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Approval of Notice Act ( Medicare Patients' Hospital Rights)

The U.S. Senate unanimously approved legislation Monday night requiring hospitals across the nation to tell Medicare patients when they receive observation care but have not been admitted to the hospital. It’s a distinction that’s easy to miss until patients are hit with big medical bills after a short stay.

The vote follows overwhelming approval in the U. S. House of Representatives in March. The legislation is expected to be signed into law by President Barack Obama, said its House sponsor, Texas Democratic Rep. Lloyd Doggett.

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CMS proposes changes to 'two midnight' rule

In recent years, the Centers for Medicare & Medicaid Services (CMS) cracked down on hospitals for services rendered in a “medically-unnecessary setting,” that is the hospitals were choosing to admit patients as inpatients rather than under observation. CMS responded by penalizing hospitals who admitted patients who should have been under observation first. Hospitals reacted by … Read more

When Medicare stops paying rehab bill—bad things happen

Long Term Care Hospitals (LTCHs) are certified as acute care hospitals for patient with serious medical problems that require intense, special treatment usually for more than 25 days. Each year, Medicare sets thresholds for reimbursement for care based on five-sixths of the expected length of stay for a particular diagnosis. The thresholds vary by diagnosis … Read more

Why Medicare might deny ambulance costs

The following refers to Original Medicare. An individual with an Advantage Plan would likely find that the rules for ambulance transportation vary by plan while the costs, rights, protections and choices may be different. Those individuals with an Advantage Plan should read the plan material or call their plan for clarification. Medicare Part B (Medical … Read more

How Medicare exposes you to identity theft

Printer Friendly VersionHave you noticed that your Medicare card carries a familiar number? The ID number on Medicare cards is the same as your Social Security card. Yet, for decades we’ve all been warned to not carry our Social Security number in our wallets. It’s been decades too since writing a check required a Social … Read more

Feds refuse to stop Medicare's persistent use of 'improvement standard' despite court settlement

Two years ago, a settlement agreement ended Medicare’s use of the “improvement standard.”  At least it was supposed to.  But, despite the agreement some beneficiaries continue to be denied coverage and federal officials are refusing to take any further action to ensure that providers are aware of the change. Under the long standing improvement standard, … Read more

Should you change your Part D coverage?

Each year, Medicare beneficiaries get another chance to switch their plans. Most people will have a choice between 30 or more plans.  For a lot of people, having so many choices can be mind-boggling and so they stay with the same plan year after year despite the fact that their plans change.  Maybe it’s not … Read more

Turning 65? 9 Tips For Signing Up For Medicare

By Caroline Mayer Originally printed on Oct 07, 2014,  Provided by Kaiser Health News. “Welcome to America’s hottest talk line. Ladies, to talk to interesting and exciting guys free, press 1 now. Guys, hot ladies are waiting to talk to you . . . .” Wait! I thought I was calling Social Security to ask a … Read more

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