A Client Profile
One of our clients, Mrs. Brown, who has been living alone with Multiple Sclerosis and various related health problems since 1986. She is declining. Currently, she is essentially bed bound and has to...
View ArticleNew Home Health and Hospice Face-to-Face Physician/Practitioner Encounter...
Face-to-face requirements in several care settings have been established through the Affordable Care Act (ACA) Read more →
View ArticleHome Health Face-to-Face Physician/Practitioner Requirement Challenges
A requirement that health care providers have a face-to-face meeting with patients was added as a Medicare payment requirement for home health and hospice care by the Affordable Care Act (ACA).[1]...
View ArticleAnnual Medicare Payment Limits for Home Health – Even Worse Than Co-Pays for...
The Center for Medicare Advocacy has represented Medicare beneficiaries since 1986. As one of the few advocacy organizations in the nation solely serving Medicare beneficiaries, we strongly oppose home...
View ArticleWarning: Medicare Payment Limits Are Bad for Health!
One of the deficit reduction proposals being discussed to achieve savings from Medicare is to introduce new cost-sharing for home health care. As a means to ward off such potential home health...
View ArticleSelf Help Packet for Home Health Care Appeals Including “Improvement...
Introduction Checklist for Home Health Appeals Quick Screen: Should My Home Health Care Be Covered By Medicare? Home Health Appeal Details Additional Information The “Improvement Standard” Myth and...
View ArticleCaution: Home Health Episode Payment Caps
Legislation was introduced on October 4th that could lead to a cap on the home health services available to a Medicare beneficiary. In the midst of a government shutdown, Representatives Matheson...
View ArticleNew CMS Proposed Homebound Policy Would Leave Medicare Beneficiaries Without...
Medicare only covers home health care if, among other requirements, the beneficiary is homebound. As of November 19, 2013, the Centers for Medicare & Medicaid Services (CMS) will require new...
View ArticleCase Study: Home Health Coverage and Medicare Advantage Plan Responsibilities
The Center for Medicare Advocacy received an e-mail inquiry from an individual requesting assistance advocating for her sister, Mrs. B. Mrs. B is a Medicare beneficiary enrolled in a Medicare...
View ArticleComments on Proposed Rules: CY 2016 Home Health Prospective Payment System...
September 1, 2015 SUBMITTED ELECTRONICALLY http://www.regulations.gov Andrew Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health & Human Services 200...
View ArticleMedicare’s Home Health Benefit Under Threat
1. CMS Proposes Medicare Home Health Prior Authorization Demonstration On February 5, 2016, the Centers for Medicare & Medicaid Services (CMS) published a two-page Paperwork Reduction Act notice in...
View ArticleCenter Comments on Medicare Prior Authorization of Home Health Services...
April 5, 2016 Centers for Medicare & Medicaid Services Office of Strategic Operations and Regulatory Affairs Division of Regulations Development 7500 Security Blvd. Baltimore, MD 21244-1850...
View ArticleProposed Rules Will Add to Problems Accessing Necessary Home Health Care
The Center for Medicare Advocacy has been hearing about people who clearly meet Medicare criteria but are unable to access home health care ordered by their physicians. In particular, people living...
View ArticleThe Promise of Medicare Home Health Coverage
The Center for Medicare Advocacy has been hearing from people who meet Medicare coverage criteria but are unable to access Medicare-covered home health care, or the appropriate amount of care. In...
View ArticleSubmit Your Home Health Access Story
As part of the Center's Home Health Access Initiative, we are collecting stories from beneficiaries and caregivers who have had difficulty obtaining necessary home health care as ordered by their...
View ArticleCenter for Medicare Advocacy Launches Home Health Access Initiative To Open...
As we have reported, the Center has been hearing more and more about people who meet Medicare criteria but cannot obtain, or retain, necessary home health care ordered by their physicians. In...
View ArticleAn Open Letter to CMS About Fraud
Can we talk about fraud? It exists. It’s not good for Medicare. Efforts to eliminate its damage to the program are necessary. But CMS’ war on fraud seems to be indiscriminate, full of tactical errors...
View ArticleMedicare Home Health Benefit’s Face-to-Face Encounter Requirement
As a condition of payment for Medicare home health benefits, a physician must certify that a patient is confined to the home, needs skilled services, receiving the services under a plan of care...
View ArticleThe Promise and Failure of Medicare Home Health Coverage
1.The Problem The Center for Medicare Advocacy has been hearing from people who meet Medicare coverage criteria but are unable to access Medicare-covered home health care, or the appropriate amount of...
View ArticleOverview: The Crisis in Medicare Home Health Coverage and Access to Care
Medicare beneficiaries with long-term and debilitating conditions are often unable to access Medicare-covered home health services for which they are eligible under the law. For too many people this...
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