From the Center for Medicare Advocacy: Many Medicare hospital patients classified as observation status “outpatients” currently forgo necessary skilled nursing facility (SNF) care and head home to continue care through Medicare’s home health care benefit. This is because they lack a three-day inpatient hospital stay, which is required for Medicare coverage of most beneficiaries’ post-acute care in a SNF. Source/more: Center for Medicare Advocacy For a complete list of upcoming seminars, visit our website at www.davidwingate.com. Peace of mind is only a call or click away! For an Initial Consultation call Estate and Elder Planning by David Wingate at (301)…
Health insurers that treat millions of seniors have overcharged Medicare by nearly $30 billion over the past three years alone, but federal officials say they are moving ahead with long-delayed plans to recoup at least part of the money. Source/more: NPR For a complete list of upcoming seminars, visit our website at www.davidwingate.com. Peace of mind is only a call or click away! For an Initial Consultation call Estate and Elder Planning by David Wingate at (301) 663-9230 or visit www.davidwingate.com David Wingate is an estate planning and elder law attorney at Estate and Elder Planning by David Wingate….
For nearly a half-century, Medicare has covered patients, regardless of age, who have end-stage renal disease, including paying the costs of kidney transplants and related care, which run about $100,000 per patient. Full Story For a complete list of upcoming seminars, visit our website at www.davidwingate.com. Peace of mind is only a call or click away! For an Initial Consultation call Estate and Elder Planning by David Wingate at (301) 663-9230 or visit www.davidwingate.com David Wingate is an estate planning and elder law attorney at Estate and Elder Planning by David Wingate. The Estate and Elder Planning…
On April 25, 2019, the Centers for Medicare & Medicaid Services (CMS) published a notice of proposed rulemaking (NPRM) on fiscal year 2020 payment and policy changes for Medicare-certified skilled nursing facilities. Source/more: Center for Medicare Advocacy Access the proposed rule Comment on the proposed rule For a complete list of upcoming seminars, visit our website at www.davidwingate.com. Peace of mind is only a call or click away! For an Initial Consultation call Estate and Elder Planning by David Wingate at (301) 663-9230 or visit www.davidwingate.com David Wingate is an estate planning and elder law attorney at Estate and…
Speaker Nancy Pelosi is guiding House Democrats along a narrow path as she seeks to convince party progressives that the idea of providing Medicare for everyone in the U.S. is being taken seriously, while assuring moderates that the House won’t move too far, too fast. Source/more: Bloomberg Related: McConnell Dismisses Medicare for All: Not While GOP Controls Senate For a complete list of upcoming seminars, visit our website at www.davidwingate.com. Peace of mind is only a call or click away! For an Initial Consultation call Estate and Elder Planning by David Wingate at (301) 663-9230 or visit www.davidwingate.com David…
The Settlement Agreement in Jimmo v. Sebelius, No. 5:11-CV-17 (D. Vt) was approved by a federal district court in January 2013. Unfortunately, more than six years since the Settlement’s approval, the Center for Medicare Advocacy still regularly hears from beneficiaries facing erroneous “Improvement Standard” denials in home health, skilled nursing facility, and outpatient therapy settings. As a result, the Center advises beneficiaries and their families to continue citing the Jimmo Settlement and related materials when challenging denials based on an erroneous “Improvement Standard.” Source/more: Center for Medicare Advocacy See also: CMS Statement about Jimmo For a complete list of upcoming seminars,…
Several Medicare beneficiaries or their estates filed a class action to require the Secretary of Health and Human Services to afford them a process to challenge the decision when they are hospitalized to admit them either as inpatients or place them on observation status. Because Medicare covers the cost of a skilled nursing facility upon discharge only if the patients spent at least three consecutive days as a hospital inpatient, the named plaintiffs incurred thousands of dollars in post-hospital skilled nursing facility (SNF) costs as a result of their observation status classification even though each had spent multiple days in…
The U.S. government on Monday said it would increase by 2.53 percent on average 2020 payments to the health insurers that manage Medicare Advantage insurance plans for seniors and people with disabilities, a reflection of a new estimate on medical cost growth. Source/more: Reuters For a complete list of upcoming seminars, visit our website at www.davidwingate.com. Peace of mind is only a call or click away! For an Initial Consultation call Estate and Elder Planning by David Wingate at (301) 663-9230 or visit www.davidwingate.com David Wingate is an estate planning and elder law attorney at Estate and Elder Planning…
The most feared words to nursing home resident or an individual receiving outpatient care or in-home care is that his or her Medicare coverage is ending. Providers are only required to give a two day notice to the Medicare beneficiary, and the news of coverage ending often comes as a surprise. This is especially true upon admission to a skilled nursing facility, as it is presented that he or she will receive up to 100 days of Medicare coverage. They key words are up to 100 days. Unfortunately, generally, this is not the case as coverage typically ends much sooner….
House and Senate Democrats unveiled a plan Wednesday that would allow anyone over age 50 to buy into Medicare — an incremental step to expand health coverage beyond the ACA’s gains that offers an alternative to the ambitious restructuring progressives envision in their push for Medicare for All. Source/more: Politico Related: Democrats Seek Cosponsors for New “Medicare for All” Bill For a complete list of upcoming seminars, visit our website at www.davidwingate.com. Peace of mind is only a call or click away! For an Initial Consultation call Estate and Elder Planning by David Wingate at (301) 663-9230 or visit…
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