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More Beneficiaries Loose Out on Medicare Coverage with Hospital “Observation Stays” on the Rise
An increasing number of Medicare beneficiaries receiving inpatient hospital care are being held in “observation status” versus being fully...
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New Agreement Between AMR & Advocates Gives Beneficiaries More Time to Resolve Ambulance Appeals
With ambulance rides being one of the most expensive modes of transport, Medicare has strict medical necessity guidelines to...
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New Agreement Between AMR & Advocates Gives Beneficiaries More Time to Resolve Ambulance Appeals
With ambulance rides being one of the most expensive modes of transport, Medicare has strict medical necessity guidelines to...
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Pharmacies Must Notify Beneficiaries of Their Part D Appeal Rights ~ New Rule in Effect
As of January 1st of this year, all beneficiaries who are denied coverage for a drug are entitled to...
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61% of Power Wheelchairs Medicare Provided were Medically Unnecessary
The Office of Inspector General (OIG) released a report today finding that 61% of power wheelchairs provided to Medicare...
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Some MA Plans Are Back-Billing Enrollees for Past Premiums
Several Health Insurance Counseling and Advocacy Programs (HICAP) have reported on a few Medicare Advantage plans that are back-billing...
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CMS Clarifies Existing Medicare Appeals Regulations & New Provisions for Part D Appeals
Last December, the Centers for Medicare and Medicaid Services (CMS) issued final regulations for the Medicare Part A and...
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Hospital Errors Rise in California – Medicare Refuses to Pay for Avoidable Mistakes
The number of reported hospital errors increased across California during the last year, according to data from the state...
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HHS Secretary Sebelius Highlights New Tips to Prevent Medical Identity Theft & Medicare Fraud in Live Webcast 10/15
Secretary of Health and Human Services Kathleen Sebelius and Assistant Attorney General Tony West will highlight the Obama Administration’s...
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CHA’s Nationally Recognized Senior Medicare Patrol Project is on the News
ABC News highlighted California’s Senior Medicare Patrol project in their recent report on durable medical equipment (DME) fraud in...