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Healthcare Alert: DME Supplier CMS Payment Suspension Terminated

June 14, 2024

In a rare move, the Centers for Medicare & Medicaid Services (“CMS”) terminated the payment suspension (the “Suspension”) it previously imposed on a durable medical equipment (“DME”) supplier and agreed to release withheld funds to that provider as a result of Mandelbaum Barrett’s healthcare team’s appeal to CMS.

2024 Standard Protections for Spouses of Medicaid Applicants

January 12, 2024

Each fall, the Centers for Medicare & Medicaid Services (CMS) renews the federal guidelines that seek to protect individuals whose spouses are applying for or receiving Medicaid long-term care benefits. These protections, known as the Spousal Impoverishment Standards, help to support the financial well-being of seniors who continue residing at home while their spouse on Medicaid […]

Medicare Extra Help Program Set to Expand in 2024

September 14, 2023

Seniors and disabled citizens will receive more access to the Medicare Extra Help Program as of the beginning of 2024, the federal government announced. This expansion of benefits could enable up to 3 million people to reduce their prescription drug costs. What Is the Medicare Extra Help Program? The Medicare Extra Help Program assists older adults […]

Healthcare Alert: CMS Aggressively Targets OTC COVID-19 Test Kit Providers

March 3, 2023

In April of 2022, the Biden-Harris Administration announced that Americans with Medicare Part B, including those enrolled in a Medicare Advantage plan (“Medicare Beneficiaries”), were eligible for up to eight Food and Drug Administration approved, authorized, or cleared over-the-counter COVID-19 test kits per month at no cost under this new program (the “Program”), distributable to […]

5 Reasons for Seniors to Celebrate in 2023

December 29, 2022

It has been a tumultuous few years. Amid a continuing pandemic, tense midterm elections, and a war in Ukraine, we have grappled with more than our fair share of grim news. However, with the new year upon us, there are some silver linings — in particular for seniors. Here are five reasons for seniors to […]

Medicare Open Enrollment Reminder

December 1, 2022

The Medicare open enrollment period runs through December 7th, 2022.   Medicare adjusts costs, coverage, and accepted providers on an annual basis. If you have received “Evidence of Coverage,” or an “Annual Notice of Change,” from Medicare, now is the time to review your coverage, and, if necessary, make changes to your Medicare healthcare plan to […]

Medicare Advantage Plans Often Wrongly Deny Necessary Care, Study Finds

July 8, 2022

In an alarming number of instances, private Medicare Advantage plans are denying coverage for medical services that would be covered under original Medicare, according to a federal investigation. These denials are likely preventing or delaying medically necessary care for tens of thousands of Medicare Advantage beneficiaries each year. The investigation by the Department of Health and […]