Michael Hill Trial Law’s Post

Centers for Medicare & Medicaid Services has issued questions and answers concerning new hospice enrollment requirements for certifying physicians. In a nutshell, as of June 3, 2024, certain physicians must either be enrolled or opted out of Medicare in order for CMS to pay for the hospice service. This article by attorneys Alice V Harris and Jenna K. Godlewski helps clear up a few questions for both certifying physicians and hospice providers: https://lnkd.in/dEiFgztW

In 2025, the annual deductibles for Medicare Part A and Part B are: Part A: $1,676 per benefit period Part B: $257 per year The Centers for Medicare & Medicaid Services (CMS) releases new premiums, deductibles, and coinsurance amounts each fall. Here are some other details about Medicare costs in 2025: Part A monthly premium: $518 for beneficiaries who don't have premium-free Part A Part B monthly premium: $185, but some beneficiaries may pay more based on their income Part D premiums: Vary from plan to plan Inpatient hospital care: After the deductible, you pay $0 for the first 60 days, $419 per day for days 61–90, and $838 per "lifetime reserve day" Skilled nursing facility stay: After the deductible, you pay $0 for the first 20 days, $209.50 per day for days 21–100, and all costs for each day after day 100

In 2025, the annual deductibles for Medicare Part A and Part B are: Part A: $1,676 per benefit period Part B: $257 per year The Centers for Medicare & Medicaid Services (CMS) releases new premiums, deductibles, and coinsurance amounts each fall. Here are some other details about Medicare costs in 2025: Part A monthly premium: $518 for beneficiaries who don't have premium-free Part A Part B monthly premium: $185, but some beneficiaries may pay more based on their income Part D premiums: Vary from plan to plan Inpatient hospital care: After the deductible, you pay $0 for the first 60 days, $419 per day for days 61–90, and $838 per "lifetime reserve day" Skilled nursing facility stay: After the deductible, you pay $0 for the first 20 days, $209.50 per day for days 21–100, and all costs for each day after day 100

Wondering what Medicaid covers? Michelle, Title 19 Expert, has the answers! Medicaid steps in to cover medical expenses for those struggling with financial burdens. But did you know it extends beyond nursing home care? If you qualify, Medicaid can cover your nursing home expenses along with other crucial costs, including doctor visits, medications, hospital care, meals, tests, treatments, and necessary equipment as prescribed by your doctor. Don't navigate Medicaid alone – Michelle is here to guide you through the process and assist so you get the coverage you need. #MedicaidCoverage #Title19 #ExpertAdvice 🌟

Did you know that the Centers for Medicare & Medicaid Services holds back 2% of all fee-for-service payments to skilled nursing facilities (SNF)? This funding supports the SNF Value-Based Purchasing program, which aims to encourage better patient care. How it works: 60% of these withheld funds are redistributed to SNFs that successfully reduce unplanned hospital readmissions within 30 days. Want to learn more about how this impacts SNFs and improves patient outcomes? Dive into our blog for a detailed breakdown: https://hubs.la/Q02NQqPT0 Source: https://hubs.la/Q02NQ78T0

CMS and state Medicaid programs are shaping the future of skilled nursing facilities with evolving quality measures and incentives, specifically impacting Medicare A reimbursement rates from FY 2026 onwards. Did you know? States like Ohio offer additional reimbursement earnings of up to $56.40 per Medicaid day through Quality Incentive Payment Programs. Click below to download and dive into our Quality Report for in-depth insights on maximizing these opportunities and securing your facility's future! https://hubs.la/Q02B8qG10

The Centers for Medicare & Medicaid Services issued new guidance requiring skilled nursing facilities to provide more detailed disclosures about their ownership and management structures. These changes, reflected in the revised Form CMS-855A, took effect on October 1, 2024. Learn more about the new requirements for disclosing additional disclosable parties and updated reporting obligations here: https://bit.ly/3ZA6N8R

Medicaid was created in 1965 as a joint federal-state program providing medical assistance to aged, disabled, or blind individuals (or to needy, dependent children) who could not otherwise afford necessary medical care. The Affordable Care Act of 2010 expanded eligibility for Medicaid coverage to include non-disabled adults with low income who are under the age of 65. Medicaid covers a number of medical costs, including hospital bills, physician services, and long-term nursing home care. Each state administers its own programs based on broad federal guidelines and regulations. Within these guidelines, each state:

Medicaid was created in 1965 as a joint federal-state program providing medical assistance to aged, disabled, or blind individuals (or to needy, dependent children) who could not otherwise afford necessary medical care. The Affordable Care Act of 2010 expanded eligibility for Medicaid coverage to include non-disabled adults with low income who are under the age of 65. Medicaid covers a number of medical costs, including hospital bills, physician services, and long-term nursing home care. Each state administers its own programs based on broad federal guidelines and regulations. Within these guidelines, each state:

Medicaid was created in 1965 as a joint federal-state program providing medical assistance to aged, disabled, or blind individuals (or to needy, dependent children) who could not otherwise afford necessary medical care. The Affordable Care Act of 2010 expanded eligibility for Medicaid coverage to include non-disabled adults with low income who are under the age of 65. Medicaid covers a number of medical costs, including hospital bills, physician services, and long-term nursing home care. Each state administers its own programs based on broad federal guidelines and regulations. Within these guidelines, each state: