Medicare Billings, Claims & Appeals

Alert ~ Delayed Billing for Medicare Part B Premium Payments in December 2018
By Karen Fletcher on January 9, 2019
We just received word from the Centers for Medicare and Medicaid Services (CMS) that there was a delay in...
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More Good News Regarding Equitable Relief for Part B Penalties
By Karen Fletcher on October 24, 2018
Earlier this month, we shared the good news that the Center for Medicare and Medicaid Services (CMS) extended the...
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What Can You Do If You’re Denied Coverage for a Drug? Understanding Medicare Part D Appeals
By Karen Fletcher on June 5, 2018
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”
By Karen Fletcher on August 1, 2017
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?
By Karen Fletcher on September 15, 2015
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
By Karen Fletcher on September 8, 2015
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?
By Karen Fletcher on August 11, 2015
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
By Karen Fletcher on June 12, 2015
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?
By Karen Fletcher on May 12, 2014
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?
By Karen Fletcher on March 13, 2014
Currently Medicare limits payment for outpatient therapy services at an annual dollar amount, commonly called “therapy caps.” For example,...
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Send Us Comment

Do you have comments or concerns about your Medicare coverage? Issues regarding getting your needed prescriptions from your Part D plan, or a Medicare Advantage plan representative's marketing practices? Let us know at comments@cahealthadvocates.org.

We are dedicated to making Medicare's program work well for all beneficiaries. Your feedback from your own or your client's concerns and experiences with Medicare, will guide our Medicare advocacy efforts with key policy and decision-makers in both California and nationally with the Centers for Medicare and Medicaid Services (CMS) and Congress.

Alert ~ Delayed Billing for Medicare Part B Premium Payments in December 2018

More Good News Regarding Equitable Relief for Part B Penalties

What Can You Do If You’re Denied Coverage for a Drug? Understanding Medicare Part D Appeals

New Class of Hospital Patients May Gain Access to Appeal “Observation Status”

Do You Know How to Make Sense of Your Medicare Statements?

Review Medicare’s Coverage of Durable Medical Equipment & How to Use this Benefit

Hospital Transitions ~ Do You Know Your Discharge Rights?

What Happens When a Beneficiary is Marked as Dead but is Still Very Much Alive? ~ Importance of Advocacy

Are You Eligible for a Re-Review of Past Denied Medicare Claims?

Will the Therapy You Need be Covered?

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