The Centers for Medicare & Medicaid Services will be implementing revised payment systems for both skilled nursing facility care (effective October 2019) and home health care (effective January 2020). The Center for Medicare Advocacy has written … [Read more...] about Potential Impacts of New Medicare Payment Models On Skilled Nursing Facility and Home Health Care
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Jimmo “Improvement Standard” Appeal Letter Template
[Date][Attorney’s Name][Address]Re: [Beneficiary’s Name], Medicare No. [XXXXX]To Whom It May Concern:I am writing on behalf of my client, [Full Name], to request an expedited reconsideration. The skilled nursing facility (SNF) terminated … [Read more...] about Jimmo “Improvement Standard” Appeal Letter Template
Expedited/Fast-Track Medicare Appeals in Skilled Nursing Facilities in Light of the Jimmo v. Sebelius Settlement Agreement *
BackgroundThe United States District Court for the District of Vermont approved a settlement agreement in Jimmo v. Sebelius[1] on January 23, 2013. The Jimmo Settlement required the Centers for Medicare & Medicaid Services (CMS) to confirm … [Read more...] about Expedited/Fast-Track Medicare Appeals in Skilled Nursing Facilities in Light of the Jimmo v. Sebelius Settlement Agreement *
CMA Alert – October 10, 2019
Center for Medicare Advocacy Analysis of President's Medicare Advantage Executive Order: Among Vague Language and Proposals, Real Harm to Medicare Beneficiaries Nursing Home Residents and Therapy Under The New Medicare Reimbursement System … [Read more...] about CMA Alert – October 10, 2019
Nursing Home Residents and Therapy Under The New Medicare Payment System
The Centers for Medicare & Medicaid Services (CMS) implemented a new Medicare Part A reimbursement system for skilled nursing facilities (SNFs), called Patient-Driven Payment Model (PDPM), on October 1, 2019.[1] Therapists immediately began … [Read more...] about Nursing Home Residents and Therapy Under The New Medicare Payment System
Analysis of President Trump’s Medicare Executive Order:
Among Vague Language and Proposals, Real Harm to Medicare Beneficiaries On October 3, 2019, President Trump issued his “Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors” (EO).[1] Much of the language of the EO is vague, … [Read more...] about Analysis of President Trump’s Medicare Executive Order:
CMA Alert – October 3, 2019
Connecticut Congressional Delegation Concerned about Medicare Advantage Network Provider Terminations in the State House Companion to Part D Extra Help Bill Introduced The Patient Driven Payment Model is Here - What Does It Mean for … [Read more...] about CMA Alert – October 3, 2019
The Patient Driven Payment Model is Here
The Patient Driven Payment Model is Here What Does It Mean For Residents? On October 1, 2019, the Centers for Medicare & Medicaid Services (CMS) began implementing a new payment system for Medicare-covered nursing home care. The payment system … [Read more...] about The Patient Driven Payment Model is Here
Proposed Home Health Rules – Payment Shouldn’t Impede Access
The Center for Medicare Advocacy (the Center), submitted comments this week regarding the 2020 proposed rules for Medicare home health care. The Center is pleased CMS plans to allow therapist assistants to perform maintenance therapy (therapist … [Read more...] about Proposed Home Health Rules – Payment Shouldn’t Impede Access
CMA Alert – September 12, 2019
Medicare & You 2020 – Better Than Draft, But Room for Improvement More People Went Without Health Insurance in United States in 2018 Administrator Verma’s Tweet Sparks Support for Addressing Observation Status Proposed Home Health Rules … [Read more...] about CMA Alert – September 12, 2019