-17 (D.Vt. filed 1/18/11). As reported during previous Alliance calls, the Settlement in Jimmo was approved on January 24, 2013 during a scheduled fairness … [Read more...] about April, 2014 – Ongoing Medicare Appeal Concerns & Other Issues
April 2014 – Ongoing Medicare Appeals Concerns and Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Litigation Update (Gill Deford) Jimmo – Improvement standard Bagnall (Observation) Other litigation Re-Review of Previously Denied Claims … [Read more...] about April 2014 – Ongoing Medicare Appeals Concerns and Other Issues
Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials
Introduction Checklist for Outpatient Therapy Discharges Checklist for Outpatient Therapy Appeals Quick Screen: Medicare Coverage for Outpatient Therapy Outpatient Therapy Appeal Details Additional Information1. Introduction Dear … [Read more...] about Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials
CMA Community News – January 2014
Editor's Note: We received some feedback that our text was a bit small, so we are bumping it up for this edition. Please let us know what you think.A Message from the Executive Director News You Can Use Legislative Watch CMA In the … [Read more...] about CMA Community News – January 2014