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Center for Medicare Advocacy, Inc. (CMA)


Self Description

November 2014: "Mission Statement

The Center for Medicare Advocacy’s mission is to advance access to comprehensive Medicare coverage and quality health care for older people and people with disabilities by providing exceptional analysis, education, and advocacy.

About the Center for Medicare Advocacy

The Center for Medicare Advocacy, Inc., established in 1986, is a national nonprofit, nonpartisan organization that provides education, advocacy and legal assistance to help older people and people with disabilities obtain fair access to Medicare and necessary health care. The Center is headquartered in Connecticut and Washington, DC with offices throughout the country.

The Center is staffed by attorneys, nurses, legal assistants, and information management specialists.  The Center’s work includes:

  • Representing thousands of individuals in appeals of Medicare denials.
  • Responding to approximately 7000 telephone and email inquiries each year.
  • Producing a wide array of electronic and hard copy educational materials.
  • Advocating in administrative, judicial, and legislative forums,
  • Pursuing Medicare coverage for individuals and for dually eligible beneficiaries (individuals who are eligible for both Medicare and Medicaid).
  • Providing legal training and support nationwide as well as for Connecticut's state health insurance and assistance (SHIP) program, known in Connecticut as CHOICES.

A complete list of the Center for Medicare Advocacy's publications and products is available here.

The Center's staff act as consultants and trainers for groups that are interested in learning about health care rights, Medicare coverage and appeals, or in developing Medicare advocacy projects."

http://www.medicareadvocacy.org/about/

Third-Party Descriptions

September 2014: "A. Because observation care is provided on an outpatient basis, patients usually have co-payments for doctors’ fees and each hospital service. And they have to pay extra for routine drugs that they take at home if the hospital provides them during the observation period. For seniors who do not have a supplemental insurance policy that helps cover these expenses, the bill can be oppressive, according to Terry Berthelot, a senior attorney at the Center for Medicare Advocacy."

http://www.charlotteobserver.com/2014/09/15/5176579/hospital-observation-can-be-pricey.html

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Articles and Resources

Date Fairness.com Resource Read it at:
Sep 15, 2014 Medical costs: Hospital observation can be pricey

QUOTE: The distinction between inpatient and outpatient status matters: Seniors must have three consecutive days as admitted patients to qualify for Medicare coverage for follow-up nursing home care, and observation time doesn’t count for that three-day tally.

Charlotte Observer