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
Search Results for: observation status
CMS has Authority Under Existing Law to Define Inpatient Care
Under a 2008 decision of the Second Circuit Court of Appeals, the Secretary of HHS has authority under the Medicare statute to include a hospital patient’s time in observation as part of inpatient time in the hospital for purposes of … [Read more...] about CMS has Authority Under Existing Law to Define Inpatient Care
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
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
CMA Community News – April 2014
A Word from the Executive DirectorNews You Can UseCMS Backs Off on Leveling the Playing Field for Traditional Medicare and Private PlansAfter announcing that Medicare Advantage payment rates would be reduced in an effort to bring … [Read more...] about CMA Community News – April 2014
Become a CMA Member
Alone we can do so little; together we can do so much. − Helen KellerJoin the Center for Medicare Advocacy as a CMA Community Member and be one of the voices of Medicare and health care heard in Washington, DC – and throughout the … [Read more...] about Become a CMA Member
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
Thank You for Becoming a CMA Community Member
You should receive a receipt for your Membership Fee by email shortly. If you do not, please contact Scott Perkins at sperkins@medicareadvocacy.org.We will talk to you at our next "Ask the Expert" call! … [Read more...] about Thank You for Becoming a CMA Community Member
Medicare Physician Payment – Another One-Year Fix Passes Congress, With Usual “Extenders” and Some New, Permanent Payment Policies
On Tuesday, April 1st, President Obama signed into law the "Protecting Access to Medicare Act of 2014" (H.R. 4302).[1] This bill is a one year short-term "fix" or "patch" to pending Medicare physician payment cuts under … [Read more...] about Medicare Physician Payment – Another One-Year Fix Passes Congress, With Usual “Extenders” and Some New, Permanent Payment Policies
Reflections on the 1st Annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture
On March 21, 2014, the Center for Medicare Advocacy, Inc., held its first annual national Voices of Medicare Summit and Sen. Jay Rockefeller Lecture. The event brought together advocates, thought leaders, researchers, policy makers and others for a … [Read more...] about Reflections on the 1st Annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture