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What Can You Do If You’re Denied Coverage for a Drug? Understanding Medicare Part D Appeals
What can you do if your Part D prescription drug plan will not cover a drug that you need?...
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New Class of Hospital Patients May Gain Access to Appeal “Observation Status”
A new ruling yesterday in Alexander v. Price, 3:11-CV-1703 (MPS) certified a class composed of all Medicare beneficiaries who,...
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Do You Know How to Make Sense of Your Medicare Statements?
Statements about your Medicare coverage contain important information about the costs of medical care and prescriptions you have recently...
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Review Medicare’s Coverage of Durable Medical Equipment & How to Use this Benefit
Durable medical equipment (DME) is equipment that helps you complete your activities of daily living. Wheelchairs, walkers, and home...
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Hospital Transitions ~ Do You Know Your Discharge Rights?
Did you know that 1 in 5 hospital inpatients return to the hospital within 30 days of leaving? To...
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What Happens When a Beneficiary is Marked as Dead but is Still Very Much Alive? ~ Importance of Advocacy
While many children engage in games of playing dead for a moment or two, few adults have the bizarre...
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Are You Eligible for a Re-Review of Past Denied Medicare Claims?
This short article provides a brief background on the Jimmo settlement followed by an overview of who is eligible...
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Will the Therapy You Need be Covered?
Currently Medicare limits payment for outpatient therapy services at an annual dollar amount, commonly called “therapy caps.” For example,...
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Protect Your Durable Medical Equipment Benefits ~ Be Aware of Common Scams & Report Fraud
One of the biggest “avenues” of Medicare fraud is with suppliers of durable medical equipment (DME). Last February the Centers...
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Observation Status Issue Makes Evening News
The problem of beneficiaries being held in “under observation” while receiving hospital care is growing. It often leaves affected...