MEDICARE UPDATE: NEW BENEFITS FOR PATIENTS WITH END STAGE RENAL DISEASE

MEDICARE UPDATE: NEW BENEFITS FOR PATIENTS WITH END STAGE RENAL DISEASE
|Legal News, Medicare News, Medicare Secondary Payer – Information and Services for RREs/Primary Payers, Medicare Secondary Payer- Information and Services for Plaintiffs’ Counsel & Beneficiaries

On July 2, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2015. This proposal would introduce new quality and performance measures to improve the quality of care by outpatient dialysis facilities treating patients with end-stage renal disease and proposes to implement the Affordable Care Act mandate to bring more competitive bidding for durable medical equipment.

Please contact our office if you would like additional information about this positive change which will benefit seriously ill beneficiaries.

About the author

Seana B. Thomas

Founder and Principal Attorney, Seana Thomas is a recognized authority on Medicare Secondary Payer law (MSP) and procedure, and has been a civil litigator in California for over 25 years. Since 2008, Ms. Thomas has been involved in the analysis and understanding of issues relating to the existing Medicare Secondary Payer reimbursement system, current and anticipated revisions in MSP law and procedure in the liability context, and the effect they have on the rights and obligations of "primary payers" (RREs), beneficiaries and their counsel in liability claims or lawsuits asserted by a Medicare beneficiary.

In the summer of 2008 she was co-author, with Roy Franco, J.D. and David Rosenbaum, Esq., of a detailed analysis of the Medicare statutory reimbursement system and issues it presents for RREs and beneficiaries in the liability context in response to a Request for Comment regarding proposed changes to the MSP. This 100-plus page analysis was entered into the United States Congressional Record. Since then, MSP law and procedure has been a significant focus of Ms. Thomas's practice. Ms. Thomas continues an active civil litigation practice through trial and appeal for defense entities and plaintiffs. References are available upon request.

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