Medicare supplement plans the best help in better medical coverage

Posted by:  :  Category: Medicare

"The single best augury is to fight for one's country." ~ Homer (800 BC - 700 BC), The Iliad. by eyewashHowever, before getting enrolled for a Medigap policy it is better if you seek the help of some insurance agent so that he can help you in choosing the best plan for yourself. It should be remembered that you should always make an honest choice for getting enrolled for a Medicare plan. And by seeking the help of some insurance agent for choosing your Medicare supplement plan is always an honest decision as they can better guide you through the various plans and the premium charges charged by different companies. Go through the offer documents of all the Medigap policies before making your choice as there are some plans which though seem to be less beneficial can actually save you a lot of money in the form of deductibles. Therefore you need to be quite careful in making your choice of the Medigap plan that you are going to purchase.
Source: articlesblogs.info

Video: Stewart Welch III, Choosing the best Medicare Plan

Defining A Excellent Medicare Dietary supplement

The top Medicare complement is certainly not the a person with the best cost tag. A beneficial insurance coverage organize should be equipped to provide you with all the companies the far more high-priced versions provide you with whilst remaining inside an affordable price vary. A low yearly premium can give you personal savings that runs the gamut from a handful of hundred bucks to a handful of thousand. You should do not ever have to decide on somewhere between cost and performance the two are conveniently accessible in the equivalent offer if you just look complicated ample.
Source: invitationsx.com

Finding Medigap Insurance Reviews Online

Medicare insurance policy is a federal mandated insurance plan that handles your healthcare costs in time of illness and hospitalization when you are 65 years old or over. It could also pay for your medical bills if you have become disabled. However, your Medicare will not fully pay your medical expenses thus there is a need to buy a Medigap plans. Thus, you should read accurate Medigap insurance reviews from the many sources that provide information on Medigap plans. You need to buy a Medicare supplement insurance plan in order to cover all your medical costs in the future. Your Medicare plan will pay for all the covered benefits in your medical expenses and the extra expense will then automatically paid for by your Medigap insurance plan. You do not have to worry of expenses if you have a Medicare and a Medigap plan at hand. Purchasing the best Medigap policy can only be done by reading lots of information and Medigap insurance reviews. By having lots of user feedbacks, reviews, and Medigap information on the different insurance companies, you can better compare the benefits, advantages as well as disadvantages that each insurance company is selling. Since the benefit coverage are the same then what you should need is how much the insurance policy costs and whether the insurance company has a good customer support. The internet is a good place to look for Medigap insurance reviews and information concerning Medigap insurance companies and the policies they are offering. You need not go out of your homes just to get in touch with a private insurance company. All you need is an internet enabled computer and an internet connection. With just a click you can now have information within your grasp. You could also ask for Medicare supplement quotes directly from insurance company as they have enabled these features in their websites. There are also private insurance companies that let you be able to contact to their insurance agents by calling to their direct line. With all of this information you can surely arrive at the best Medicare supplement insurance policy that you prefer. Medicare supplement plans can bring you to a wide network of medical professionals and admittance to a lot of hospitals and medical treatment facilities. There are different medicare supplement plans that you could choose, from Plan A to Plan N. Some plans do not cover all extra expenses not paid by Medicare. Plan F, however, covers almost all the excess medical charges you need to buy. That is why there are a lot of people who have bought this plan. But this is pricier than Plan A and so you need to understand your needs in order to decide whether you want a Plan A, Plan B, Plan F or any other Medicare supplement plan. Medigap insurance reviews are very helpful in determining the kind of Medicare supplement insurance plan and to whom you will be purchasing it. Medicare supplement insurance policy is very helpful in making sure that you will be taken cared of when you turn 65 years old and beyond.
Source: cryptoenhance.com

Medicare Supplement Plans That Offers the Best Help for Better Coverage

Along with these it should also be kept in mind that there are a lot of other things that should be paid proper attention to in order to get the best benefits from these plans. However, it is always a better idea to compare Medicare plans in order to get the best choice for yourself according to your needs. Besides that it should also be kept in mind that you can always go through all the Medigap plans to ensure that you are choosing the right one for yourself. In fact you can always seek the aid of an insurance agent who can easily guide you to make the proper choice for yourself. Or else you can always visit an online website where also you can easily make the best choice of the Medigap plans that offers the best coverage and the best benefits along with the best coverage of the gap left behind by the Original Medicare plans. Therefore, it is always a better idea to get the best choice of the Medicare supplement plans along with the original Medicare plans when you want to get the best coverage for yourself.
Source: articlelib.org

Baby Boomers And Medicare: What 2012 Holds

With the Presidential election coming up, many people are wondering whom to pick for the best Medicare changes, but, no matter who is elected, Medicare will definitely see major changes in 2012. With baby boomers now having eligibility for Medicare, the future of the Medicare plan now concerns anyone 50 or older because health care costs are unpredictable, and that is why so many people sign up for Medicare. But one of the changes in 2012 may be raising the age of eligibility, but doing this will cut out the 1.5 million baby boomers who have found Medicare the best deal in retiring.
Source: ewireinformer.com

Medicare supplement plans that offers the best help for better coverage

However, although these private health insurance companies are solely in charge of the administration of these standard Medicare supplement plans yet the fact is that not any such company can bring in any changes in the plans and benefits of any of these plans. Therefore, anyone can purchase or get enrolled to any of these plans from any company of his choice with the guarantee to receive the same benefits as mentioned in the standardization rules against that particular plan. Along with this it should also be kept in mind that although no single private health insurance company can bring in any changes in the standard benefits of these plans but the fact is that the premium charges may vary from one company to the other. Along with these it should also be kept in mind that there are a lot of other things that should be paid proper attention to in order to get the best benefits from these plans.  can bring in any changes in the standard benefits of these plans but the fact is that the premium charges may vary from one company to the other. Along with these it should also be kept in mind that there are a lot of other things that should be paid proper attention to in order to get the best benefits from these plans.
Source: ezinemark.com

Medicare Supplement Quotes

Here is how to get the best Medicare Supplement Quote for your situation. 1. One Plan is the same as Every Other Plan Medicare supplement plans are regulated by each state, but every plan has to offer the same coverage as any other plan. What this means is that normally, price is the biggest consideration when comparing your quote for a Medicare Supplement policy. 2. How Long Have They Been in Business Some companies have come recently into the competitive space of Medigap insurance. Make sure that the company you do business with has a proven track record and will give you good service. 3. Use a Broker That Can Find What You Need A broker works for you, not the insurance companies. Brokers can normally help you get what you need at the lowest price.
Source: ontherocksbistro.com

Medicare flu shot reimbursement // vwtrikebodies

Posted by:  :  Category: Medicare

CPT 90662 Medicare flu shot reimbursement – Fluzone High-Dose (Influenza Virus Medicare flu shot reimbursement Vaccine) is Covered Under Medicare Part B Fluzone High-Dose is an inactivated influenza virus vaccine indicated for .
Source: freeblog.hu

Video: Blue Shield of California (HMO) presentation — Benefit plan design changes for 2011

MVP Health Care Earns Excellent NCQA Accreditation for Commercial and Medicare HMO/POS Plans

NCQA’s Accreditation standards are purposely set high to encourage health plans to continuously enhance their quality. NCQA Accreditation surveys include rigorous on-site and off-site evaluations of more 60 standards and selected Health Employer Data Information Set (HEDIS®) performance measures. A team of physicians and managed care experts conducts accreditation surveys. A national oversight committee of physicians analyzes the team’s findings and assigns an accreditation level based on the performance level of each plan.
Source: readmedia.com

Medicare Supplement Insurance

Posted by:  :  Category: Medicare

Seniors considering the savings of the new plan often say that they’ve been happy with their current plan because their current plan has paid all of their bills. What they must realize, though, is that all of the companies absolutely must pay the bills, all of them. If the claim, any claim, was approved by Medicare, it is an approved procedure and must be paid by the medicare supplement plan, as well. This means that all companies truly are the same. The only difference is the price they charge. That’s why it is imperative to have an independent agent shop the market for you.
Source: blogspot.com

Video: Gerber Life Medicare Supplement

Plan A of the Medicare Supplemental Insurance Alabama

The Original Medicare is barely enough to cover all of the rising health expenses these days. It is therefore a good choice for its beneficiaries to look for and avail of additional health insurances to help shoulder these costs. As a resident of this state, you can opt to purchase a Medicare supplemental insurance Alabama from private insurance companies. The starting standardized plan that is required to be offered by all insurers is Plan A which is considered as the basic benefit package. It is the least costly out of all the plans and it is designed to cover the essential benefits.
Source: cryptoenhance.com

What to Expect on a Gerber Medicare Supplement Plan

However, Medicare supplies some breaks, Ending up in a to cutting a dependence on Medicare supplement Tasks. Quite a number supplement Blueprints and plans can be had Courtesy of Those people that are Toxic material subscribers of a Medicare Insurance plan The actual Governing. On to come across A range of supplement Ideas, the middle Designed for Medicare Effectively Medicare Professional services Be sure that Serious Schematics are standardized for any Medicare holder. Additionally it is accommodating That experts claim Medicare supplement Weight loss programs offered Over Vision Internet, Guys will take a Seek To Rating Where of the Endeavors wear Complete Needs to have What most.
Source: healthplanstips.com

Gerber Medicare Supplement Company Offers Help with Coverage Gaps

Gerber Medicare Supplement Insurance offers the beneficiary maximum amount of coverage through Plan F for good returns on the insurance. As we are all well aware of the point that Medicare supplement insurance also known as Medicare Supplemental is meant to fill in the gap that is left behind by the original Medicare plan. Without the proper Medicare supplement coverage, it is easy to for medical costs to escalate very quickly. Gerber plans help the beneficiary fill these gaps with excellent coverage.
Source: nezzart.org

How to Apply for Medicare Supplement

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Source: home-care-assistance.com

Gerber Medicare Supplement Insurance

This entry was posted on Wednesday, November 2nd, 2011 at 5:08 pm and is filed under . You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.
Source: tuanch.com

Secure Horizons Medicare Advantage – Medicare Full Or Medicare …

Posted by:  :  Category: Medicare

ROBERT L. HUFFSTUTTER'S HEALTHCARE PLAN FOR AMERICA by roberthuffstutterThe 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

Video: What Is Medicare Part-C and Part-D?

Baby Boomers U. S. (The Blog)

Ask about Medicare Supplement (MediGap) open enrollment periods: If your MediGap plans I isn’t working for you any longer, and you can’t enroll in a Medicare Advantage plan outside of AEP, you may be able to change your MediGap plan during select MediGap open enrollment periods. MediGap plans are usually medically underwritten, which means the insurance companies don’t have to accept your application if you’ve been on Medicare Part B for more than three months. AEP is the best time to drop a MediGap plan and switch to a Medicare Advantage plan. But, some states and insurance companies have created open enrollment periods for MediGap plans as well. These open enrollments allow you to update or change your MediGap health coverage without medical underwriting. But the rules change from state to state, so, if you want or need to make a change outside of AEP, investigate the MediGap open enrollment rules in your state by contacting a licensed agent.
Source: babyboomersus.net

Choosing From Among the Medicare Supplement Options

For some beneficiaries, the Original Medicare is not enough to cover all of those medical costs and health expenses. If you are one of these people, then you have several Medicare supplement options. These are additional health plans which will help you cover the costs that are no longer shouldered by the original health plan. They are offered by private health insurance companies that are licensed to sell in the state of which you are a resident of. They are usually labelled with letters from A through N and you can compare one from the other to determine which is most beneficial to you.
Source: gatortraxtv.com

Tricare Help – I’m about to get Tricare for Life; what else do I need?

15 percent age appeal catastrophic cap child born out of wedlock claims continued care cost share death DEERS dependent disabled divorce doctor doctors FEHBP handbook health care reform hospital ID card limiting charge marriage maternity care Medicare military treatment facilities other health insurance outside the U.S. parents Part A Part B pharmacy pre-existing condition pregnancy reserves secondary insurance social security spouse supplements surgery Tricare For Life Tricare Prime Tricare Standard Tricare Young Adult Program VA widow
Source: militarytimes.com

Medicare coverage and the assistance of the Medicare supplement plans

Other than that it is always a wiser decision to get the advice of some insurance agent who can offer proper guidance for the better choice of your Medigap insurance. However, along with these it should also be kept in mind that the Medicare supplement plans are sold and administered by the private health insurance companies only. And along with that it should also be kept in mind although these plans are sold and administered by the private Medicare companies only but also the fact is that there are only a handful of standard Medicare supplement plans to be sold by these private health insurance companies only. In fact the point is that since their standardization in 1992 there had been twelve Medicare supplement plans to be sold and administered by these private health insurance companies only. Other than that it is also essential to note that since 2010 some major changes had been brought in the standard Medicare supplement plans. According to these changes four of the existing plans have been dropped and in their place 2 new plans M and N have been introduced.
Source: ezinemark.com

Social Security Column… Questions And Answers

SSI makes monthly payments to people with limited income and resources who are 65 or older,or blind,or disabled. Your child younger than age 18 can qualify if he or she meets Social Security’s definition of disability for children,and if his or her income and resources fall within the eligibility limits. We also consider the income and resources of family members living in the child’s household. For more information,call 1-800-772-1213 (TTY 1-800-325-0778) or visit www.socialsecurity.gov/pubs/10026.html. 
Source: seniorsampler.com

Your Questions About Medicare Part B Premium

Posted by:  :  Category: Medicare

TWO YEARS OF RUIN by SS&SSHer monthly premium would depend on how much her social security is. Medicare will can give you a list of the ones that cost less. They were very helpful to me when I was looking for a policy. Since she will soon turn 66, she can choose a plan starting in November of this year. Try and find one that covers prescription drugs and hospitalization. I did not have a Medigap program because it was too expensive. I waited until I turned 65 and was fortunate enough that nothing drastic happened to me during that time. The newest and best way to go for us seniors now is a Medicare Advantage Plan. The company you choose will file all the premiums for you, Medicare pays them, and you have no bill other than the monthly premium which can be as low as $40 a month. Drugs can be as low as $2.15 to $25. Doctor visits will only be $10 each and a referral doctor will be $25.00.
Source: medicareinsuranceaz.com

Video: Medicare Chief Actuary: Spiking Part B Premiums

Medicare Part B Premiums lower than projected for 2012

The U.S. Department of Health and Human Services announced that Medicare Part B Premiums will be lower than projected. The Part B premiums will have a 3.6% increase to coincide with the COLA increase previously decided earlier in the year. For 2012 the Medicare Part B Premium will be $99.90 and the Part B deductible will decrease by $22, however the premiums paid for Medicare’s prescription drug plan will remain virtually unchanged.
Source: paworkinjury.com

Medicare 2012 Part B Premiums Will Be Lower Than Expected

San Francisco Chronicle: Medicare Premiums Will Rise Less Than Expected; Go Down For Some Medicare Part B premiums will go up only $3.50 a month next year for most seniors and will actually go down for high-income people and those who were new to Medicare in 2010 or 2011, the Centers for Medicare and Medicaid Services announced today. The standard Medicare Part B monthly premium will be $99.90 in 2012, a $15.50 decrease from this year’s standard premium of $115.40. However, very few people were paying that standard premium this year. About 75 percent of Medicare beneficiaries paid only $96.40 a month this year, so their premiums will increase by only $3.50. This group had been protected from premium increases by the so-called hold-harmless provision (Pender, 10/27).
Source: kaiserhealthnews.org

Half a Million of Seniors in US at Risk of Losing Key Medicare Benefit

Receipt of the QI benefit also automatically entitles individuals to the full Medicare Part D prescription drug low-income subsidy (LIS or Extra Help), which has an average value of about $4,000 in 2011. In total, the QI benefit represents an average savings of $5,199 per year for these low-income beneficiaries, who can ill-afford the rising costs of medical and drug expenses and need to use the money for other basic needs, such as housing and food. The savings are significantly more for those with high prescription drug use.
Source: toonaripost.com

How to Login & access My Medicare Account section from MyMedicare.gov?

Posted by:  :  Category: Medicare

For accessing your Medicare information, Medicare Government has developed an official website www.Medicare.gov. You can find at the official website such as, health and drug plans, health information, plan choices, online services, emergency services and many others. You can easily Login or Sign in at the www.Medicare.gov, This article will helpful you to give full introduction about how to login and create My Medicare Account Sign in at the official site.
Source: letmeget.net

Video: Wrongfully Accused – Mentos ‘Commercial’

LastPass Forums • View topic

, and click on "sign-in", I see the "yellow LP selection bar" flash briefly, and my ID and Password are correctly entered. LP gives me no option to select either myself or my wife. The data in the LP vault all looks correct. I thought I was supposed to get a cue from LP to enter data from the correct vault entry when multiple entries exist for one log-in URL.
Source: lastpass.com

Www.Medicare.gov/Coverage/Home.asp

At the official U.S. Government Medicare site, you will be able to login to your Medicare Account online. You can also find out about your Medicare Coverage.  Find out the conditions that you have to meet in order for the services and supplies to be covered. You can also find out how much you have to pay and who can get in touch with if you have any problems or even questions.
Source: snipsly.com

CMS Provides Feedback on 5010 Discretionary Enforcement Period

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Source: careanyware.com

Gov Palin on Baier: Not Surprised at IA Caucus

My family and I wish everyone a very Merry Christmas! I offer this to all because Christmas is a holiday for all, whether you are a Christian believer or not. The message of Christmas is full of hope, peace, joy, and the fellowship of all mankind; so I find it amazing that every year we hear more accounts of a ramped up “war on Christmas.”  How sad and ironi […]
Source: wordpress.com

Medicare’s Dec. 7th Open Enrollment Deadline Nears

• Online: Since the beginning of Open Enrollment (October 15) , online activities have surpassed 26 million page views across the Medicare Plan Finder web tool and open enrollment sections of www.Medicare.gov.  • On the phone: 1-800-MEDICARE (1-800-633-4227) continues to be an important 24/7 resource for personalized assistance during Open Enrollment.  More than 3.4 million calls have been handled and wait times continue to fall within acceptable customer service thresholds. • Face-to-face: At Open Enrollment events across the country, Medicare has been working closely with its partners across the nation to provide counseling opportunities for people with Medicare in their home communities.  More than a thousand events with Medicare beneficiaries have been held across the country – and thousands of SHIP counseling sessions have been conducted.  CMS and its partners have shared unbiased drug and health plan information at senior activity centers, through education-oriented media partnerships and phone banks and with other advocacy partners in unique local venues and faith-based communities. These events also highlight Medicare’s preventive services, including flu and pneumococcal shots and health screenings. For more information contact your local Area Agency on Aging, State Health Insurance Program or other unbiased senior advocacy organizations. Contact information for local telephone or face-to-face enrollment resources and year round assistance can be found on the back pages of your Medicare & You handbook.     
Source: paramuspost.com

Debt Burden Threatens American Families

According to a USA Today analysis, there are currently over $61.6 trillion in unfunded future government liabilities, which amounts to $528,000 per American household. A huge part of these liabilities are Medicare, Medicaid and Social Security — promises made to make the American people feel secure in their futures. But how secure should the American people feel knowing that a default is becoming more mathematically unavoidable with every NEW program added, every bailout, every debt ceiling increase, every new war we rush into, and every round of quantitative easing from the Federal Reserve? The last thing politicians should be doing is adding to that $528,000 household burden, with either more spending or more taxes. This is unequivocally a problem of too much spending by a government far outside its Constitutional bounds.
Source: americandailyherald.com

Upcoming Changes to the Medicare Program

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilBeginning January 1, 2012, all Part B withholdings and overpayments shown on the remittance advice with PLB adjustment reason code ‘WO’ and forwarding balances with provider level adjustment (PLB) reason code FB will no longer have the beneficiary’s Health Insurance Claim number (HICN) on the remittance advice alongside the financial control number (FCN). If your office submits claims with the Patient Account Number field completed, this field of the remittance advice will now contain the patient account number instead.
Source: grassicpas.com

Video: Medicare Provider Enrollment 3.wmv

Health Insurance and Mental Health Issues

If your GP doesn’t feel that you need extensive support for mental health issues, treatment available through Medicare may help you to get back on your feet. For some people, these sessions may not offer sufficient support, so you may find it useful to compare health insurance for mental health issues and find a private health insurance policy that offers cover for the support that you need. Not all private health insurance policies will offer cover for mental health treatment, so be cautious about choosing a policy which restricts or excludes  mental health support services if you may be likely to use them.
Source: com.au

CMS Answers Questions on Electronic Health Records

For objectives that require an action to be taken on behalf of a percentage of "unique patients" (e.g., the objectives of "Record demographics", "Record vital signs", etc.), EPs, eligible hospitals, and CAHs may not be able to simply add the numerators and denominators calculated by each certified EHR system. The EP, eligible hospital, or CAH must include only unique patients in the numerators and denominators of each objective, and it is the responsibility of the EP, eligible hospital, or CAH to reconcile information from multiple certified EHR systems in order to ensure that each unique patient is counted only once for each objective. Please keep in mind that patients whose records are not maintained in certified EHR technology will need to be added to denominators where applicable in order to provide accurate numbers.
Source: policymed.com

CMS Revises Initial Certification Process for HHAs

Previously, a prospective HHA would submit a Form CMS-855A to the RHHI/MAC, who would then verify the information provided and subsequently notify the State Survey Agency (SA) and CMS Regional Office (RO) of their recommendation of approval.  This recommendation triggers the initial certification survey to determine compliance with the Conditions of Participation (CoPs).  After a successful initial survey, if the RO concurs with the SA or an approved Accreditation Organization (AO) recommendation for certification, the RO signs the provider agreement on behalf of the Secretary and issues a CMS Certification Number (CCN) to the HHA.  The RO notifies the RHHI.MAC that the provider in in compliance with the CoPs and notes the date of compliance.
Source: hallrender.com

Study Of Medicare Patients With PAD Helps Consumers Navigate Medical Provider And Treatment Choice

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

How to Become a Medicare Provider

A federally funded health-care program, Medicare provides affordable health-care services to qualified U.S. residents. In addition to meeting certain requirements, Medicare recipients must also visit an approved physician or medical facility. These health-care providers in turn receive reimbursement for the services they provide. Although physicians must complete a lengthy application to become a Medicare provider, the process is relatively simple once you have the required documentation.
Source: 1stproviders.com

Preventing Medicare Insurance Fraud With an Attorney’s Help

Affect Affordable Benefits California Center Center Medical Coffee Coverage Coverage Health Device Doctor Effects Efficiency Fitness Health Healthcare Health Insurance Health Mental Healthy Hospital Important Industry Informatics Information Insurance Insurance Health Issues Latest Management Medical Medicare Mental Policy Practice Private Public Reform Review Software Strong Systems Technology Treatment Versus Womens
Source: health-information-technology.com

Hospice Industry : South Carolina Nursing Home Blog

Business Week and The Washington Post both had interesting articles on the profitable hospice industry.  Nursing homes often push hospice on residents who are not terminal.  The nursing home then relies on the hospice employees to take care of the resident.  Medicare-paid hospice include visits from a nurse and chaplain, plus an extra weekly bath.  Much better than typical Medicaid paid services for nursing home residents. The government often pays twice for hospice patients in nursing homes — about $137 a day to the hospice provider from Medicare, and about $200 a day to the nursing facility from Medicaid, which covers the indigent elderly.
Source: scnursinghomelaw.com

Reuters reporter hits streets to find shell companies bilking Medicare : BusinessJournalism.org Reynolds Center for Business Journalism

Posted by:  :  Category: Medicare

Brian Grow and Matthew Bigg of Reuters hit the streets of Miami to see if some Medicare providers were legitimate. In two buildings, they found 26 companies billing Medicare. They checked incorporation records and found “information that one government official said could prompt ‘a serious criminal investigation’ of some of the companies,” the story says.
Source: businessjournalism.org

Video: How to Save Medicare $30 billion: www.UpgradeThe Card.org

Top Tips for Dealing with Your Medicare Insurance

Prior to receiving a policy on medicare insurance, aim to improve your overall health. Merdicare is a real expense. If you do not have good health, it can cost even more. Before you buy a policy, be sure to get your health in order and get as fit as you can. Take the time to lose some extra weight and find ways to eat right. See it through, no matter how hard it is. This will lower your costs dramatically.
Source: aporrealos.org

What is the Importance of Having a Medicare Plan?

It is time for you to discover a plan that gives great deals and packages for you and your family. Imagine how you can benefit from it as well. You pay for the plan but you can reap your hard work when there is an uncalled incident. You can feel the help of your plan whenever you need it. Medicare is always ready to share you the different plans you can avail anytime. This can cover your expenses in the hospital whether you are an inpatient or outpatient too. If you would like to know more about it, you can visit www.medicareissimple.com today. Once you check the site, you can always request for a quotation and visit the place to get more details from a trusted insurance agent. You will not go wrong once you have decided for the package that fits you. This will be a good start for you to think of your health wisely.
Source: neighborhoodproduce.org

SeniorConnection.org: Health Care/Medicare/Health Insurance Fraud

In these types of scams, perpetrators may pose as a Medicare representative to get older people to give them their personal information, or they will provide bogus services for elderly people at makeshift mobile clinics, then use the personal information they provide to bill Medicare and pocket the money.
Source: blogspot.com

Why You Should Choose the Medicare Supplement Part F

In comparison with other similar plans, the Medicare supplement part F has more to offer. While Plan G typically has the same benefits covered, it does not include the Medicare Part B Deductible. Also, under Plan D, you cannot get both the Medicare Part B Deductible and the Medicare Part B Excess Charges. The benefit of Medicare Part B Excess Charges which is provided under Plan F is excluded in Plan C. Furthermore, under the Plan B, you are not eligible for the benefits of Coinsurance for Skilled Nursing Facility Care, Medicare Part B Deductible and Excess Charges and Foreign Travel Emergency. As you can see, the plan F is abundant of benefits.
Source: nvzglyad.org

Medicare Privatization Plans

Overall, US healthcare could make a quantum improvement leap compared to today’s dysfunctional system. Instead, bipartisan complicity has worse in mind by cutting benefits, placing greater burdens on seniors and others, letting corporate predators game the system, and still leave millions uninsured, on their own and out of luck.
Source: warisacrime.org

How to Find Medicare Insurance That Meets Your Budget

Do you have any questions about your medicare options or something that is insurance related? Just get on the phone and give a licensed agent or a real company a call! Every insurer has some type of customer support system plus there are agencies that can help at no cost. A medicare broker can answer any kind of question that you have on any topic so you can know what you are buying.
Source: gatosolvidados.org

Hints to Finding the Right Medicare Supplement Insurance Policy

If the ins and outs of medicare supplement insurance are too perplexing for you, hire an insurance broker. They can help you to find health insurance that includes the coverage you need for a price you can afford. They will also know all about the regulations specific to your state. Before selecting an insurance broker, compare their fees.
Source: peterboroughcollective.org

Your Questions About Medicare Part B Premium

Posted by:  :  Category: Medicare

Her monthly premium would depend on how much her social security is. Medicare will can give you a list of the ones that cost less. They were very helpful to me when I was looking for a policy. Since she will soon turn 66, she can choose a plan starting in November of this year. Try and find one that covers prescription drugs and hospitalization. I did not have a Medigap program because it was too expensive. I waited until I turned 65 and was fortunate enough that nothing drastic happened to me during that time. The newest and best way to go for us seniors now is a Medicare Advantage Plan. The company you choose will file all the premiums for you, Medicare pays them, and you have no bill other than the monthly premium which can be as low as $40 a month. Drugs can be as low as $2.15 to $25. Doctor visits will only be $10 each and a referral doctor will be $25.00.
Source: medicareinsuranceaz.com

Video: Medicare Age-In

Booklet Marketing is Ideal in a Poor Economy

Booklet printing is not something new. It has been done and used in the business industry for a long time. Businesses that want to increase customer base and encourage repeat purchases create this material so they can stay visible to their customers and prospects without being too aggressive. What’s great with booklets is that you can promote your business and the products or services you offer without looking too blatant. You simply provide additional information to your customers so you can interest them to take advantage of your offerings. Among the great uses of booklets are as follows:
Source: snipsly.com

“Quick Reference Information Resources: Medicare Preventive Services” Booklet Available in Hard Copy

The “Quick Reference Information Resources: Medicare Preventive Services” booklet, which is designed to provide education on coverage, coding, and billing criteria for Medicare-covered preventive services, is now available in print, free of charge, from the Medicare Learning Network® (MLN).  It includes the following four quick reference information charts:  Preventive Services, Medicare Immunization Billing, The ABCs of Providing the Initial Preventive Physical Examination, and The ABCs of Providing the Annual Wellness Visit. To order your copy, visit the MLN General information page at http://www.CMS.gov/MLNGenInfo, scroll to “Related Links Inside CMS,” and choose “MLN Product Ordering Page.”
Source: wordpress.com

“The Basics” Chiropractic Medicare: A New Year to Become Compliant in Chiropractic Medicare

Newsletter December 20, 2011 A New Year to Become Compliant in Chiropractic Medicare Dear Doctors and Staff, 1.  We are in the window. 2.  Congress ready for Medicare fee vote. 3.  Three areas to contend with in 2012. 4.  Chiropractic Medicare Compliance Program available. 1. We are in a window:      The month of December is the window available by our Medicare carrier to change from Participating Provider to Non-Participating or Non-Participating Provider to Participating Provider Part B Medicare effective January 2012.     For those who have attended our Presentation in the past or have purchased “The Basics” Chiropractic Medicare DVD, the hand-out booklet page 42 contains an example letter that must reach your Medicare carrier prior to the end of the year.  Mail this letter certified mail, this being your proof they have received your request to change your participating status. 2. Congress ready for Medicare fee vote: (Action Step request!)     At the present time congress is still in session and soon voting on the large package bill that will preserve our present fees in Medicare. (Probably even a small raise.)  National News will report on this package bill as it has to do with withholdings. etc, by the employer.  Please call your Congressmen and Senators asking them to vote for this bill. 3. We Chiropractors have three (3) critical areas we must be prepared for as we go into 2012:    A.  We must know the correct way to do Medicare so we don’t get into trouble.    B.  We must know how to protect Personal Health Information in our offices.    C.  We must become Medicare Compliant by the end of 2012.  There are seven (7) areas we must have prepared written policy and procedure training, hiring, self audits and reporting.  4.  Chiropractic Medicare Compliance Program Book & CD:    The Book is ready to help you start implementing Medicare Compliance in your practice.  Just add your office name, etc., and follow the instructions and you are well on your way to becoming compliant in Medicare.
Source: blogspot.com

Guide to Choosing a Skilled Nursing Facility

Use the Five-Star Ratings of nursing homes in conjunction with the Nursing Home Compare the Care to search and compare nursing homes by city, state, or zip code. Choosing a nursing home that’s near family and friends can be very important to your quality of life in the nursing home. Having family and friends nearby allows for more frequent visits and opportunities for outings. Family members and friends can also talk to the nursing home staff about your care needs, preferences, and gaps in care. Therefore, you may wish to start your search by considering how close you want to be to family and friends, and then use the rating system to compare nursing homes in the area you are considering.
Source: starfishresources.net

Bigger Fatter Politics: Medicare Revises Obesity Coverage Policy

“Obesity is a critical public health problem in our country that causes millions of Americans to suffer unnecessary health problems and to die prematurely. Treating obesity-related illnesses and complications adds billions of dollars to the nation’s health care costs,” said HHS Secretary Thompson during testimony before the Senate Appropriations Subcommittee on Labor, Health and Human Services and Education. “With this new policy, Medicare will be able to review scientific evidence in order to determine which interventions improve health outcomes for seniors and disabled Americans who are obese and its many associated medical conditions.”
Source: blogspot.com

New Lens Implant for AMD,

About VisionCare Ophthalmic Technologies, Inc., headquartered in Saratoga, CA, is a privately-held company focused on development, manufacturing, and marketing of implantable ophthalmic devices and technologies that are intended to significantly improve vision and quality of life for individuals with untreatable retinal disorders. The company’s R&D and manufacturing facility is located in Petah Tikva, Israel. VisionCare’s investors include Saints Capital, Pitango Venture Capital, Three Arch Partners, Onset Ventures, and Infinity Private Equity Fund. VisionCare’s Implantable Miniature Telescope was invented by company founders Yossi Gross and Isaac Lipshitz. Information on VisionCare can be found atwww.visioncareinc.net.
Source: amdlenses.com

MEDICAL AND HEALTHY: Cancer Tests

Cancer Tests You Should Know About, A Guide For People 65 And Over  NATIONAL INSTITUTES OF HEALTH  National Cancer Institutes Most people don’t like to think about cancer. But think about this: The earlier cancer is found, the better the chances of beating it.  Cancer Tests You Should Know About describes simple tests that can help find cancer early, long before any symptoms appear. You may have heard of some of them, such as mammograms or rectal and prostate exams.  Despite what many people think, most people who are tested will not have cancer. But if it turns out you do, this booklet can help you find the best care. Why Is It Important To Find Cancer Early?  Cancers that are found early may be easier to cure. Early treatment can be simpler, making it easier to go about daily life. All in all, finding cancer early could:  Save your life.  Help you live life to the fullest. Why Should You Think About Cancer?  Anyone can get cancer. But you are more likely to get cancer as you get older–even if no one in your family has had it. It may surprise you to learn that more than one-half of all cancers occur in people age 65 and over. If You Did Have Cancer, Wouldn’t You Know It?  Most cancers in their earliest, most treatable stages do not cause any symptoms or pain. That is why it is so important to have regular cancer tests. They can find problems early–long before you would notice anything wrong. But What If You Do Notice Something Wrong?  Certain changes could be a sign of cancer. For example, a change in bowel habits could mean cancer of the colon or rectum. A breast lump could mean breast cancer. Don’t assume these or other changes are just a normal pan of growing older. See your doctor right away. Who Should You Ask About Cancer Tests?  Perhaps you see one doctor just for your back or another doctor just for your heart. Maybe you see one doctor for checkups, but the subject of cancer has not come up. Why not bring it up yourself? Ask your family doctor, internist, or other trusted health professional about getting tested for cancer. The next section tells you about the tests to detect cancer early. Cancer Tests  The tests in this booklet are right for most people age 65 and over.* But you and your doctor need to decide what is right for you. You may need certain tests more often if you have had cancer before, have some other medical conditions, or have a family member who has had cancer.  Most of the cancer tests described in this booklet take little time. Some tests may be uncomfortable, but they are not painful. Cancer tests are usually done right in your doctor’s office.  Pring this out and bring this the next time you see your doctor. Together you can schedule your cancer tests. Then, as you get each test, write the date in the space provided.  You may be concerned about the cost of these cancer tests. Ask your doctor if Medicare will help or ask your own insurance company if they cover these tests. Medicare helps pay for some mammograms and Pap smears.  * For guidelines for people under 65, call the Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237). BREASTS  A woman’s risk of breast cancer increases with age. Fortunately, women can take three steps to find cancer early: Mammogram  This x-ray of the breast can reveal problems up to 2 years before a lump can be felt. To find out where to get a mammogram, ask your doctor. Or, call the National Cancer Institute’s Cancer Information Service at: 1-800-4-CANCER (1-800-422-6237). Recommended: Every year. Breast Exam  Your doctor should check your breasts for problems or changes that could be a sign of breast cancer. Recommended: Every year, or as part of your regular health checkup. Breast self-exam  Ask your doctor or nurse for instructions. You also can call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237) for a free booklet. Recommended: Every month. UTERUS AND CERVIX  As women get older they have a higher risk of cancers of the female sex organs–especially cancers of the uterus and cervix. If you stopped seeing your gynecologist after menopause (change of life), it is important to ask your doctor about the following tests: Pelvic Exam  The doctor feels the internal sex organs, bladder, and rectum for any changes in size or shape. Recommended: Every year. Pap smear  A Pap smear, also called a Pap test, is usually done at the same time as the pelvic exam. During this test, the doctor removes a few cells from the cervix with a swab. The cells then are checked under a microscope. After three normal annual Pap tests, your doctor may decide not to do the test for the next 1 to 3 years. Recommended: Every year. COLON AND RECTUM  Cancers of the colon and rectum are more likely to occur as people get older. Three tests can help find these cancers early: Rectal Exam  In this test, the doctor gently feels for any bumps or irregular areas on the rectum. Recommended: Every year, or as part of your regular health checkup. Guaiac stool test  The guaiac (pronounced “gwy-ack”) stool test is sometimes called a “fecal” or “stool” occult test or “hemoccult” test. This test can find unseen blood in stool samples. Your doctor can give you a simple kit to collect stool samples at home. Or, your doctor can do the test as part of a rectal exam. Recommended: Every year. Sigmoidoscopy or “procto”  The doctor looks for cancer in the colon and rectum with a thin, lighted instrument called a sigmoidoscope.  Recommended: Every 3 to 5 years. PROSTATE  Prostate cancer is the most common cancer in American men–especially older men. More than 80 percent of prostate cancer cases occur in men age 65 and over. Rectal Exam  The doctor feels the prostate through the rectum. Hard or lumpy areas may mean cancer is present. Recommended: Every year. PSA  The prostate-specific antigen test (PSA) measures the level of a specific protein in a man’s blood. The protein seems to increase in cases of prostate cancer and other prostate diseases.  The National Cancer Institute is studying whether screening with the PSA test along with a rectal exam may help decrease deaths from prostate cancer. TRUS  Transrectal ultrasound (TRUS) detects cancer by using sound waves produced by an instrument inserted into the rectum. The waves bounce off the prostate, and the pattern of the echoes made by the waves is converted to a picture by computer. TRUS is not a routine test. The doctor will use this exam to help diagnose a man’s problem. COLON AND RECTUM  The three tests suggested for women also are suggested for men.  Rectal exam Recommended: Every year, or as part of your regular health checkup.  Guaiac stool test Recommended: Every year.  Sigmoidoscopy or “procto” Recommended: Every 3 to 5 years. What If You Find Out You Have Cancer?  Today, there are new and better ways to treat cancer. If you are told you have cancer, take these steps to get the best possible care:  Find a doctor who is right for you and the kind of cancer you have. Oncologists are doctors specially trained to treat cancer.  Find out what your treatment choices are and which are best for you. If you don’t understand something, ask.  Get a second opinion from another doctor before treatment begins. Doctors and most insurance companies expect their patients to do this. Many doctors will help you get a second opinion.  Talk to your family and friends and ask for their support. Or ask your doctor to help you find other people or groups who can help. No one needs to handle cancer alone.  Call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237) for help with all these steps. Staff members can give you information about treatment and where to get it. They also can direct you to groups that may be able to help with transportation, finances, and dealing with your problems. Spanish-speaking staff members can be reached at this toll-free number.  Ask your doctor to check the National Cancer Institute’s PDQ system. This computer system has the most up-to-date treatment information in the United States. You or your doctor can call the Cancer Information Service (1-800-4-CANCER) to learn more about PDQ. Want To Learn More About Cancer?  Call the Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237) for information and booklets about cancer.  Or, write to:  Office of Cancer Communications  National Cancer Institute  Building 31, Room 10A24  Bethesda, MD 20892  For more information on aging, write to:  National Institute on Aging  P.O. Box 8057  Gaithersburg, MD 20898-8057 Why Get Tested for Cancer?  Most cancers in their earliest stages do not cause symptoms or pain. Get checked for cancer when you’re feeling well… for good health and a good life.  Information provided by NIH.
Source: medical-health.tk

Choosing a nursing home for an aging parent is an important and difficult decision.

With nursing home costs now over $250 per day, paying for long-term care is another area you may have questions about or need assistance with. Medicare only helps pay up to 100 days of “medically necessary” nursing home care, which must occur after a three day hospital stay. Most nursing home residents pay from personal money, long-term care insurance policies or, if they qualify, through Medicaid.
Source: seniorlcp.com

Medicare Provider Enrollment Revalidation

Posted by:  :  Category: Medicare

Providers and suppliers should submit revalidation only after receiving the request from their MAC to do so. Providers and suppliers will have 60 days from the date of the letter to submit the required completed enrollment forms. Failure to submit enrollment forms as requested may result in the deactivation of Medicare billing privileges. Revalidation can be completed through the Internet-based Provider Enrollment Chain and Ownership System (PECOS) or a paper application; currently, federally qualified health centers only may submit paper enrollment applications. Please note: CMS forms 855A, 855B, 855I, 855O, 855R and 855S all have been revised as of July 1, 2011, and should be used for the provider enrollment revalidation. The new forms can be found by searching “855” on the CMS website.
Source: healthcarereforminsights.com

Video: Medicare Provider Enrollment 3.wmv

Weekly Update: National Provider Call: Revalidation of Medicare Provider Enrollment

Thursday, October 27, 2011; 12:30-2pm ET CMS will hold a National Provider Call to discuss the revalidation of Medicare provider enrollment information. Most providers and suppliers who are enrolled in the Medicare program will have to revalidate their enrollment which will be reviewed under the new risk screening criteria required by the Affordable Care Act Section 6401(a). Learn what you can expect and how to prepare for this process. Target Audience: All providers and suppliers enrolled with Medicare prior to March 25, 2011 and which expect to receive payment from Medicare for services provided. Agenda will include:
Source: blogspot.com

Revisions to the Medicare Provider Revalidation Process

Accountable Care Organization ACO Aetna Afforadable Care Orginization AMGA Blue Cross Blue Shield Cigna CMS CMS. PECOS contracting credentialing EHR electronci health records enrollment fees fraud prevention healthcare healthcare cost reduction health care law Healthcare Provider Directory HMO. PPO hospitals Humana incentive program insurance contracting insurance panels medicaid medical practice medical practice management Medicare Medicare Part B MGMA obamacare Patient Protection and Affordable Care Act PECOS physicain contracting physicain review Physician Compare physician credentialing preexisting conditions provider contracting provider credentialing Provider enrollment re-certify telemedicine Unitedhealthcare
Source: providerenrollment.net

Medicare Delays Provider Enrollment Revalidation Until 2015

The Centers for Medicaid & Medicare Services (CMS) has delayed the requirement that physicians revalidate their Medicare enrollment under the program integrity screening provisions of the Affordable Care Act. According to CMS, the revalidation effort, originally scheduled for March 23, 2013, will be pushed back through 2015. Physicians will be among the last to revalidate.
Source: wordpress.com

Study Of Medicare Patients With PAD Helps Consumers Navigate Medical Provider And Treatment Choice

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

Now Available Online: List of Providers Sent a Revalidation Request

[…] In response to provider requests, CMS has posted a listing of providers who have been sent a request to revalidate their Medicare enrollment information. The listing contains the name and national provider identifier (NPI) of each provider sent a letter, as well as the date the letter was sent. To see the listing, click on “Revalidation Phase 1 Listing” in the Downloads section of the Medicare Provider Supplier Enrollment Revalidation Page. NOTE: You must widen each column in the spreadsheet to view the contents. CMS will be updating this list monthly.   If you are listed, and have not received the request, please contact your Medicare contractor. Their toll free number may be found at Medicare Fee-For-Service Contact Information.   For more information on revalidation of Medicare provider enrollment, see MLN article 1126, Further Details on the Revalidation of Provider Enrollment Information.Source: somersetblogs.com […]
Source: somersetblogs.com

HEALTH REFORM: Medicare Providers and Suppliers Continue in the Spotlight :: Epstein Becker & Green, P.C.

The Program was established by the Medicare Prescription Drug, Improvement, and Modernization Act.[18] The Program involves DMEPOS suppliers submitting bids in order to become Medicare contract suppliers and to provide specific medical equipment and supplies in designated competitive bidding areas (“CBAs”).[19] New payment amounts are determined based on the submitted bids, and subsequently replace the Medicare DMEPOS fee schedule amounts for bid items in the CBAs.[20] Round 1 of the Program was implemented for a brief two-week period in July 2008, before legislation delayed the Program.[21] Ultimately, a Round 1 Rebid was conducted and pricing implemented on January 1, 2011, in nine CBAs: Cincinnati – Middletown (Ohio, Kentucky, and Indiana); Cleveland – Elyria – Mentor (Ohio); Charlotte – Gastonia – Concord (North Carolina and South Carolina); Dallas – Fort Worth – Arlington (Texas); Kansas City (Missouri and Kansas); Miami – Fort Lauderdale – Pompano Beach (Florida); Orlando (Florida); Pittsburgh (Pennsylvania); and Riverside – San Bernardino – Ontario (California).[22] The product categories for the Round 1 Rebid included the following: oxygen supplies and equipment; standard power wheelchairs, scooters, and related accessories; complex rehabilitative power wheelchairs and related accessories (Group 2); mail-order diabetic supplies; enteral nutrients, equipment, and supplies; CPAP, RADs, and related supplies and accessories; hospital beds and related accessories; walkers and related accessories; and support surfaces (Group 2 mattresses and overlays) in Miami.[23]
Source: ebglaw.com

Medicare Enrollment or Claims to be Denied 1/3/2011

PECOS is Medicare’s internet based Provider Enrollment, Chain and Ownership System. It replaces the paper CMS-855I and 855R forms. The online process is easier and quicker with a 45 day turn around, down from 60 days for paper applications. PECOS can be used for initial enrollment or to view or change enrollment information. You can now also track your enrollment application through the submission process, which could not be done previously with the paper form. In addition to enrolling and tracking the application, providers can now change, add or reassign benefits and even withdraw from the program through the system. Just like the paper application process, PECOS needs to be updated whenever there is a Reportable Event that affects information on the enrollment record such as ownership, change in address of practice location, licensure, etc. Changes must be reported within 30 days of a reportable event. A full list of Reportable Events can be found at: www.cms.gov/MedicareProviderSupEnroll.
Source: advancedmd.com

Medicare provider enrollment information

Today, October 27th at 12:30 ET, CMS will hold a National Provider Call to discuss the revalidation of Medicare provider enrollment information.  Most providers and suppliers who are enrolled in the Medicare program will have to revalidate their enrollment which will be reviewed under the new risk screening criteria required by the Affordable Care Act Section 6401(a).  Learn what you can expect and how to prepare for this process. 
Source: glmi.com

Do you understand the Revalidation of Provider Enrollment Information Process?

CMS has extended the revalidation period for another two years which means the notices will be sent on a regular basis through March of 2015.  When you receive your revalidation notice, you must respond either through internet-based PECOS, which is the most efficient way, or by completing the appropriate 855 application form.  The first set of revalidation letters were sent Medicare providers who are actively billing and who were not in PECOS.  The letter will go to the primary practice or special payment address if you are not listed in PECOS.  If you are listed in PECOS, the letter will be sent to the special payments and correspondence addresses simultaneously.  If those addresses are the same, CMS will send one to the primary practice address as well. 
Source: askccg.com