Medicare Billings, Claims & Appeals

New Agreement Between AMR & Advocates Gives Beneficiaries More Time to Resolve Ambulance Appeals
By Karen Fletcher on May 7, 2012
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
By Karen Fletcher on February 6, 2012
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
By Karen Fletcher on July 7, 2011
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
By Karen Fletcher on August 24, 2010
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
By Karen Fletcher on February 24, 2010
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
By Karen Fletcher on January 14, 2010
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
By Karen Fletcher on October 14, 2009
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
By Karen Fletcher on October 7, 2009
ABC News highlighted California’s Senior Medicare Patrol project in their recent report on durable medical equipment (DME) fraud in...
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New Spanish & English Podcasts Available on Medicare Low-Income Programs and Medicare Appeals
By Karen Fletcher on April 2, 2009
We have 2 new Medicare podcasts available in English and Spanish, covering the topics of low-income assistance programs for...
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Still Got Complaints? Here’s Your Guide for Medicare Fraud, Billings and Claims and Part D
By Karen Fletcher on August 3, 2007
Making a complaint and knowing where to file it is crucial for our advocacy efforts in monitoring and improving...
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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.

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