1. LITIGATION UPDATES Jimmo 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
Alliance Issue Brief
February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
1. PRESENTATION: RE-REVIEW OF PREVIOUSLY DENIED CLAIMS PURSUANT TO THE JIMMO SETTLEMENT In addition to revising Medicare manual provisions to now allow Medicare coverage for skilled maintenance care, the Settlement Agreement in Jimmo v. … [Read more...] about February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues
1. PRESENTATION: CMS MANUAL PROVISIONS ISSUED PURSUANT TO THE JIMMO SETTLEMENT The Center for Medicare Advocacy is pleased to announce that the Medicare Policy Manuals have been revised pursuant to the Jimmo vs. Sebelius Settlement. … [Read more...] about December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues
October, 2013 – Medicare Annual Election period, and the ACA Marketplaces and Other Issues
1. PRESENTATION: MEDICARE ANNUAL ELECTION PERIOD & THE MARKETPLACES Medicare Annual Coordinated Election Period (ACEP) – 10/15/13 – 12/7/13 During the Annual Coordinated Election Period (ACEP) people with … [Read more...] about October, 2013 – Medicare Annual Election period, and the ACA Marketplaces and Other Issues
August, 2013 – Update on Hospital Observation Status and Other Issues
1. PRESENTATION: UPDATE ON HOSPITAL OBSERVATION STATUS Observation status is getting a lot of attention from Congress, the media, and researchers. The bipartisan federal legislation, the Improving Access to Medicare … [Read more...] about August, 2013 – Update on Hospital Observation Status and Other Issues
June, 2013 – New Hospital Discharge Planning Guidance & Other Updates
1. PRESENTATION CMS Issues New Hospital Discharge Planning Guidance On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) released an update of Appendix A of the State Operations Manual (SOM) revising its … [Read more...] about June, 2013 – New Hospital Discharge Planning Guidance & Other Updates
April 2013 – Ongoing Due Process Concerns In Medicare Appeals
And Proposals for the Future of Medicare 1. PRESENTATIONS MEDICARE’S ADMINISTRATIVE REVIEW PROCESS - ONGOING DUE PROCESS CONCERNS & POSSIBLE SOLUTIONS During our October 2012 Alliance call, we discussed that through the … [Read more...] about April 2013 – Ongoing Due Process Concerns In Medicare Appeals
February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
1. PRESENTATIONS UPDATE ON JIMMO: SETTLEMENT APPROVED In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
December 2012 – Update on Jimmo: the Improvement Standard Case
1. PRESENTATIONS UPDATE ON JIMMO: THE IMPROVEMENT STANDARD CASE In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about December 2012 – Update on Jimmo: the Improvement Standard Case
October 2012 – Updates on Medicare Appeals and Complaints
National Medicare Advocates Alliance Issue brief #18 1. PRESENTATIONS ADMINISTRATIVE REVIEW PROCESS: LITTLE SUCCESS, LONG DELAYS Based upon the Center’s extensive experience with the Medicare administrative appeals … [Read more...] about October 2012 – Updates on Medicare Appeals and Complaints