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
Search Results for: NOTICE
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
New Medicare Part D Pharmacy Notice Rule In Effect; Stay Tuned for Final Model Notice
Effective January 1, 2012, Medicare Part D plan enrollees who are unable to obtain a prescription drug at the pharmacy are now, in most instances, entitled to a written notice explaining how they can contact their Part D plan in order to initiate an … [Read more...] about New Medicare Part D Pharmacy Notice Rule In Effect; Stay Tuned for Final Model Notice
Send Us Medicare Summary Notices (MSNs)
The Center is concerned about the use of MSNs that do not reveal to beneficiaries that their service was denied based on a National Coverage Determination. Such an MSN will instead provide a misleading explanation, such as "Medicare does … [Read more...] about Send Us Medicare Summary Notices (MSNs)
Proposed Notice Requirements About Quality of Care: Endorsement, with Concerns
On April 4, 2011, the Center for Medicare Advocacy (the Center) filed comments on a proposal by the Centers for Medicare & Medicaid Services (CMS) to establish a new condition of Medicare participation (CoP) for certain Medicare service … [Read more...] about Proposed Notice Requirements About Quality of Care: Endorsement, with Concerns
Send Us Medicare Summary Notices (MSNs)
The Center is concerned about the use of MSNs that do not reveal to beneficiaries that their service was denied based on a National Coverage Determination. Such an MSN will instead provide a misleading explanation, such as "Medicare does … [Read more...] about Send Us Medicare Summary Notices (MSNs)
The New Medicare Hospital Notice – Insight and Guidance for Beneficiaries
Starting July 1, 2007, hospitals participating in the traditional or Medicare Advantage Medicare program must provide beneficiaries with a new notice of discharge and appeal rights, as discussed in last week’s Weekly Alert. This Weekly Alert … [Read more...] about The New Medicare Hospital Notice – Insight and Guidance for Beneficiaries
Changes to “Important Message from Medicare” Regarding Hospital Notice
The Health Care Financing Administration (HCFA) has made revisions to its Important Message from Medicare notice which all beneficiaries receive upon admission to the hospital and again at the time that the hospital establishes a discharge date. … [Read more...] about Changes to “Important Message from Medicare” Regarding Hospital Notice