What to Know When Starting A Medical Billing Service

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Healthcare solution >> more doctors by / // /Medical billing services need to have effective medical billing systems in place. With computers and the internet an efficient and profitable medical billing system would use electronic medical billing. Medical electronic billing handles medical billing and claims processing via electronic means. Computers and the Internet are both used in electronic medical billing to collect payments and submit insurance and Medicare claims. For the most efficient, time-saving medical billing system using medical electronic billing is a must. Electronic medical billing software helps by saving time in a variety ways, from sending out billing statements to submitting claims via the Internet. Filling out all the various forms for insurance or Medicare claims is time consuming. Medical electronic billing software has features that allow forms to be filled out using a computer and submitted over the Internet. This saves a lot of time and increases collections because the medical electronic billing software can correct forms before submission which saves time from having to resubmit rejected claims.
Source: medicalcodingplace.com

Video: medisoft medical billing software version 14 change patient chart number

On line Clinical Billing Software package

There was a time that to perform as a clinical billing expert it was a good idea to go as a result of a school coaching plan and pick up certification. Now, with the rise in technologies and ease of utilizing the net, it has develop into much easier for the property medical related billing specialist with a variety of on line health care billing software package to decide upon from to streamline the approach. On the web professional medical billing applications is employed to enter all the info necessary on the forms for insurance policy claims, both manifeste and private which include insurance coverage firms, Social Stability, Medicaid and Medicare, and Employees Compensation. Then working with this software package they submit the promises by a clearing home that disperses the statements to all the correct establishments and organisations. Billing software will also check out for glitches, making the operation much less complicated and enabling for way less faults which saves time and money for everyone involved.
Source: superarticledirectory.com

Defining Meaningful Use of HIT: How Online Billing Software Helps Qualify EHR Incentive Program for Payment

Dave Sommerfeld has more than 26 years of management and operations experience in a wide range of healthcare businesses ranging from clinical laboratories, home medical equipment suppliers, specialty pharmacies and medical industry consulting. From 1984 and 1997, Sommerfeld served as Senior Vice President for Medi-Labs, Ltd. in Chicago, Illinois, where he was responsible for the operations of its Norsom Medical Laboratory and Alpha Clinical Laboratory divisions. While there, he founded ProMed, Corp., a highly successful durable medical supply company specializing in service to the long-term-care market. After leaving MediLabs, he was employed first by Transworld Healthcare as its Senior Vice President of Financial Services and then by Liberty Medical Supply as its Senior Vice President of 3rd Party Services and was a founding member of Liberty’s Compliance Committee. After leaving Liberty in 2001, Sommerfeld founded The Sommerfeld Group, a nationally recognized consulting company specializing in providing business development, operations, accounts receivable management and regulatory compliance services to manufacturers, distributors and suppliers in the home medical equipment and pharmaceutical industry. Sommerfeld’s in-depth knowledge of and high-level experience in the healthcare supply and service industries caused him to recognize the opportunities for an integrated medical practice management and billing company uniquely positioned for the new environment of 5010 and ICD-10 along with filling the needs of long-tem-care facility and neighborhood clinic operators for specialized medical practitioners. Experics was established to fill those needs and now delivers services meeting the highest standards in the areas of medical billing, medical staffing and employment opportunities.
Source: nationalnewstoday.com

Get Faster Reimbursement through OSI’s Medical Billing and Coding Online Services

Based in Tulsa, Oklahoma, Outsource Strategies International (OSI) is a leading outsourcing company, providing a range of services using state-of-the-art Information technology to optimize productivity and efficiency. Presently OSI provides medical transcription, business transcription, media transcription, legal transcription, general transcription, medical billing with emphasis on old AR collections, outsourced staffing, website designing and search engine optimization, document conversion, and back office services. More information on our services can be found at our website www.outsourcestrategies.com.
Source: briefingwire.com

2012 Medicare Deductibles

Posted by:  :  Category: Medicare

The Social Security Administration has announced the Medicare deductibles for 2012.  deductibles are the amounts not covered by Medicare, but may be covered by your Medicare supplement insurance. The standard Medicare Part B premium will be $99.90 in 2012, a $15.50 decrease from the 2011 premium.
Source: schaumburglibrary.org

Video: Senior Care Concierge Medicare 2011 part1

Medicare Part B premiums for 2012 lower than projected Inexpensive Care Act helps maintain Medicare affordable

Nearly all of individuals with Medicare have paid $96.forty per 30 days for Part B since 2008, on account of a law that freezes Part B premiums in years where beneficiaries do not obtain price-of-living (COLA) increases of their Social Security checks. In 2012, these individuals with Medicare will pay the usual Part B premium of $99.ninety, amounting to a monthly change of $3.50 for most people with Medicare. This increase will be offset for nearly all seniors and folks with disabilities by the extra income they are going to obtain because of the Social Security price-of-living adjustment (COLA). For instance, the common COLA for retired workers will be about $forty three a month, which is considerably higher than the $3.50 premium increase for affected beneficiaries. Moreover, the Medicare Part B deductible will be $a hundred and forty, a lower of $22 from 2011.
Source: thebusinessview.com

Medicare Deductible & Premiums for 2012

As required in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, beginning in 2007 the Part B premium a beneficiary pays each month is based on his or her annual income.  Specifically, if a beneficiary’s “modified adjusted gross income” is greater than the legislated threshold amounts ($85,000 in 2012 for a beneficiary filing an individual income tax return or married and filing a separate return, and $170,000 for a beneficiary filing a joint tax return) the beneficiary is responsible for a larger portion of the estimated total cost of Part B benefit coverage.
Source: trinitymedcare.com

Medicare supplement Insurance

Many seniors shall be shopping multiple insurance providers searching for the best a great number cost valuable health schedule option designed for 2011. ? Independent of the thousands of generally losing most of the coverage once and for all, there are additional who happen to be unhappy in relation to their current schedule. ? When you compare Medicare Plans there are certain questions you prefer to make sure to pay before make final selection. ? Besides, you probably want to consider leaving a benefit plans and only Medicare Health supplement Plans, which will offer exceptional coverage.
Source: level5studio.com

2012 Medicare Deductible Amounts

The original Medicare program has two parts: Part A (Hospital Insurance), and Part B (Medical Insurance). Only a few special cases exist where prescription drugs are covered by original Medicare, but as of January 2006, Medicare Part D provides more comprehensive drug coverage. Medicare Advantage plans, also known as Medicare Part C, are another way for beneficiaries to receive their Part A, B and D benefits. All Medicare benefits are subject to medical necessity. Part A: Hospital Insurance Part A covers inpatient hospital stays (at least overnight), including semiprivate room, food, tests, and doctor’s fees. Part A covers brief stays for convalescence in a skilled nursing facility if certain criteria are met: 1. A preceding hospital stay must be at least three days, three midnights, not counting the discharge date. 2. The nursing home stay must be for something diagnosed during the hospital stay or for the main cause of hospital stay. 3. If the patient is not receiving rehabilitation but has some other ailment that requires skilled nursing supervision then the nursing home stay would be covered. 4. The care being rendered by the nursing home must be skilled. Medicare part A does not pay for custodial, non-skilled, or long-term care activities, including activities of daily living (ADL) such as personal hygiene, cooking, cleaning, etc. The maximum length of stay that Medicare Part A will cover in a skilled nursing facility per ailment is 100 days. The first 20 days would be paid for in full by Medicare with the remaining 80 days requiring a co-payment (as of 2009, $133.50 per day). Many insurance companies have a provision for skilled nursing care in the policies they sell. If a beneficiary uses some portion of their Part A benefit and then goes at least 60 days without receiving facility-based skilled services, the 100-day clock is reset and the person qualifies for a new 100-day benefit period. Part B: Medical Insurance Part B medical insurance helps pay for some services and products not covered by Part A, generally on an outpatient basis. Part B is optional and may be deferred if the beneficiary or their spouse is still actively working. There is a lifetime penalty (10% per year) imposed for not enrolling in Part B unless actively working. Part B coverage includes physician and nursing services, x-rays, laboratory and diagnostic tests, influenza and pneumonia vaccinations, blood transfusions, renal dialysis, outpatient hospital procedures, limited ambulance transportation, immunosuppressive drugs for organ transplant recipients, chemotherapy, hormonal treatments such as Lupron, and other outpatient medical treatments administered in a doctor’s office. Medication administration is covered under Part B only if it is administered by the physician during an office visit. Part B also helps with durable medical equipment (DME), including canes, walkers, wheelchairs, and mobility scooters for those with mobility impairments. Prosthetic devices such as artificial limbs and breast prosthesis following mastectomy, as well as one pair of eyeglasses following cataract surgery, and oxygen for home use is also covered. Complex rules are used to manage the benefit, and advisories are periodically issued which describe coverage criteria. On the national level these advisories are issued by CMS, and are known as National Coverage Determinations (NCD). Local Coverage Determinations (LCD) only apply within the multi-state area managed by a specific regional Medicare Part B contractor, and Local Medical Review Policies (LMRP) were superseded by LCDs in 2003. Coverage information is also located in the CMS Internet-Only Manuals (IOM), the Code of Federal Regulations (CFR), the Social Security Act, and the Federal Register. Part C: Medicare Advantage plans With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the original Medicare plan (Parts A and B). These programs were known as “Medicare+Choice” or “Part C” plans. Pursuant to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, “Medicare+Choice” plans were made more attractive to Medicare beneficiaries by the addition of prescription drug coverage and became known as “Medicare Advantage” (MA) plans. Traditional or “fee-for-service” Medicare has a standard benefit package that covers medically necessary care members can receive from nearly any hospital or doctor in the country. For people who choose to enroll in a Medicare Advantage health plan, Medicare pays the private health plan a capitated rate, or a set amount, every month for each member. Members typically also pay a monthly premium in addition to the Medicare Part B premium to cover items not covered by traditional Medicare (Parts A & B), such as prescription drugs, dental care, vision care and gym or health club memberships. In exchange for these extra benefits, enrollees may be limited in the providers they can receive services from without paying extra. Typically, the plans have a “network” of providers that patients can use. Going outside that network may require permission or extra fees. Medicare Advantage plans are required to offer coverage that meets or exceeds the standards set by the original Medicare program, but they do not have to cover every benefit in the same way. If a plan chooses to pay less than Medicare for some benefits, like skilled nursing facility care, the savings may be passed along to consumers by offering lower copayments for doctor visits. Medicare Advantage plans use a portion of the payments they receive from the government for each enrollee to offer supplemental benefits. Some plans limit their members’ annual out-of-pocket spending on medical care, providing insurance against catastrophic costs over $5,000, for example. Many plans offer dental coverage, vision coverage and other services not covered by Medicare Parts A or B, which makes them a good value for the health care dollar, if you want to use the provider included in the plan’s network or “panel” of providers. Because the 2003 payment formulas overpay plans by 12 percent or more compared to traditional Medicare,[11] in 2006 enrollees in Medicare Advantage Private Fee-for-Service plans were offered a net extra benefit value (the value of the additional benefits minus any additional premium) of $55.92 a month more than the traditional Medicare benefit package; enrollees in other Medicare Advantage plans were offered a net extra benefit value of $71.22 a month more.[12] However, Medicare Advantage members receive additional coverage and medical benefits not enjoyed by traditional Medicare members, and savings generated by Medicare Advantage plans may be passed on to beneficiaries to lower their overall health care costs.[10] Other important distinctions between Medicare Advantage and traditional Medicare are that Medicare Advantage health plans encourage preventive care and wellness and closely coordinate patient care.[13] Medicare Advantage Plans that also include Part D prescription drug benefits are known as a Medicare Advantage Prescription Drug plan or a MA-PD. Enrollment in Medicare Advantage plans grew from 5.4 million in 2005 to 8.2 million in 2007. Enrollment grew by an additional 800,000 during the first four months of 2008. This represents 19% of Medicare beneficiaries. A third of beneficiaries with Part D coverage are enrolled in a Medicare Advantage plan. Medicare Advantage enrollment is higher in urban areas; the enrollment rate in urban counties is twice that in rural counties (22% vs. 10%). Almost all Medicare beneficiaries have access to at least two Medicare Advantage plans; most have access to three or more. Because of the 2003 law’s overpayments, the number of organizations offering Fee-for-Service plans has increased dramatically, from 11 in 2006 to almost 50 in 2008. Eight out of ten beneficiaries (82%) now have access to six or more Private Fee-for-Service plans.[14] Each year many individuals disenroll from MA plans. A recent study noted that about 20 percent of enrollees report that “their most important reason for leaving was due to problems getting care.”[15] There is some evidence that disabled beneficiaries “are more likely to experience multiple problems in managed care.”[16] Some studies have reported that the older, poorer, and sicker persons have been less satisfied with the care they have received in MA plans.[17] On the other hand, an analysis of the Agency for Healthcare Research and Quality data published by America’s Health Insurance Plans found that Medicare Advantage enrollees spent fewer days in the hospital than Fee-for-Service enrollees, were less likely to have “potentially avoidable” admissions, and had fewer re-admissions. These comparisons adjusted for age, sex and health status using the risk score used in the Medicare Advantage risk adjustment mechanism.[18][19] In December 2009 the Kaiser Family Foundation published a report that rated Medicare Advantage organizations on a five star scale. The ratings were based on data from CMS, the Consumer Assessment of Healthcare Providers and Systems (CAHPS), Healthcare Effectiveness Data and Information Set (HEDIS) data, and the Health Outcomes Survey (HOS). New plans did not receive ratings, because data were not available. Almost six out of ten (59%) of MA plans did receive ratings, and these plans represented 85% of the enrollment for 2009. The average rating was 3.29 stars. Twenty-three percent of enrollees were in a plan with four or more stars; 20% were in a plan with fewer than three stars.[20] Twenty percent of African-American and 32 percent of Hispanic Medicare Beneficiaries were enrolled in Medicare Advantage plans in 2006. Almost half (48%) of Medicare Advantage enrollees had incomes below $20,000, including 71% of minority enrollees.[21] Others have reported that minority enrollment is not particularly above average.[22] Another study has raised questions about the quality of care received by minorities in MA plans.[23] The Government Accountability Office reported that in 2006, the plans earned profits of 6.6 percent, had overhead (sales, etc.) of 10.1 percent, and provided 83.3 percent of the revenue dollar in medical benefits. These administrative costs are far higher than traditional fee-for-service Medicare.[24] [edit] Part D: Prescription Drug plans Main articles: Medicare Part D and Medicare Part D coverage gap Medicare Part D went into effect on January 1, 2006. Anyone with Part A or B is eligible for Part D. It was made possible by the passage of the Medicare Prescription Drug, Improvement, and Modernization Act. In order to receive this benefit, a person with Medicare must enroll in a stand-alone Prescription Drug Plan (PDP) or Medicare Advantage plan with prescription drug coverage (MA-PD). These plans are approved and regulated by the Medicare program, but are actually designed and administered by private health insurance companies. Unlike Original Medicare (Part A and B), Part D coverage is not standardized. Plans choose which drugs (or even classes of drugs) they wish to cover, at what level (or tier) they wish to cover it, and are free to choose not to cover some drugs at all. The exception to this is drugs that Medicare specifically excludes from coverage, including but not limited to benzodiazepines, cough suppressant and barbiturates. Plans that cover excluded drugs are not allowed to pass those costs on to Medicare, and plans are required to repay CMS if they are found to have billed Medicare in these cases. It should be noted again for beneficiaries who are dual-eligible (Medicare and Medicaid eligible) Medicaid may pay for drugs not covered by part D of Medicare, such as benzodiazepines, and other restricted controlled substances.
Source: medicare-health.com

The Federal MediCare Insurance policy Positive aspects

Custodial nursing home treatment Most outpatient prescription medication Regimen physical examinations Regimen eye examinations and eyeglasses Listening to examinations and hearing aids Regimen dental solutions Regimen foot treatment and orthopedic sneakers Most immunizations Personalized comfort objects Beauty surgical treatment
Source: acousticcomponents.org

AH Insurance Services: 2012 Medicare Premiums, Deductibles and Coinsurance Amounts

Part B: (Medical Insurance) Premium The standard Medicare Part B monthly premium in 2012 will be $99.90, which represents a $15.50 decrease from the 2011 premium level of $115.40 applicable to newly eligible Medicare beneficiaries.  For existing Medicare beneficiaries who were exempted from Medicare Part B premium increases in 2010 and 2011, the new 2012 premium level represents a $3.50 increase over the $96.40 monthly amount currently paid. In 2012, Social Security monthly payments to enrollees will increase by 3.6%.  The dollar increase in benefits checks is expected to be sufficient on average to coverage the $3.50 increase in the Medicare Part B premium that most beneficiaries will experience.  For Medicare beneficiaries who were new to Medicare in 2010 or 2011 and were paying a standard monthly premium in excess of $96.40, their benefit checks will increase in 2012. In most years, Social Security benefits are increased with a cost-of-living adjustment (COLA) and the Medicare Part B premium is raised at the same time.  In the two year period 2010-2011, however, with no COLA increases applying to Social Security benefits, the increase in the Part B premium applicable to new Medicare beneficiaries would have resulted in most people seeing a decrease in their net benefits (i.e., their monthly Social Security benefit less deduction of the Medicare Part B premium).  Since the Social Security Act protects against such a net decrease (except for those subjected to an income related increase in the Part B premium), the 2009 Part B premium level of $96.40 has continued to apply for most people who were on Medicare prior to January 1, 2010.  Now, their premium will be increasing to $99.90 on January 1, 2012. As required in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, beginning in 2007 the Part B premium paid by a Medicare beneficiary each month is based on his or her annual income.  If a beneficiary’s “modified adjusted gross income” is greater than the legislated threshold amounts, then the beneficiary is responsible for a larger portion of the estimated total cost of Part B benefit coverage.  The income-related amounts were phased in over three years, beginning in 2007; and currently about 4% of Part B enrollees are subject to these higher Medicare Part B premium levels. For complete details on Medicare Part B premiums for people with higher income levels, please refer to Medicare’s FAQ titled: “2012 Part B Premium Amounts for Persons with Higher Income Levels” Medicare Deductible and Coinsurance Amounts for 2012 Part A (pays for inpatient hospital, skilled nursing facility, and some home health care).  For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2012 = $1,156) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days. For each benefit period the Medicare beneficiary pays:
Source: blogspot.com

Medicare Deductibles for 2012

Medicare announced on CMS.gov in a fact sheet titled “Medicare Premiums and Deductibles for 2012″. This fact sheet gives detailed information on the increases to the yearly premium and deductible Medicare patients will have to face in the coming year.
Source: about.com

Physical Therapy Job Ohio Family Health Center international travel insurance health

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Looking for Sterling Plans Jobs? See currently available job openings on CareerBuilder.com. Browse the current listings and fill out job applications. Sterling Plans Website Design Overview. Located in Bellingham, WA, Sterling Life Insurance Company provides insurance solutions for members in all 50 states. provides insurance solutions that improve the health and well-being, peace of mind and financial security of our members. Our mix of insurance. Health Plans 4575 Hilton Pkwy Colorado Springs CO 80907-3515 Tel: 719-266-4008. View this entry now! Health Offers Silver & Fit to Medicare Supplement Policyholders. Information on Plans in Louisville. (502) 425-4002. Address, phone number, map, driving directions, hours of operation, services, reviews and more for. (214) 491-6914 2570 W Eldorado Pky, #100, McKinney, TX 75070 Sponsored Links I have an interview with Sterling Health Plans in Bloomington, Il. I am new to insurance, but am expecting a degree in information. Sterling Health in Erie, PA 16506. Find business information, reviews, maps, coupons, driving directions and more. Learn about Medicare health insurance plans, Sterling Medicare Advantage and supplement get free instant rate quotes and personal assistance, compare.
Source: healthknowle.info

Video: BSN Headline News for February 14, 2011

sterling health plans medicare beneficiaries

kaiser, foundation, health, plan, types, care, institutions, option, one, oxford, hmo, florida, individual, insurance, bethel, institute, major, medical, Low, Cost, Family, Health, Insurance, Plans, Tennessee, newspaper, article, issues, catastrophic, question, universal, raised, public, and, careers, questions, cat, problems, hendricks, regional, harvest, foods, hudsonville, jean, patou, amp, Beauty, centrum, heart, vitamins, hawaii, private, canada, dental, vision, nurse, salaries, lead, paint, canadian, mall, united, directory, discount, plans, new, jersey, california, prostate, supplement, general, quiz, biotherm, leiner, products, llc, food, stores, conroe, texas, for, phoenix, mental, support, forum, articles, ask, about, magazine, eye, america, services, family, jackson, tufts, answered, group, coverage, optum, jobs, counselors, birmingham, news, beauty, ion, technology
Source: healthskills.info

is the sterling medicare advantage insurance plan a hmo?

Medicare, and therefore any Medicare Advantage plans of all types, do not pay for nursing homes. They will pay for skilled nursing services in a Medicare certified skilled nursing facility up to 100 days and only if there is a possibility of improvement. For example, if after 10 days the doctor states that you will not get better and will need nursing services for a long period of time the plans will stop paying for the services even if you have not reached the 100 day mark.
Source: bestlongtermcare.org

Sterling Medicare Supplement: Many Options From One Company

Sterling Option1 is a Medicare Advantage plan which allows you to combine your Medicare and Medicare supplement services. This means that you will see your doctor and his office will bill Sterling directly. Sterling will then pay the bill and notify Medicaid of their portion, who will then pay Sterling. This saves you the time and trouble of worrying about filing claim forms with both Medicaid and Sterling. Sterling will handle it all and simplify the process for you as much as possible. All you have to worry about is paying the premium of your Sterling Medicare supplement plan and the premium for your Medicare Part B plan.
Source: medicaresupplementinsurances.com

Sterling Medicare Supplemental Insurance Reviews

Sterling Option #1 is the first Medicare Advantage plan that allows holders to combine Medicare Supplemental Services and traditional Medicare. This ultimately translates into seeing your physician and allowing the bill to be sent to Sterling. Sterling will pay the bill and Medicaid will be notified of their portion, which then pays Sterling. This subsequently saves lots of time and headaches with filing claims with Medicaid and Sterling. Sterling basically handles everything while making the process as simple as possible for you. Your only concern will be paying the premiums for your Sterling Medicare Supplemental Insurance plan as well as for the Medicare Part B plan.
Source: ihealthcoalition.org

MedTouch Website for Sterling Health Plans Wins Outstanding Achievement Award

Located in Bellingham, WA, Sterling Life Insurance Company provides insurance solutions for members in all 50 states. Sterling offers a variety of group and individual Medicare insurance plans including Medicare Advantage, Medicare Supplement and Medicare Prescription Drug plans. Sterling also offers individual non-Medicare insurance plans including critical condition, long-term care and life insurance policies. The new site was motivated by Sterling’s desire to improve the user-experience for members as well as the need for online and offline brand consistency. Sterling needed advanced site functionality that would allow visitors to maintain their transactions online, and move towards electronically processed plan selections and sign-ups. With these goals in mind, MedTouch designed a new content-driven site that reflects Sterling’s excellent quality of service and offline reputation.
Source: checkwebsitetraffic.net

Home Care Services in Macomb, MI

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Source: purehomecareservices.com

Historical Context: The Intersection Of Politics And Medicare Policy

Posted by:  :  Category: Medicare

ILGWU senior female members and retirees holding placards urging "fair play for the aged", "hands off social security", "don't mess with medicare", "keep your promises Mr. President", and more. by Kheel Center, Cornell UniversityCalifornia Healthline: Politics Have Always Been Part Of Policy — But Have We Hit A New Low? The 1920s-era charge that national health insurance was socialist eventually begat Ronald Reagan’s 1961 anti-Medicare record album. A 1972 carve-out won special Medicare treatment for patients with end-stage renal disease. A 2009 deal would have given Sen. Ben Nelson’s (D) home state of Nebraska extra Medicaid funding to help win his support for the Affordable Care Act. But outside of sweeping legislative battles, it’s tough to recall another moment when politics felt so present in the day-to-day of our health system (Diamond, 12/14).
Source: kaiserhealthnews.org

Video: Making Medicare: The History of Health Care in Canada

Democrats revisit ‘Madoff of Medicare’ as Team Scott touts boss’s hospital history

You may recall that Gov. Rick Scott was forced out of the worldwide hospital chain he founded just before the company paid a record $1.7 billion in fines for Medicare and Medicaid fraud. (His severance was worth about $310 million.) It was one central themes of the 2010 campaign: Democrats spent millions to remind voters, Scott spent millions more to explain it away.
Source: typepad.com

History of Medigap Plan Health Insurance

From our detail discussion it can be said that what a health insurance is known to all hopefully. As we are to discuss about the Medicare supplement plans or the Medigap plans that is why it is better to say that a health insurance plan is a helping aid for your unexpected medical costs. It is a contract between an individual and an insurance company in which the type and amount of health care costs that would be covered by the plan are specified and for which the individual agrees to pay premiums. These contracts are renewed either monthly or annually. But his basic thing is slightly different in our policies. From its very name you can imagine that there is some gap coverage between two things. Actually the original Medicare health plans are under government administration but these plans fails to pay all the costs spent in a treatment of the policy maker. In this position the person may face some real difficulties to have short of money. For their advantages solely some private companies have introduced this plan named Medigap plans or Medicare supplements plans which truly supplement the original plans responsively.
Source: californiaalliancetostopthespray.org

The History of Medicare and Its Influence on American Health Care

With the recent plans to change Medicare, we thought it was only necessary to take a look back on memory lane and see how it has enhanced the American healthcare system. The program that provides insurance for more than 43 million elderly and disabled Americans is considered a huge success that has improved the lives of so many. According to the Obama administration the Medicare fund that pays hospitals for treating Medicare patients will deplete in 2017. How will future generations be affected? To discover the history of Medicare, where it’s going in the future, and how you can utilize this program to the fullest read the article below.
Source: villamariatucson.com

The Medicare Gordian Knot

In May 2011, Rep. Tom Price, MD (R), GA, introduced HR-1700, the “Medicare Patient Empowerment Act” (MPEA), and Sen. Lisa Murkosky (R), AK, introduced a companion bill in the Senate, SB-1042. This legislation would change the physician participation restrictions, allowing docs to independently and privately contract with any Medicare patient for a mutually agreed to fee, specifically for non-emergent services, which might differ from the fixed-fee allowed by Medicare. The reason this bill is called the Medicare Patient Empowerment Act is quite simple. Should the system be allowed to go on as is, Medicare patients will soon find themselves unable to find a physician willing to work for what Medicare pays. Then, if the patient decides to go to an ‘opted-out” physician they will lose the benefits they have paid into for many years. This is quite simply unfair. This bill would solve the problem by “empowering” each patient to use their Medicare benefits however they see fit when seeking the care they need and desire.
Source: spiritofhealthcare.com

The Sustainable Growth Rate Formula: Medicare’s Payment to Doctors

The SGR was created because of the concern that what Medicare Part B pays doctors would not constrain spending increases for doctors’ services. Thus, the formula was created to attempt to constrain growth in Medicare spending.[3] The 1997 law limited Medicare’s reimbursement to doctors so the “total pay for physicians could not exceed the growth rate of the rest of the economy.”[4] The only time the cuts called for in the 1997 Balanced Budget Act ever went into effect was in 2002, which was the first time the formula called for cuts (of 4.8 percent). In every year since then, Congress has taken actions to override the reductions called for in the SGR formula.[5] The current SGR block lasts until the end of this year.
Source: bankruptingamerica.org

Ye Olde Journalist: Gov’t Will Share Medicare Patients’ Data With New ‘Accountable Care Organizations’

CMS says it takes its commitment to quality care seriously, and therefore it will guard against ACOs that may try to withhold necessary health care to cut costs. “CMS will routinely analyze data surrounding utilization of services, and will take steps to further investigate any suspect trends, including steps such as beneficiary surveys, audits, and other means.” CMS also said it will compare the health of ACO beneficiaries with Medicare patients who are not part of an ACO.
Source: blogspot.com

Banner to test new Medicare program

Posted by:  :  Category: Medicare

Cassandra Q. Butts by Center for American Progress“; // All the postings var allPostings = new Array(“placeholder” , Array(‘SR ACCOUNTANT’, ‘GILA RIVER INDIAN COMMUNITY UTILITY AUTHORITY’, ‘SR ACCOUNTANT – Full-time position at the…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G02N77974BH7YWCHJ&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘SENIOR PROPERTY MANAGER – MANAGEMENT – APARTMENTS’, ‘NORTHSTAR MANAGEMENT’, ‘Premier Property Management company looking…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G2M8615KYPQ8YW341&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Insurance Servicing Generalist’, ‘AAA Glendale Contact Center’, ‘Come work at the AAA Glendale Contact Center…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G6816YGWRFPJWJ62D&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Critical Care Transport RN’s’, ‘PMT Ambulance’, ‘RN PMT AMBULANCE Immediate Openings: Critical…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H0MM64BD8GD1T9X00&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Paramedics’, ‘PMT AMBULANCE’, ‘Paramedics Mesa, AZ Website PMT AMBULANC’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H2GQ6749Y9FC4B88F&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Instrument and Controls Engineering Technician’, ‘Jones Lang LaSalle Americas Inc’, ‘Jones Lang LaSalle Americas Inc. is seeking…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H3LW75LBRY0YWQ8Z1&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘DENTAL HYGIENIST’, ‘Perfect Teeth’, ‘Dental Hygienist FULL TIME Mesa – Co’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H4FT6PKJY52MQCXML&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Opth. Surg. Tech’, ‘Scottsdale Eye’, ‘Experienced Opth. Surg. Tech needed for …’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H75J5XM73F0DGGM4Q&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) ); //
Source: azcentral.com

Video: GAO: High-Risk List: Medicare Program

Politifact Names Dems Attacks On Ryan Medicare Proposal “Lie Of The Year” at Pat Dollard

According to Politifact’s analysis, saying the Ryan plan “ends Medicare” overlooks the fact that its changes would not affect people 55 and older. Politifact also said Medicare would remain in existence, but in a different form — which Ryan’s critics say is the same thing as ending Medicare.
Source: patdollard.com

Sharp Healthcare picked for "Pioneer" Medicare program

Sharp HealthCare is one of 32 health systems nationwide chosen to participate in an experimental federal program to improve care and cut costs for Medicare patients. In the next week, 32,000 local Medicare recipients will get a letter from Sharp inviting them into the Pioneer Accountable Care Organization.
Source: sandiegofeeds.com

CMS taps 32 health systems for Pioneer ACO program

CMS taps 32 health systems for Pioneer ACO program Healthcare Finance News WASHINGTON – The Centers for Medicare & Medicaid Services announced yesterday the 32 health systems that will participate in the Pioneer Accountable Care Organization program, which government officials say could save Medicare as much as $1.1 billion. … Three guilty pleas in $60M Medicare fraud
Source: ontheflynews.com

Medicare program rules released for next year

The U.S. Centers for Medicare & Medicaid Services (CMS) published its final Medicare Physician Payment Rule for 2012 on Nov. 28 in the Federal Register. In addition to setting the Medicare fee schedule, the document details rules for Medicare initiatives such as the Medicare Physician Quality Reporting System (PQRS),   e-Rx Incentive Program, EHR Incentive Program, and Maintenance of Certification Incentive Program.
Source: newsfromaoa.org

John Lott’s Website: Even Politifact says: “Attacks on Ryan Medicare proposal named ‘lie of the year'”

From The Hill newspaper: The claim that House Republicans’ budget would end Medicare is the “lie of the year,” according to the fact-checking website Politifact. According to Politifact’s analysis, saying the Ryan plan “ends Medicare” overlooks the fact that its changes would not affect people 55 and older. Politifact also said Medicare would remain in existence, but in a different form — which Ryan’s critics say is the same thing as ending Medicare. Democrats and liberals slammed the decision and stood by the contention that Rep. Paul Ryan’s (R-Wis.) proposal would end Medicare. . . . “The very definition of the Medicare program is a national health insurance program for seniors which House Republicans would abolish under their budget,” the Democratic Congressional Campaign Committee said in an earlier rebuttal of Politifact’s analysis of the Ryan plan. . . . How does Ryan’s proposal end national health insurance?
Source: blogspot.com

Congressional Inaction Threatens Medicare Access

On December 17, the Institute for Medical Freedom reported Congressional approval of a meager two-month extension on Medicare physician reimbursement. As all things political, things have gone from bad to worse since then as House Republicans, aptly unwilling to approve a two-month extension on a mammoth bill calling for an extension of a payroll tax holiday, jobless benefits, a statutory requirement for the President to decide on the future of the Keystone XL pipeline within 60 days, and the discontinuation of funding to the incandescent light bulb eradication program prepared Monday night to vote down the legislation that had been previously passed by the Senate, a move that seemed to surprise Senate Majority Leader, Harry Reid.
Source: redstate.com

Educational Video about the Medicare Program in ASL

The Centers for Medicare & Medicaid Services has a new educational video about the Medicare program in ASL for people who are deaf or hard of hearing. The video gives an overview of the Medicare program, including what Medicare is, who qualifies, the four parts (A, B, C and D), new preventive services under the Affordable Care Act, and help paying Medicare costs.
Source: wordpress.com

New Affordable Care Act Demonstration to Provide Care at Home for Medicare Patients

Medical practices eligible to participate in the Demonstration must include physicians or nurse practitioners who have experience delivering home-based primary care. Up to 50 practices will be selected and each must serve at least 200 Medicare fee-for-service beneficiaries with multiple chronic conditions and functional limitations. Practices in the demonstration will be responsible for coordinating patient care with other health and social service professionals.
Source: wordpress.com

Mobipocket eBook: "Medicare Handbook, 2012 Edition" by Judith A. Stein / Alfred J. Chiplin Jr.

Posted by:  :  Category: Medicare

OBAMA: THE SOCIALIST/MARXIST/COMMUNIST -- UNMASKED FOR ALL TO SEE by SS&SSThe 2012 Medicare Handbook is the indispensable resource you need to clearly understand – and be able to advise on – Medicare’s confusing rules and regulations. It has been prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., a private, non-profit organization devoted to helping elders and people with disabilities obtain necessary healthcare. These experienced attorneys and healthcare professionals address – from the beneficiary’s perspective – issues you need to master to provide effective planning advice or advocacy services, including:
Source: mobipocket.com

Video: Little Guy Videos – Medicare Handbook

Prepared Patient® Forum: Who Gets Preventive Care?

To review:  All new Medicare beneficiaries are entitled to a free physical exam within the first twelve months that their medical, or Part B, coverage becomes effective.  It’s a one-time benefit, and Medicare says that seniors are told about the benefit when they sign up.   A Medicare spokesperson added that people, who become enrolled in Medicare as a result of receiving Social Security benefits, also automatically receive an enrollment package that discusses the “Welcome to Medicare” exam.  What about those haven’t yet taken their Social Security benefits or continue to work after they turn 65?   Apparently they’re on their own to find out.  Seniors are also entitled to an “Annual Wellness Visit”, designed to focus on delivering preventive health services.   The exam is free if the doctor accepts Medicare’s payment.  If the doctor orders tests and procedures not covered under the exam, the patient may incur some expense most likely covered by a Medigap policy or a Medicare Advantage plan. 
Source: preparedpatientforum.org

#CHEAP Medicare Handbook, 2010 Edition

The 2010 Medicare Handbook is the indispensable resource you need to clearly understand, and be able to advise on, Medicare’s confusing rules and regulations. It has been prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., a private, non-profit organization devoted to helping elders and people with disabilities obtain necessary healthcare. These experienced attorneys and healthcare professionals address, from the beneficiary’s perspective, issues you need to master to provide effective planning advice or advocacy services, including:
Source: blogspot.com

Medicare: What Every Baby Boomer Should Know

“On my last day of work, I went to the Social Security office, asking for some guidance,” recalls Joseph. He never spoke to an expert; instead, he says, he was handed a couple of forms to complete. He researched his Medicare handbook, which noted that “current” employees didn’t need to apply for Medicare. Since he continued to get monthly severance checks that deducted Medicare taxes and he was allowed to continue buying health insurance through the same carrier for the 18 months, he thought he could wait to join Medicare. He was wrong. via
Source: boomerupdate.com

What Every Baby Boomer Should Know About Medicare

With all the talk about the high federal budget costs of Medicare, some may erroneously think the government pays for all Medicare services. Far from it. Beneficiaries have to pay monthly premiums, deductibles and co-payments or coinsurance. Figuring out your coverage and costs can be challenging, especially given Medicare’s different alphabetic parts: A (for inpatient hospital care), B (for outpatient services and doctor visits) and D (an optional drug benefit). There’s also a Part C, usually known as Medicare Advantage. This is an alternative to traditional Medicare and is offered by private insurance companies.
Source: kaiserhealthnews.org

American Institute of Health Care Professionals, Inc.: What Every Baby Boomer Should Know About Medicare from Kaiser Health News

Throughout Robert Joseph’s career, the Alvin, Texas, electrician always understood his health insurance policies. “I’ve never had a problem,” Joseph says, “until I tried to sign up for Medicare.” The chief reason: Joseph didn’t sign up when he turned 65. He was still working, receiving health insurance from his employer. And when his company went bankrupt at the end of 2009 — Joseph was then 67 — he received 18 months of severance pay. “On my last day of work, I went to the Social Security office, asking for some guidance,” recalls Joseph. He never spoke to an expert; instead, he says, he was handed a couple of forms to complete. He researched his Medicare handbook, which noted that “current” employees didn’t need to apply for Medicare. Since he continued to get monthly severance checks that deducted Medicare taxes and he was allowed to continue buying health insurance through the same carrier for the 18 months, he thought he could wait to join Medicare. He was wrong. For the full article please go here.
Source: blogspot.com

Drs Coburn and Barrasso Release a Doctors’ Perspective of ‘Medicare & You 2012′ Handbook

“As doctors, we understand how important Medicare is to America’s seniors and their families. We are committed to preserving the current program and strengthening it for future generations,” said Dr. Barrasso. “Washington isn’t leveling with seniors about their Medicare coverage or benefits. If CMS won’t explain how the President’s health care law weakens seniors care, we will. Our report clearly details how the Obama Administration has gutted Medicare and given unelected bureaucrats more power over important care decisions. We will continue to highlight the facts about the future of Medicare under this Administration.”
Source: therightplanet.com

Senate Doctors Dissect CMS’s “Medicare and You”

American Medical Association cancer CBO consumer driven health care diabetes doctors drugs electronic medical records email emergency room EMR ER exercise FDA genetics Health Care Access Health Care Costs health care quality health insurance health IT health policy Health Reform Health Savings Accounts heart disease hospital HSA insurance life expectancy Massachusetts Medicaid Medicare medicare advantage NHS ObamaCare obesity pay for performance public option SCHIP seniors socialized health care Social Security stimulus tax unemployment Uninsured
Source: ncpa.org

What Medicare covers in the hospital

Medicare pays for inpatient hospital care and skilled nursing care based on “benefit periods.” A benefit period begins the day you’re admitted to a hospital or skilled nursing facility – and ends when you haven’t had any care in either setting for 60 days in a row.
Source: thisisreno.com

Vox Verax: For Medicare, We Must Cut Costs, Not Shift Them

By EZEKIEL J. EMANUEL NYT Suddenly, everybody is talking about turning Medicare into a voucher program. It’s not a new idea. It’s been two decades since wonks first started talking seriously about “premium support” and the idea of replacing Medicare with a competitive marketplace in which older people could shop for health insurance. But the idea got new life last week when Senator Ron Wyden of Oregon, a Democrat with a long record on health care, joined Paul D. Ryan, Republican of Wisconsin and chairman of the House Budget Committee, in suggesting that such a scheme was the best way to cut health care spending while providing for the medical needs of the elderly. The plan resembles a proposal that Alice Rivlin, who was budget director under President Clinton, and Pete Domenici, a longtime Republican senator, have also recently been promoting. Nobody questions that Medicare needs to be reformed. According to the Congressional Budget Office, by 2035 health care will be 26 percent of the total economy, and Medicare alone will be about 6 percent. If nothing is done to check its growth, federal health care spending will consume almost 40 percent of the budget, and could eventually bankrupt the government. But premium support plans aren’t the way to reform Medicare. In the Wyden-Ryan proposal, the government would give each older citizen a certain amount of money — basically, a voucher — with which to buy a health insurance policy. The recipients would decide which policy to buy, based on whatever combination of benefits and price they found most appealing. If they chose a plan that cost more than the voucher, they would have to pay the difference. An earlier premium support plan by Mr. Ryan would have totally replaced traditional Medicare. This latest one would preserve Medicare as an option — although, critically, it would not guarantee that the voucher was enough to make Medicare affordable or ensure that private plans could not design a benefits package to attract only the healthiest patients. If this doesn’t sound like the kind of sweeping reform that will save us … it’s because it isn’t. Truth be told, I am not opposed to the government’s providing Americans vouchers with which to buy health insurance. In 2005, Victor Fuchs, a health economist at Stanford, and I proposed a voucher plan that would apply to all Americans, and I still believe that universal vouchers could cut the cost of health care. But premium support for Medicare beneficiaries alone will not. (More here.)
Source: blogspot.com

David Sayen: What Medicare Covers in the Hospital

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Source: noozhawk.com

Woman receives sentence in Medicare fraud case in Florida

Posted by:  :  Category: Medicare

George W. Bush by cliff1066â„¢The 40-year-old woman faced a variety of criminal charges, including charges of health care fraud conspiracy and money laundering, in connection to these allegations. In August, a jury found the woman guilty on 24 criminal counts. Recently, a federal judge in Miami gave the woman her sentence in this case. According to the Miami Herald article which reported this story, the woman was sentenced to serve 35 years in prison.
Source: criminallawsarasotafl.com

Video: Dengue Exposure to FL medicare and Leesburg Medicare

Wis. Study Finds Low Medicare, Medicaid Rates Shift Costs

Bloomberg/Stateline: Million-Dollar Nurses Show California’s Struggle to Cut Payroll California has paid Lina Manglicmot $1.5 million since 2005, an average of $253,530 a year, to work as a prison nurse in the agricultural town of Soledad. Manglicmot is one of 42 state nurses who each made more than $1 million in those six years, mostly by tapping overtime, according to payroll data compiled by Bloomberg News. … The extra pay that allows some nurses to triple their regular compensation underscores a broader trend in California, where government workers are paid more than in other states for similar duties and civil-service job protections hamper efforts to close budget gaps. Governor Jerry Brown said this week that revenue will fall short of expectations, triggering $1 billion in cuts to school busing, libraries and care for children, the elderly and the disabled, among other programs (Marois, 12/16).
Source: kaiserhealthnews.org

Congressional Inaction Threatens Medicare Access

On December 17, the Institute for Medical Freedom reported Congressional approval of a meager two-month extension on Medicare physician reimbursement. As all things political, things have gone from bad to worse since then as House Republicans, aptly unwilling to approve a two-month extension on a mammoth bill calling for an extension of a payroll tax holiday, jobless benefits, a statutory requirement for the President to decide on the future of the Keystone XL pipeline within 60 days, and the discontinuation of funding to the incandescent light bulb eradication program prepared Monday night to vote down the legislation that had been previously passed by the Senate, a move that seemed to surprise Senate Majority Leader, Harry Reid.
Source: redstate.com

GetOnlineQuotes.com Adds Medicare Section to Its Website

Bill also provides some good news for Florida’s Medicare population: Rates will rise less than expected next year. Bill noted that “The government’s announcement on Thursday will help Florida’s senior population given that we are living in a tough economy.” Rates for Medicare Part B will only rise by $ 3.50 per month. A much higher jump had been predicted as recently as May. Premiums were frozen for the last two years because there was no increase in many people’s Social Security benefits. But benefits are increasing to cover inflation. The premiums for Medicare Advantage will actually decrease by 4%. That is the second consecutive decrease for those who opt for Medicare Advantage plans.
Source: travelnets.info

list medicare miami florida

Regional Medicare Fraud Prevention Summit – Miami, FL. July 16, 2010 -Greg Andres, Author: protonix generic name template for letter about bullying at work Meaning of symbols on medical records beer brand that calms the body Rivotril sublingual Pictures of cobblestoning in oropharynx frases poker si como no small dog paracetamol where to purchase big dogs brand
Source: ablog.ro

Medicare Advantage Health Plan in Florida to be Liquidated

[…] Quality Health Plan of FL has been ordered to be liquidated as of 12/1/2012.  Here is the story from TheLedger.com.  The plan had 10,242 members as of September of 2011 who will be automatically enrolled in a Humana drug plan and Original Medicare as of 12/1/2012.  All of the members will also get a Special Election to choose a new plan and have guarantee issue rights to obtain Medigap coverage, if they so choose.Source: ritterim.com […]
Source: ritterim.com

South Florida Couple Pleads Guilty To Medicare Fraud

According to court filings, ATC’s owners and operators paid kickbacks to owners and operators of assisted living facilities and halfway houses and to patient brokers in exchange for delivering ineligible patients to ATC and its related company, the American Sleep Institute (ASI). In some cases, the patients received a portion of those kickbacks. Throughout the course of the ATC conspiracy, millions of dollars in kickbacks were paid in exchange for Medicare beneficiaries who did not qualify for PHP services. The ineligible beneficiaries attended treatment programs that were not legitimate so that ATC and ASI could bill Medicare more than $200 million in medically unnecessary services.
Source: bocanewsnow.com

Practical Nursing Schools In Miami Fl: Medicare & Medicaid Doctor Directory

Whereas full-time professors are limited to teaching a maximum of two or three extra courses per semester to supplement their income, part-timers have no limitations. If a university or some practical nursing schools in miami fl limits you to one or two courses in a semester, they have the right to obtain classes and teach them simultaneously at other institutions. Thus, an adjunct professor who is willing to work 40 to 50 hours per week can realistically earn over one-hundred thousand dollars per year. Also, by becoming affiliated with many universities, the loss of one school will not devastate the income stream. The school can be replaced. The idea is to not just generate an income stream, it is to protect it.
Source: articlesaudience.com

Fl ARNP Political Action Committee: AP Newsbreak: Medicare’s drug coverage gap shrinks

By RICARDO ALONSO-ZALDIVAR Associated Press Medicare’s prescription coverage gap is getting noticeably smaller and easier to manage this year for millions of older and disabled people with high drug costs. The “doughnut hole,” an anxiety-inducing catch in an otherwise popular benefit, will shrink about 40 percent for those unlucky enough to land in it, according to new Medicare figures provided in response to a request from The Associated Press. The average beneficiary who falls into the coverage gap would have spent $1,504 this year on prescriptions. But thanks to discounts and other provisions in President Barack Obama’s health care overhaul law, that cost fell to $901, according to Medicare’s Office of the Actuary, which handles economic estimates. A 50 percent discount that the law secured from pharmaceutical companies on brand name drugs yielded an average savings of $581. Medicare also picked up more of the cost of generic drugs, saving an additional $22. The estimates are averages, so some Medicare recipients may do worse and others better. Also, it’s still unclear if the discounts will start to overcome seniors’ deep unease about the law. Concern over cutting Medicare to expand coverage for the uninsured helped push older voters toward Republicans in the 2010 congressional elections. Obama and the Democrats have been trying to woo them back ever since. “For people with high drug expenditures, the 50 percent discount offers real savings,” said Tricia Neuman, director of Medicare policy for the nonpartisan Kaiser Family Foundation. “It’s certainly more helpful than no coverage at all, which is what they had previously.” More than 2 million beneficiaries already have gotten some help, discounts that have gone largely to middle-class seniors, because the poor are covered in the gap at taxpayer expense.
Source: flarnppac.com

Video: Tapping into Medicare's gold mine?

Posted by:  :  Category: Medicare

Congressman Brad Sherman, California’s 27th District (D) by cliff1066™America spends over $500 billion every year so that elderly Medicare patients can get the care they need. But as health care costs rise, many are taking a closer look at what exactly we’re paying for. Our media partners at the Center for Investigative Reporting have been conducting a yearlong California Watch investigation into a prominent hospital chain that is reporting unusually high rates of serious diseases. Does the chain attract the toughest cases, or are the hospitals exaggerating conditions to pump up revenues from taxpayers? Reporter Lance Williams has the story. 
Source: californiawatch.org

Video: California Hospital Chain Eyed for Possibly Bilking Medicare for Millions

California Medicare Supplement Insurance coverage Info

The finance analysis provides the investors with the ultimate investment products and tools for a successful stock market trading analysis. When researching stock in the stock market today, be sure to fully research all of your options for quality stock picks. Using the strength of a free stock screener may also be helpful. While all information is believed to be reliable, it is not guaranteed by us to be accurate. Individuals should assume that all information contained in our newsletter is not trustworthy unless verified by their own independent research. Also, because events and circumstances frequently do not occur as expected, there will likely be differences between the any predictions and actual results. Always consult a real licensed investment professional before making any investment decision. Be extremely careful, investing in securities carries a high degree of risk; you may likely lose some or all of the investment.
Source: eftanalysis.com

State Roundup: Ariz. High Court To Hear Medicaid Funding Challenge

San Francisco Chronicle: Ruling Could Stop Cuts In Elderly, Disabled Care States can’t cut in-home care for elderly and disabled people if there’s a serious risk they’ll be forced into nursing homes, a federal appeals court has ruled in a decision that could forestall a 20 percent reduction in services to 372,000 Californians. Friday’s ruling by the Ninth U.S. Circuit Court of Appeals in San Francisco did not directly involve California and came instead from Washington state, where officials reduced home-care hours for 45,000 residents by 10 percent in February. But the issues are similar to those now before a federal judge in Oakland, who has scheduled a Jan. 19 hearing on whether to let California eliminate one-fifth of the care it provides in the in-home supportive services program (Egelko, 12/20).
Source: kaiserhealthnews.org

Report: Over 700K N.J. Medicare recipients take advantage of free preventive benefits

Posted by:  :  Category: Medicare

Every person with a Medicare Advantage or a Part D drug plan will also see better value in those plans for the second year in a row. Average Part D drug plan premiums will remain virtually unchanged in 2012. In New Jersey, 95.5 percent of people have access to a plan with a lower premium than they paid in 2011. Those in the Part D coverage gap, or donut hole, will continue to be able to get discounts on covered brand name drugs in the donut hole. People with Medicare will get deeper discounts in the years ahead until the gap is closed in 2020. On average, Medicare Advantage premiums will be 4 percent lower in 2012 than in 2011, and plans project enrollment to increase by 10 percent.
Source: newjerseynewsroom.com

Video: New Jersey Medicare Advantage Plans

United Way Programs on Medicare and Social Security // The Alternative Press: NJ’s Daily Hyperlocal Newspaper

The Medicare programs, along with the program’s many options were detailed.  “Medicare includes Part A (Hospital Insurance), Part B (Medical Insurance for doctors and outpatient care), Part C (private companies offering Medicare coverage, also known as Medicare Advantage plans) and Part D (Medicare Prescription Drug Coverage).  There are also Medicare Supplement Insurance plans which may factor into your decision as Medicare does not pay for everything,” explained Charles Clarkson, Project Director of the Senior Medicare Patrol (SMP) of New Jersey.  “Medicare usually pays approximately 80% of Medicare covered services, so plan ahead.  You have a 7 month window of opportunity to enroll in Medicare:  Three months prior to the month you turn 65, the month you turn 65, and 3 months after you turn 65.”
Source: thealternativepress.com

Pharmacies, Medical equipment Suppliers, SOMERSET, NEW JERSEY , (NJ) USA

,  DM02-COMMODES,  URINALS,  BEDPANS,  DM05-BLOOD GLUCOSE MONITORS/SUPPLIES (NON-MAIL ORD),  DM08-HEAT & COLD APPLICATIONS, DM21-TRACTION EQUIPMENT, M01-CANES AND/OR CRUTCHES,  M03-POWER OPERATED VEHICLES (SCOOTERS),  M04-SEAT LIFT MECHANISMS,  M05-WALKERS,  M06-WHEELCHAIRS (STANDARD MANUAL & RELATED ACCESSORIES),  M10-WHEELCHAIR SEATING/CUSHIONS,  OR03-ORTHOSES: OFF-THE-SHELF, PD06-OSTOMY SUPPLIES,  PD08-TRACHEOSTOMY SUPPLIES,  PD09-UROLOGICAL SUPPLIES, R07-NEBULIZER EQUIPMENT AND/OR SUPPLIES,  S01-SURGICAL DRESSINGS,  S02-DIABETIC SHOES AND INSERTS,
Source: usa-hospitals.com

New articles, ABA newsletters and Community Events: NJ Laws Email Newsletter E382

Those who do not yet receive Medicare need to know that the Medicare program is designed to cover those who are 65, individuals who are under 65 but have a disability and have been receiving disability benefits for two years, those with end-stage renal disease, and those with Lou Gehrig’s disease/ALS who receive Social Security benefits. Those who are just turning 65 and are enrolling in Medicare for the first time need not worry; the initial enrollment period for new beneficiaries begins three months before one turns 65 and extends 7 months, until three months after an individual’s 65th birthday. Once an individual reaches age 65 and begins to collect Social Security Retirement benefits, he is automatically enrolled in Medicare Parts A and B, although he can opt out of Part B (but he will pay a lifelong surcharge if he later wishes to add back Part B). Those that miss their initial enrollment period can later sign up for Medicare during an annual open enrollment period between January and the end of March each year and most likely pay a higher premium (unless the reason you didn’t sign up is because you were currently employed. In that case, you qualify to sign up during a special enrollment period.)
Source: blogspot.com

Physician Sentence For Medicare/Medicaid Fraud In NJ

Yousuf Masood used unqualified individuals – including two he had found through craigslist – to diagnose and treat patients in his Elizabeth office and billed Medicaid and Medicare as if he had provided the services. The fake physicians ordered tests and prescribed medications for patients, often using a pre-signed prescription pad Yousuf Masood provided. Yousuf Masood paid the unqualified individuals as little as $10 an hour, and directed them to spend no more than five to 10 minutes with patients. On some days, more than 100 patients visited the medical practice for treatment, and the majority were treated only by unqualified individuals. While they treated patients, Yousuf Masood was often either not in the office at all, or in his personal office watching TV or browsing the Internet.
Source: medlaw.com

Medicare Enrollment Deadline Is Today

Others opt for Medicare Advantage, or Part C, which instead allows recipients to sift through private but government-subsidized plans and pick one that fits their needs – one with a lower hospital deductible, for instance, or one that offers a low co-pay for medical equipment. The types and diversity of Medicare Advantage plans vary depending on where you live; you can find out what’s available to you locally by using the Medicare Plan Finder on the Medicare website. 
Source: patch.com

Daily Kos: Health Cost for Boomers Will Bankrupt Medicare. NOT!!!

The National Committee to Preserve Social Security and Medicare (www.ncpssm.org) has a very nice site that gives you great information on some of reasons why “a” and “b” don’t make “c.”  Below is a chart on that site that provides Congressional Budget Office projections from 2005 of Medicare expenditures as a portion of GDP.  What is interesting about the chart is that it decomposes the sources of the increase in expenditures.  As the chart indicates, the major factor driving expenditure increases are “excess cost growth ” (read that as prices for this discussion) A few years back (2003), a group of very well respected economists (including Uwe Reinhardt of Princeton), published an article in HEALTH AFFAIRS, the premiere journal for health policy wonks.  The article’s title tells the tale —“IT’S THE PRICES, STUPID.”  The conclusion of the article indicated that the USA spends much more on health care than any other country, but we utilize health care services at lower rates than countries that spend much less.  The authors then reach the reasonable conclusion echoed in the article’s title — It’s the prices we pay, not the services we get, that make US health expenditures so high.  If they replicated these same analyses today, I have no doubt the conclusion would be the same.  I also have no doubt that the same economists that disputed the 2003 conclusion would do the same today, and they would be wrong again.
Source: dailykos.com

Fact Check: Bachmann Wrong on Social Security, Jobs, Debt

But Bachmann is wrong to say that “we’re going into debt $1.5 trillion every year.” It’s true that the federal deficit was $1.4 trillion in fiscal 2009 (which was nearly one-third over when President Obama was sworn in) and came in at just under $1.3 trillion in fiscal 2010 and 2011 (which ended Sept. 30.) But for the current fiscal year, it is projected to be much less thanks to an improving economy and substantial spending cuts negotiated in budget deals. The most recent projection from the Congressional Budget Office estimated the deficit this year will be $973 billion — well under Bachmann’s $1.5 trillion figure.
Source: njtoday.net

Tips for Getting the Best Medicare Supplemental Insurance

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MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSWhen seeking the ideal Medicare insurance, you need to get more information on Medicare supplement plans. Usually, these plans will give you the rates of payment as charged by Medicare supplement companies. This means you can use the various information about your preferred plans to establish the insurance plan that will meet your all your needs in the most affordable manner.The main reason why many people subscribe to Medicare supplemental insurance or these plans is to be able to find the easiest way of meeting all Medicare costs. Given that many individuals have varied needs, many companies offer different supplemental plans to suit different customer needs and preferences. The varied plans cater for different Medicare services meaning you can settle for a plan or package that suits your needs best.Medicare supplemental insurance is a recommendable way of meeting various medical needs, many companies target the older people mostly aged 65 years and above. However, this does not mean that the insurance only caters for older people as it is perfect when you cannot afford the medical bills of your household. As offered by different insurance organizations, the supplement plan gives the subscribers access to more qualified, affordable, and personalised medical services. Usually, all the medical needs of the subscribers are summarized into one and treated together.Helpful information on choosing the best supplemental plansWhen choosing the best Medicare plans, know that there are plans that offer more advantages than others. When you choose such a plan, you will be able to get more value for your money. The plans also vary from one company to another. The plans may also have different supplement rates. So, regardless of the rate gap that may have been created by the companies, you can still find the best rates and package with a little research on your end.Helpful research tipsThe first factor that you should consider when conducting your research is your monthly medical expenses.Determine the number of people you would like to cover and the type of existing illnesses or the ones likely to come your way. With this information at hand, you will be able to make a better choice when choosing the most suitable Medicare supplemental insurance. It is also best to check your current insurance and its coverage. Then, settle for a plan that is not covered in your current insurance plan.Get factual information from your insurance agent in regards to what the Medicare supplemental plans offer.If you are looking for a fast delivery of services, choose an insurance firm that you have worked with before as they usually have most of the documents needed.Compare different companies offering Medicare insurance services and settle for a firm that will offer adequate coverage for all your needs.When making the company comparisons, ask the companies to give you Medicare supplement quotes so that you are able to choose the ideal Medicare supplement rates.You can make a more informed choice by asking the supplement insurance agent to provide you with all the information you need. Find out if the company has what it takes to meet your insurance needs, know about its financial stability and ability to meet your claim needs, the application procedures and timeline for having your claims approved.
Source: 411insurance.com

Video: Understanding Medicare Supplements, Medicare Supplement Insurance

California Medicare Supplement Insurance coverage Info

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The Relationship between Medicare Supplemental Insurance and Health

This paper investigates Medicare supplemental insurance and health-care spending. The empirical models attempt to determine whether seniors who possess certain traits, particularly health- and risk-related factors, choose supplemental coverage based on expectations of health-care needs. Employer-provided supplemental coverage is considered separately from official “Medigap” policies. Results indicate favorable selection into supplemental insurance based on health status, but no selection based on risk attitudes. The models indicate that Medigap and employer-provided enrollees spend approximately $1,000 and $1,500 more annually, respectively, than those without supplemental coverage. Finally, moral hazard induced by Medicare supplemental coverage appears to add $5.5 billion annually to the federal budget, although this estimate lacks statistical significance.
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Kansas Medicare insurance Supplement

These 12 months standard Treatment supplement insurance coverages are beneath the plans THE through T since 1992.. And almost all these policies provide their very own set connected with benefits. Besides this it is usually an important news that the vast majority of Medigap policies give you the basic primary advantages of the ideas A along with B and contour basic benefits they have perhaps their own range advantages. Nonetheless, it ended up being suggested this two brand new plans D and N can be introduced as a result of June 2010.
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Guide About Medicare Supplemental Insurance

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Learning About Supplemental Medicare Insurance

Seniors need to understand that supplement insurance is not such a bad thing, without excess burden placed on them. Understanding how it all works will help, medigap is only meant to handle the medical expenses that medicare does not take care of. You can’t hide the fact the medicare system is falling apart even if it will break their heart.
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Medicare supplement Insurance

Many seniors shall be shopping multiple insurance providers searching for the best a great number cost valuable health schedule option designed for 2011. ? Independent of the thousands of generally losing most of the coverage once and for all, there are additional who happen to be unhappy in relation to their current schedule. ? When you compare Medicare Plans there are certain questions you prefer to make sure to pay before make final selection. ? Besides, you probably want to consider leaving a benefit plans and only Medicare Health supplement Plans, which will offer exceptional coverage.
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Look at Quotes relating to Medicare Dietary supplement Insurance

Supplemental health care is ingested completing towards the Medicare insurance cover. Supplemental is short for the add-on nature from the insurance; it the Medicare insurance insurance as a result of submitting regarding costs which were not covered by Medicare insurance. These contain charges just like coinsurance, copayments together with deductibles. Because it supports in spending money on gaps from the cost together with reimbursements from the Medicare insurance cover, it is often called Medigap insurance cover. Private health care supplier offer you supplemental insurance coverages; the rates with the plans vary from one insurance cover taker to a new even with the similar method. Searching out the very best plan is very important from several reasons: receiving Medigap Plans insurance plan to your requirements and acquiring it at least cost.
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Why Do I Need Supplemental Medicare Insurance?

With certain insurance plans you can save on just about any prescription drug, up to about 96 percent. Certain drugs and pieces of medical equipment will be available for free. It all depends on what medicare plan you bought. The average senior with comprehensive medical coverage lives much longer, hundreds of studies prove this. Learn more about it all online, just spend a couple of hours on research.
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What is supplemental health insurance?

When buying a supplemental cancer policy, it is important to review the policy carefully. Cancer policies should not only cover hospitalization, but also more importantly cover the medications and treatments like radiation and chemotherapy. In addition, the policy should cover illnesses that are non-cancer related. When fighting cancer, it is very common to suffer from other illnesses because your immune system is greatly compromised.
Source: healthinsuranceproviders.com