This week Center for Medicare Advocacy Policy Attorney Kata Kertesz presented a webinar together with Justice in Aging regarding Medicare Basics for OPEN, the Oral Health Progress and Equity Network.OPEN is a national network of individuals and … [Read more...] about Oral Health Highlight
Weekly Alert
LTCCC Publishes Report on Nursing Home Resident Abuse, Neglect, and Crime
The Long Term Care Community Coalition (LTCCC), a non-profit consumer advocacy organization headquartered in New York, has published a report examining the federal requirements and key practices for addressing nursing home resident abuse, neglect, … [Read more...] about LTCCC Publishes Report on Nursing Home Resident Abuse, Neglect, and Crime
Average Nursing Home Fine Drops Significantly After Administration Rolls Back Civil Money Penalties
Nursing homes can be penalized through the imposition of a civil money penalty (CMP) for either the number of days that the facility has not been in compliance with a federal requirement (per-day) or for each instance of noncompliance (per-instance). … [Read more...] about Average Nursing Home Fine Drops Significantly After Administration Rolls Back Civil Money Penalties
Joint Statement by Center for Medicare Advocacy and Medicare Rights Center: President’s Budget Targets Key Health Care Programs
Washington, DC ─ The President’s annual budget request is a statement of values. It is incredibly troubling then, that President Trump’s budget blueprint for FY 2020, submitted this week, again prioritizes deep cuts to programs on which older adults … [Read more...] about Joint Statement by Center for Medicare Advocacy and Medicare Rights Center: President’s Budget Targets Key Health Care Programs
Medicare Advantage Case Spotlight
The son of a hospitalized patient recently called the Center for Medicare Advocacy. His father was ready for discharge. Physicians at both the hospital and the inpatient rehabilitation hospital (IRH) agreed that the patient would benefit from IRH … [Read more...] about Medicare Advantage Case Spotlight
Members of Congress Reintroduce Legislation to Fix Outpatient Observation Status
Medicare requires a three-day inpatient hospital stay in order to qualify for care at a skilled nursing facility. Sadly, and all too often however, beneficiaries are classified as hospital outpatients on observation status. While outpatients on … [Read more...] about Members of Congress Reintroduce Legislation to Fix Outpatient Observation Status
Home Infusion Therapy Services
(The Content below is taken from the Centers for Medicare & medicaid Services: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Home-Infusion-Therapy/Overview.html)Home infusion therapy involves the intravenous or subcutaneous … [Read more...] about Home Infusion Therapy Services
Senate Finance Committee Holds Hollow Hearing for the Nursing Home Industry
On March 6, 2019, the U.S. Senate Committee on Finance held a hearing entitled “Not Forgotten: Protecting Americans From Abuse and Neglect in Nursing Homes.” The hearing consisted of two panels of witnesses. The first panel included Patricia Blank … [Read more...] about Senate Finance Committee Holds Hollow Hearing for the Nursing Home Industry
Beneficiary ALJ Appeals Continue to Get Priority at Office of Medicare Hearings and Appeals (OMHA)
Recent OMHA statistics show that beneficiaries[1] currently wait an average of 60 days[2] to obtain an Administrative Law Judge (ALJ) hearing and receive a decision. In contrast, non-beneficiaries (providers, suppliers, state Medicaid agencies, and … [Read more...] about Beneficiary ALJ Appeals Continue to Get Priority at Office of Medicare Hearings and Appeals (OMHA)
Center for Medicare Advocacy Submits Comments to CMS’ Draft 2020 Call Letter for Medicare Advantage and Part D
On January 30, 2019, the Centers for Medicare & Medicaid Services (CMS) issued Part II of its draft 2020 Call Letter, an annual set of proposed rules, guidelines and clarifications for Part C Medicare Advantage (MA) and Part D plans that want to … [Read more...] about Center for Medicare Advocacy Submits Comments to CMS’ Draft 2020 Call Letter for Medicare Advantage and Part D