On January 12, 2017, the Centers for Medicare and Medicaid Services issued a Ruling declaring continuous glucose monitors that can be used without confirmatory fingersticks to be durable medical equipment covered under the Medicare benefit. See https://www.cms.gov/Regulations-and-Guidance/Guidance/Rulings/Downloads/CMS1682R.pdf. Effective immediately, Medicare beneficiaries seeking coverage of their CGM should ensure they have a prescription for the Dexcom […]
In December 2014, a Medicare beneficiary suffering from Type 1 diabetes filed a challenge against a Medicare policy asserting a continuous glucose monitor (“CGM”) is precautionary and therefore not covered by Medicare. The policy had been used to deny Medicare coverage of CGM for numerous Medicare beneficiaries despite the national and international recognition that CGM […]
In December 2014, a challenge was filed against the statement in a Medicare Article that asserts a continuous glucose monitor (“CGM”) is “precautionary” for individuals suffering from diabetes. On September 11, 2015, the Civil Remedies Division Administrative Law Judge ruled that the administrative record was insufficient to support the validity of the Local Coverage Determination/Local […]
A Type1 diabetic Medicare beneficiary challenged Medicare contractor NHIC’s practice of denying claims for her continuous glucose monitor (“CGM”) and supplies. NHIC has denied covering CGM and supplies asserting that they are “precautionary.” The Medicare contractor first tried to argue that the judge had no jurisdiction to consider the challenge. The judge, a member of […]
On May 26, 2015, the District Court for the Eastern District of Wisconsin ruled that the Secretary of Health and Human Services cannot deny coverage of a continuous glucose monitor based on a statement in an Article that such monitors are “precautionary.” The case reflects the arduous path that Type 1 diabetic Medicare beneficiaries endure […]
Parrish Law Offices moved into its new space at 788 Washington Road in the designated historical district of Mt. Lebanon. The Spanish Mission style building was the former site of the Mt. Lebanon parking authority. The renovation restored the large windows of the original structure creating a bright open spaces. The new office is in […]
The firm continues to share its experience and expertise with the research community. Along with Jeffrey Drazen, the editor-in chief of the New England Journal of Medicine, and Ivan Oransky of Retraction Watch, Ms. Parrish will present on research integrity issues at the Experimental Biology Conference in Boston on March 30, 2015. In May, Ms. […]
The Office of Medicare Hearings and Appeals (“OMHA”) has announced a significant delay in its time frames for processing appeals of claims denials under Medicare Part A and Part B. OMHA is the office within the U. S. Department of Health and Human Services that is responsible for processing Medicare claims appeals at the Administrative […]
Parrish Law Offices, one of the country’s leading health care law firms, announces a new Washington, D. C. office location. Parrish Law Offices is one of the country’s leading legal experts in obtaining and protecting reimbursement for medical technologies and services. The firm represents health care providers across the country on a comprehensive range of […]
On July 9, 2013, the United States District Court for the Western District of Oklahoma confirmed its Order to the Secretary of HHS to compute appropriate reimbursement payments to a provider of a new type of radiation treatment for cancer. See Oklahoma ProCure Management, LLC v. Kathleen Sebelius, Secretary of the United States Department of […]