(10/4/11) An issue brief from the National Senior Citizens Law Center entitled “Building an Integrated Appeals System for Dual Eligibles,” recommends that as the Centers for Medicare and Medicaid Services (CMS) works with states to create new models that better integrate the delivery of Medicare and Medicaid benefits, efforts should be made to integrate the […]
(8/23/11) Medicare and Medicaid Alignment: Challenges and Opportunities for Serving Dual Eligibles. In another NSCLC Issue brief, simple fixes are suggested to several problems dual eligibles experience from not getting essential medical equipment to gaps in prescription drug coverage. To read a press release about the brief, click here.
Improper billing (also sometimes referred to as "balance billing") occurs when doctors, hospitals, or other providers charge beneficiaries with both Medicaid and Medicare for co-pays, co-insurance, or deductibles. Patients who have both Medicaid and Medicare (including Medicare Advantage) should never be charged for services covered under Medicaid or Medicare. Billing for covered services is illegal under both […]
