Center For Medicare Advocacy - McKnight's Long Term Care News

Center For Medicare Advocacy

Poor staffing led to poor care, state says in lawsuit

New Mexico has filed suit against one of the nation’s largest nursing home operators for providing what it claims were inadequate resources that led to poor care and improper billing. One leading patient advocate called the action a “new and novel approach” to the “chronic and longstanding problem of inadequate nurse staffing in nursing facilities.”

Judith A. Stein, founder of the Center for Medicare Advocacy

‘Improvement standard’ lives on, Medicare refuses to cover Jimmo herself

Medicare officials continue to cite an “improvement standard” as a reason for withholding benefits from Glenda Jimmo, whose 2012 legal victory was supposed to end this type of denial, Kaiser Health News reported Monday. The situation shows why both beneficiaries and providers are confused about current policy, and why some nursing homes continue to expect business-as-usual, an expert told McKnight’s.

Judith A. Stein, founder of the Center for Medicare Advocacy

Profile: On the side of seniors

For those who work with Medicare beneficiaries, Judith Stein is a well-known powerhouse. Since founding the Center for Medicare Advocacy in 1986, she’s led numerous major cases involving Medicare denials.

Observation stay case debated in court

Government lawyers and opponents of Medicare’s “observation stay loophole” recently squared off in federal court, when a judge convened the first hearing in the Bagnall vs. Sebelius case. Richard Bagnall and other seniors denied Medicare coverage for skilled nursing care brought the case in 2011.

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