• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to footer
California Health Advocates

California Health Advocates

  • Contact
  • Home
  • About Us
    • Contact
    • Our Team
    • Mission
    • Education Services
    • About HICAP
    • Press
    • Testimonials
  • MEDICARE COUNSELING
  • Fact Sheets
  • Topics
    • The Basics
    • Prescription Drugs
    • Low-Income Help
    • Medigap
    • Medicare Advantage
    • Other Health Insurance
    • Appeals
    • Billing & Claims
    • Disabilities
    • Long-Term Care
    • Tribal Nations & Medicare
    • Health Care Reform
    • Advocacy & Policy
    • Glossary
  • Fraud & Abuse
  • Blog
  • Donate

Medicare Billings, Claims & Appeals

California Health Advocates > News > Medicare Billings, Claims & Appeals

What is a Medicare Administrative Contractor & Why Should I Care?

Posted by Karen Fletcher on September 26, 2013

Are you a provider offering Medicare hospital and/or outpatient services? Are you applying to be a Medicare provider? Or are you a Medicare beneficiary filing an appeal? If you answered yes to any of the above questions, it is important you know who serves as your regional Medicare Administrative Contractor (MAC) and what a MAC does. Which regional MAC covers … [Read more...] about What is a Medicare Administrative Contractor & Why Should I Care?

Filed Under: Medicare Billings, Claims & Appeals, News

Will Beneficiaries Bear Extra Medicare Costs Due to the Sequester?

Posted by Karen Fletcher on May 18, 2013

Many people are talking about the sequester that went into effect March 1st and the myriad of cuts. While the news reports no cuts in Medicare benefits, a 2% payment cut to providers will be imposed. The assumption is that the payment cut will not affect beneficiaries, yet it is unclear if the cost of this cut can be passed on to some beneficiaries. The 2% cut applies to … [Read more...] about Will Beneficiaries Bear Extra Medicare Costs Due to the Sequester?

Filed Under: Medicare Billings, Claims & Appeals, News

Medicare’s Proposed Changes to Hospital Admission Rules Don’t Address Root Concerns

Posted by Karen Fletcher on May 8, 2013

"Observation status" is a hot topic amongst advocates and beneficiaries and is again back in the court room. Lois Frarie, a 93 year old retired teacher in Monterey, California, was left with a $19,000 bill for her skilled nursing home care after 4 days in the hospital. How can this be? While Medicare does cover up to 100 days of SNF care, it only does so if a beneficiary is … [Read more...] about Medicare’s Proposed Changes to Hospital Admission Rules Don’t Address Root Concerns

Filed Under: Medicare Billings, Claims & Appeals

Round 2 of DMEPOS Competitive Bidding Program Starts July 1st

Posted by Karen Fletcher on April 17, 2013

Round 2 of Medicare's Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) competitive bidding program starts July 1, 2013. This round expands the DMEPOS competitive bidding program to beneficiaries in 91 major metropolitan areas across the country, and adds new product categories and a mail-order competition for diabetic testing supplies. In California, … [Read more...] about Round 2 of DMEPOS Competitive Bidding Program Starts July 1st

Filed Under: Medicare Billings, Claims & Appeals

Settlement Agreement Confirms Medicare Coverage for Skilled Maintenance Services Regardless of “Improvement”

Posted by Karen Fletcher on February 1, 2013

Medicare beneficiaries can no longer be denied necessary skilled maintenance services provided in the home health, nursing home or outpatient therapy settings on the basis of showing no improvement, according to a settlement agreement approved on January 24, 2013. Legally this has always been the case. Yet, in practice, thousands of Medicare beneficiaries have been denied … [Read more...] about Settlement Agreement Confirms Medicare Coverage for Skilled Maintenance Services Regardless of “Improvement”

Filed Under: Medicare Billings, Claims & Appeals, News

« Previous Page
Next Page »

Primary Sidebar

Change Text Size

  • 100%  110%  120%  130%  

News & Blog Categories

  • Medicare Advantage
  • Low-Income help
  • Medicare & Disabilities
  • Medicare Basics
  • Prescription Drugs
  • Medicare & Other Health Insurance
  • Medicare Billings, Claims & Appeals
  • Health Care Disparities
  • Fraud & Abuse

—

  • COVID-19
  • Resources
  • Health Care Reform
  • Long-Term Care
  • CHA News

—

  • Advocacy & Policy
  • Letters and Comments to Policymakers
  • Legislative and Congressional Testimony
  • Policy Briefs

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.

Archives

Donate Today

Footer

Sign up for our newsletter

Choose the news you'd like to receive

Important Links

  • About Us
  • Fact Sheets
  • Blog
  • Donate
  • Contact
  • Privacy Notice
  • Cookie Policy
  • Accessibility Statement

Follow Us

Copyright © 2022 · California Health Advocates · Web Design by TWK Web and Print Design · Log in