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Hospice

Recent Rules and Guidance Address Transparency in Hospice Coverage

November 12, 2020

Effective for hospice elections beginning on or after October 1, 2020, Medicare beneficiaries are entitled to greater transparency about the conditions, items, services, and drugs that a provider does not believe are covered under the hospice benefit … [Read more...] about Recent Rules and Guidance Address Transparency in Hospice Coverage

Filed Under: Article Tagged With: alert, Hospice, Weekly Alert

Government Watchdog Agency Issues Report Highlighting “Significant Vulnerabilities” in Medicare’s Hospice Benefit

July 11, 2019

Following up on earlier work analyzing the Medicare hospice benefit, the Department of Health and Human Services (DHSS) Office of Inspector General (OIG) issued two reports this week “which found that from 2012 through 2016, the majority of U.S. … [Read more...] about Government Watchdog Agency Issues Report Highlighting “Significant Vulnerabilities” in Medicare’s Hospice Benefit

Filed Under: Article Tagged With: alert, Hospice, Weekly Alert

Inspector General Reports Concerns About Medicare Hospice Care

August 9, 2018

Last week, the Office of Inspector General (“OIG”) published a report[1] of its study on the growth in hospice utilization and reimbursement since 2005.  The Report summarizes key vulnerabilities in the Medicare hospice program … [Read more...] about Inspector General Reports Concerns About Medicare Hospice Care

Filed Under: Article Tagged With: alert, Hospice, Weekly Alert

Observation Status Impedes Access to End-of-Life Skilled Nursing Facility Care

November 3, 2016

Mr. P. has been hospitalized after having a heart attack. He also has terminal cancer for which he wants to continue treatment. If Mr. P. is admitted as an inpatient for a total of three days while in the hospital, he can qualify for Medicare Part A … [Read more...] about Observation Status Impedes Access to End-of-Life Skilled Nursing Facility Care

Filed Under: Article Tagged With: Hospice, Observation, Observation Status, Skilled Nursing Facility, Weekly Alert

Medicare Hospice Care: Palliative vs. Curative

July 26, 2016

Hospice care is holistic care for the dying.  Medicare coverage of hospice care is available for beneficiaries who have been certified as terminally ill, for services that are “reasonable and necessary for the palliation or management of … [Read more...] about Medicare Hospice Care: Palliative vs. Curative

Filed Under: Article Tagged With: Hospice

The Center for Medicare Advocacy Submits Comments on Proposed Rule for Hospice

June 22, 2016

The Center for Medicare Advocacy submitted comments this week to the Centers for Medicare & Medicaid Services (CMS) concerning its proposed rule titled “Medicare Program; FY 2017 Hospice Wage Index and Payment Rate Update and Hospice … [Read more...] about The Center for Medicare Advocacy Submits Comments on Proposed Rule for Hospice

Filed Under: Article Tagged With: Hospice, Weekly Alert

National Healthcare Decisions Day: April 16, 2016

January 20, 2016

Be a Resource for National Healthcare Decisions Day on April 16. There are numerous ways to participate at no cost, and the goal is simple: "To inspire, educate & empower the public & providers about the importance of … [Read more...] about National Healthcare Decisions Day: April 16, 2016

Filed Under: Article Tagged With: Activities and Events, Hospice, Weekly Alert

Husband Reimbursed for Dying Wife’s Medication After Trying to Appeal Hospice Denial for Nearly Eight Years

November 18, 2015

When Emily Back was dying in early 2008, her treating physician prescribed a medication to help relieve her excruciating pain.  After the hospice provider refused to furnish the medication, her husband, in desperation, purchased it from the … [Read more...] about Husband Reimbursed for Dying Wife’s Medication After Trying to Appeal Hospice Denial for Nearly Eight Years

Filed Under: Article Tagged With: Hospice, story

Hospice Quick Reference

November 17, 2015

Hospice Quick Reference Hospice care is compassionate end-of-life care that includes medical and supportive services intended to provide comfort to individuals who are terminally ill. Care is provided by a team. Hospice is often called … [Read more...] about Hospice Quick Reference

Filed Under: Article Tagged With: Hospice

26. Medicare Needs a Timely Way for Patients to Appeal Hospice Denials

June 22, 2015

By Howard Back, a Medicare Beneficiary from California Medicare funding for hospice services is a wonderful thing. But there is a missing element in the system: there is no timely way a hospice patient can appeal failure of a hospice to provide … [Read more...] about 26. Medicare Needs a Timely Way for Patients to Appeal Hospice Denials

Filed Under: Article Tagged With: Hospice, Medicare-50th

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

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Medicare: Build Back Better

By prioritizing Medicare beneficiaries and the health systems that serve them, we can avoid drastic national consequences. The Center for Medicare Advocacy proposes a five-part plan that will make Medicare a bulwark against the worsening health and economic challenges facing the American people.

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