LEGISLATIVE UPDATE: CONGRESS MITIGATES INCREASES IN 2016 PART B PREMIUM AND DEDUCTIBLEBipartisan Budget Act of 2015 – OverviewOn Monday November 2, 2015, President Obama signed into law the Bipartisan Budget Act of 2015. This … [Read more...] about November 2015 – Budget Act of 2015 Mitigates Increased Part B Premiums And Deductibles; Other Issues
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CMA Comments on Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities
October 14, 2015Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Ave., S.W. Washington, D.C. … [Read more...] about CMA Comments on Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities
September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues
ADMINISTRATIVE UPDATE1. Proposed Requirements of Participation for Nursing FacilitiesOn July 16, 2015, the Centers for Medicare & Medicaid Services (CMS) published proposed rules to revise the nursing home Requirements of Participation … [Read more...] about September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues
Proposed Requirements of Participation for Nursing Facilities Do Not Strengthen Standards for Residents
On July 13, 2015, the Centers for Medicare & Medicaid Services (CMS) posted proposed regulations to revise the Requirements of Participation for nursing homes (called Skilled Nursing Facilities under Medicare and Nursing Facilities under … [Read more...] about Proposed Requirements of Participation for Nursing Facilities Do Not Strengthen Standards for Residents
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
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
The Medicare Dental Exclusion: Is it Being Used to Deny Vulnerable Beneficiaries Needed Care?
Government contractors administering Medicare benefits are routinely denying coverage to cancer patients for claims involving the surgical removal of decayed and infected teeth caused by an aggressive course of radiation treatment to the head and … [Read more...] about The Medicare Dental Exclusion: Is it Being Used to Deny Vulnerable Beneficiaries Needed Care?
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
April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
LEGISLATIVE/BUDGET UPDATE1.Medicare Physician Payment (SGR)In an effort to address the perennial issue of payment for Medicare physicians -- the fundamentally flawed reimbursement system known as the sustainable growth rate or SGR – the … [Read more...] about April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
Center Comments on Proposed Rules for SNFs & ACOs
Centers for Medicare & Medicaid Services Submitted electronically, http://www.regulations.govRe: CMS-1461-PDear CMS Colleagues:The Center for Medicare Advocacy (Center) is pleased to provide the Centers for Medicare & Medicaid … [Read more...] about Center Comments on Proposed Rules for SNFs & ACOs