December 21, 2015 Acting Administrator Andy Slavitt Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244-8016 RE: Patient Protection and Affordable Care Act; … [Read more...] about Center Comments on Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017 [CMS–9937–P]
Search Results for: NOTICE
Center Comments on CMS-10003 Notice of Denial of Medical Coverage (or Payment)
Submitted electronically at http://www.regulations.gov December 15, 2015 CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: CMS-10003/0938-0829, Room C4-26-05, 7500 Security … [Read more...] about Center Comments on CMS-10003 Notice of Denial of Medical Coverage (or Payment)
CMS Hosts Tele Town Hall on Hospital Observation NOTICE Act; Comments Accepted until January 4, 2016
The Centers for Medicare & Medicaid Services (CMS) hosted a Tele Town Hall on December 21, 2015 to solicit comments on the Notice of Observation Treatment and Implications for Care Eligibility (NOTICE) Act, Public Law 114-42. Beginning in … [Read more...] about CMS Hosts Tele Town Hall on Hospital Observation NOTICE Act; Comments Accepted until January 4, 2016
Observation Status: The NOTICE Act Will Soon Be Law
An increasing number of patients in hospitals are not formally admitted as inpatients, but as “outpatients” on “observation status.” Although they receive whatever medical and nursing care, diagnostic tests, medications, … [Read more...] about Observation Status: The NOTICE Act Will Soon Be Law
Saga of an Inpatient Hospital Appeal: Notice and Use of Lifetime Reserve Days and Comments on Observation Status
This CMA Alert highlights a recent individual ALJ decision that sets out an important but often unrecognized beneficiary right to a written notice when he or she is about to use hospital “Lifetime Reserve Days.” A hospital’s … [Read more...] about Saga of an Inpatient Hospital Appeal: Notice and Use of Lifetime Reserve Days and Comments on Observation Status
Observation Status – Notice and Appeal
Connecticut Passes Observation Notice Law On June 12, 2014, Connecticut Governor Dannel P. Malloy signed into law a requirement that, starting October 1, 2014, Connecticut hospitals give oral and written notice to patients placed on observation … [Read more...] about Observation Status – Notice and Appeal
CMS Clarifies When the Advance Beneficiary Notice of Non-Coverage (ABN) Must be Issued
August 16, 2012 On June 1, 2012, the Centers for Medicare & Medicaid Services (CMS) issued Transmittal No.R2480CP, which updates its instructions on the issuance of the Advance Beneficiary Notice (ABN), Form CMS-R-131.[1] The changes are … [Read more...] about CMS Clarifies When the Advance Beneficiary Notice of Non-Coverage (ABN) Must be Issued
April 9, 2012 – Challenging Notices of Involuntary Discharge
NATIONAL MEDICARE ADVOCATES ALLIANCE CALL Monday, April 9, 2012– 2:00 P.M., Eastern Time Call-in Number: 1 (888) 206-2266 Pass Code: 1050263# NOTE: We ask people calling from the same location to gather around one telephone. This … [Read more...] about April 9, 2012 – Challenging Notices of Involuntary Discharge
New Medicare Summary Notice
On March 7, 2012, the Centers for Medicare & Medicaid Services (CMS) announced the redesign of the Medicare Summary Notice (MSN), the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. The … [Read more...] about New Medicare Summary Notice
The Medicare Advance Beneficiary Notice of Non-Coverage (ABN): A Tool for Limiting Beneficiary Liability
Medicare's limitation on liability (LOL) protections[1] apply when a provider believes that an otherwise covered Medicare item or service will be denied because the item or service is not reasonable and necessary[2] or is for custodial care.[3] … [Read more...] about The Medicare Advance Beneficiary Notice of Non-Coverage (ABN): A Tool for Limiting Beneficiary Liability