An all-too-common complaint about Medicare Advantage (MA) plans is that they either deny claims that traditional Medicare fee-for-service would have approved, or that they require equipment providers, clinicians and patients to take extra steps to qualify for equipment — additional hoops to jump through that traditional Medicare would not have required. Those additional MA steps…
Case Example: Challenging a Medicare Advantage Denial
The National Academies Report: Make ALS Livable in the Next Decade
Livability includes greater quality of life for people with ALS, as well as greater longevity.
A new report from the National Academies of Sciences, Engineering, and Medicine discusses how the health-care field and its professionals could most effectively support people living with amyotrophic lateral sclerosis (ALS). The consensus study report was introduced during a June 18 webinar. “At any one time, at least 30,000 people in the U.S. are living…
Philips Respironics Cuts Product Portfolio for US, Enters Consent Decree
Discontinued products include different types of ventilators.
If you work with clients who use ventilators —especially ventilators carried by their power wheelchairs and connected to those batteries — take note. Philips Respironics has significantly reduced its respiratory and sleep portfolio of products for the United States. In a Jan. 25 announcement, the manufacturer listed products it was discontinuing. The list of products…
AAHomecare: Medicare Advantage Plans Unfairly Restricting NIV Coverage
MA plans are swapping Respiratory Assistance Devices for Non-Invasive Ventilation devices.
The American Association for Homecare (AAHomecare) and the ALS Association are continuing their collaborative work on the issue of Medicare Advantage (MA) plans unfairly restricting coverage for non-invasive ventilation (NIV) devices. In an Oct. 13 update, AAHomecare said it partnered with the ALS Association to discuss these concerns with the Centers for Medicare & Medicaid…