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Month: May 2022

Improper Denial in the Medicare Advantage Program

Improper Denial in the Medicare Advantage Program

May 25, 2022 There are few things more frustrating than having insurance that doesn’t cover you in a crunch. It’s like paying for an exorbitant house warranty only to discover in the dead of winter that it didn’t pay to replace your non-functional furnace. That can be a shattering (and, in this case, a shivering) experience. Well, that’s the state of affairs more and more seniors are finding themselves in when it comes to their Medicare Advantage plan; and the…

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Medicare Part C and D Final Rule for 2023

Medicare Part C and D Final Rule for 2023

May 18, 2022 Last week, the Centers for Medicare and Medicaid Services (CMS) published in the Federal Register a final rule (FR) relating to Medicare Part C, also known as Medicare Advantage (MA), and Medicare Part D, relating to drugs.  The agency also released a fact sheet that provides an overview of the changes.  The following will act to summarize some of the key provisions of the FR that may be of interest to hospitals. Key Dates The FR lists two sets…

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