You can handle much of your Social Security business quickly and securely from your home or office computer. If you visit our website at www.socialsecurity.gov you will find that you can — • get an instant, personalized estimate of your future Social Security benefits; • apply for retirement, disability, and spouse’s benefits; • check the status of your benefit application; • change your address and phone number, if you receive monthly benefits; • sign-up for direct deposit of Social Security benefits; • use our benefit planners to help you better understand your Social Security protection as you plan for your financial future; • find the nearest Social Security office; and • request a replacement Medicare card.
Video: Medicine Dish: Outreach & Enrollment of Children in Medicaid & CHIP – Part 2
Medicaid Application Details
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The Official Medicare Set Aside Blog And Information Resource: Brown v. US Steel: A Story of Retirement Benefits and MSP Triggers
Despite the lack of details important to a better understanding of what really transpired with the underlying WC claim, it can be assumed that MSPRC is looking to exclude benefits on the basis of that rather than the group health plan status. If purely an issue of Brown being a retiree, the outcome is likely fine. As I stated above, in a pure retirement situation, Medicare is generally primary. Sadly, the bigger issue in this case is the intentional shifting of the burden of Brown’s work-related care to Medicare by retiring him and forcing him to apply for Medicare, complete with help from the benefits office, to the tune of three quarters of a million dollars in medical benefits paid out over 12 years. Medicare is statutorily barred from making payments because US Steel is the primary payer and even if an allocation was made to future medical if the WC claim was even properly closed in conjunction with the retirement, the limiting language of 42 CFR 411.46 that would exclude benefits only to the extent of that allocation if made did not go into effect until 3 years after the retirement so I question if would even apply. Why Brown would not be entitled to Medicare is questionable since he was clearly deemed disabled within the statutory definition; chances are that that was most likely a misapplication of the secondary payer exclusion by MSPRC (typical that they would be so quick to refund premium before they really sorted out the problem).
Bergen County Medical Society: CMS Pushes Back Medicare Revalidation Deadline to 2015
Responding to pressure from physician organizations, the agency administering the Medicare program will extend by two years the deadline to re-enroll more than 750,000 physicians. The move will provide the Centers for Medicare & Medicaid Services with more time as it embarks on the massive enrollment revalidation effort. The latest change to the timeline would allow for a smoother re-enrollment process, CMS said. The Medicare agency had planned to re-enroll 1.4 million physicians, nonphysician practitioners and other health care professionals by March 2013. Physicians revalidating their enrollment records would be subjected to new screening controls required by the health system reform law. The new standards are designed to prevent fraud in the Medicare system. But physicians are considered to be low fraud risks and would be subject only to license and identification verifications instead of the more stringent screenings required for device suppliers and home health firms. The American Medical Association had requested the delay in September. In doing so, the Association asked CMS to re-examine the statute requiring the revalidation and to consider other changes to enrollment. “We are very pleased that CMS has agreed to the two-year extension on the deadline to revalidate physicians’ Medicare status,” said AMA President Peter W. Carmel, MD. “This extension, recommended by the AMA, allows physicians to be one of the last groups who will have to face this time-consuming process.” The AMA and other health professional organizations said Medicare contractors would have been hard-pressed to revalidate 1.4 million enrollment records within an 18-month window. Contractors already process about 27,000 new enrollments and more than 30,000 billing reassignments each month. The organizations worried that the new revalidation effort would have led to application backlogs or other unintended consequences, such as doctors being inadvertently banned from the program. The health system reform law says that by March 23, 2013, no physician or other health professional may be enrolled or re-enrolled in Medicare without going through the enhanced screening procedures. A Sept. 23 letter from the AMA to CMS referenced the law and noted that the section did not require the agency to complete the effort by the 2013 date. The law provided flexibility to implement the new screening methods from that date onward, the Association said. However, the extra time given to physicians will not affect those doctors and practices who already have received a revalidation notice, CMS said. The physician still must meet the deadlines outlined in the revalidation letter he or she received. Failing to revalidate within the designated timeframe will cause a physician’s enrollment record to be deactivated. The first set of revalidation notices were sent to those who bill for Medicare services but are not in CMS’ electronic enrollment record, the agency said. Typically, these recipients are doctors who have not updated their enrollment in several years. Medicare contractors searched enrollment databases to determine which physicians are not in the electronic system. The Association had recommended that CMS exempt physicians from the revalidation effort altogether because they are low fraud risks to Medicare. The Medicare agency also should allow physicians to revalidate at any time, and not require doctors to print, sign and mail enrollment certification statements when applications are submitted online, the AMA said. CMS declined to exempt physicians from the process, but it was willing to make other changes. A Nov. 4 CMS email on the revalidation states that physicians who believe they are not in Medicare’s Provider, Enrollment, Chain, and Ownership system, or PECOS, can call their administrative contractors about revalidating. The agency also has told the AMA that it will make improvements to the online enrollment system. New features will include electronic signatures, document upload capabilities, seamless password resets, enhancements for authorized officials, reassignment reports, new “My enrollments page” and “Fast track view” screens, and fewer duplicative document submission requirements. CMS has said it will introduce these changes by the end of 2012.
How To Contact Social Security
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CMS Innovation Center: $1 Billion Health Care Innovation Challenge Released Yesterday
Background: Funded by the Affordable Care Act, the Health Care Innovation Challenge will award grants to applicants who will implement the most compelling new ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and the Children’s Health Insurance Program, particularly those with the highest health care needs. Award will be expected to range from approximately $1 million to $30 million over three years. Applications are open to providers, payers, local government, community-based organizations and particularly to public-private partnerships and multi-payer approaches. The Challenge will support projects that can begin within six months. Each grantee project will be evaluated and monitored for measurable improvements in quality of care and savings generated. For more information, including a fact sheet and the Funding Opportunity Announcement, please see the Health Care Innovation Challenge initiative webpage: http://innovations.cms.gov/initiatives/innovation-challenge/index.html