Report: Ryan budget would cost Colorado billions in healthcare cuts

Posted by:  :  Category: Medicare

CENTRAL CITY, COLORADO 1968 by roberthuffstutterBigMedia Boulder Weekly ColoradoPols Colorado Energy News Colorado Springs Gazette Colorado Springs Independent Colorado Statesman Complete Colorado Coyote Gulch Daily Camera Denver Business Journal Denver Post Spot blog Durango Herald Elephant Journal Ft Collins Coloradoan Glenwood Springs Post Independent Grand Junction Daily Sentinel High Country News Huffington Post Denver People’s Press Collective Real Aspen Real Vail SquareState Stateline Daily Summit County Voice Sunlight Foundation Westword / Latest Word
Source: coloradoindependent.com

Video: Survey: Two-thirds of Colorado doctors refuse or limit basic Medicare patients

Highmark (MAC Jurisdiction H) Dates Released

The Centers for Medicare & Medicaid Services (CMS) recently released the Medicare Administrative Contractor (MAC) transition dates for Jurisdictions 4, which covers Texas, Colorado, New Mexico and Oklahoma,  and 7, which covers Louisiana, Arkansas and Mississippi.  As previously reported, CMS is consolidating these two jurisdictions into a new Jurisdiction H, and has awarded the contract for administering all Medicare Part A and B operations to Highmark Medicare Services. After an unsuccessful appeal by TrailBlazer Health Enterprises and Pinnacle Business Solutions, the current MACs for these regions, implementation is moving forward.
Source: lilesparker.com

Colorado docs often refuse or limit new Medicare patients

Dr. Jonathan Zonca, of Ascent Family Medicine in Denver, is taking new Medicare patients. But he said he hesitated after figuring out that Medicare had paid half of what other insurance plans did, over three years.
Source: patientpowernow.org

Medicare on Main Street: Rocky Medicare Access for Coloradans

In yet another example of the failed policies of the Obama Administration including the president’s decision to cut more than $500 billion to fund his takeover of healthcare, a recent article in the Colorado Public News highlights the problems that Coloradans are having with access to Medicare.  This should not be surprising to anyone who has followed the growing problem of Medicare access across the country which the president’s government takeover of health care law only exacerbates. 
Source: gop.gov

Colorado Medicaid expansion brings in new group, but limited to lottery

The Affordable Care Act intends to expand Medicaid to all those adults without children up to 133 percent of the federal poverty level in 2014. Congress agreed to pick up the new costs of the huge expansion until the states have to start contributing more of their share a few years later. But a large group of state attorneys general made Medicaid one of the base challenges to the act that were argued in front of the court last week. The fate of that expansion, the insurance mandate and other aspects of reform should be more clear with a Supreme Court decision over the summer.
Source: denverpost.com

Medicare Colorado Made available at Economical Prices

There is no better way in rising old than to remain protected with Colorado wellness insurance so that you can live your lifestyle free of charge of any worries. The occurrence of illness goes as you age, thanks to the government of United States for the provide of Medicare Colorado to its older citizens from 65 years old and above. The government presented this at reduced rates. If you are nearing 65 years old, then it is time for you to enroll in the supplement policy of Medicare. There are distinct plans provided by Medicare wherein you can opt for from. You have the choice to opt for from supplement and the Medicare Benefit Colorado. This strategy is also known as the Medicare C which covers all of the coverage in the element A and portion B of the health-related insurance. This strategy also delivers added coverage for hearing, vision, dental and other wellness system. Colorado Medicare Component B is an additional coverage for Medicare holders. Portion B covers the coverage that is not incorporated in your Component A. Most of the coverage contains professional and health-related care like home well being companies, health-related supplies and gear, use of the ambulance, laboratory solutions and other rehabilitation providers. When you check out the Medicare office, you have to examine also if your plan has Medicare part d Colorado. On the other hand, if you are younger or a family man, you would certainly need to have Colorado Life Insurance which will take charge of your family financially in case you die early. There are also policies that it will spend out for your bills in case you are incapacitated. Typically, Daily life Insurance Colorado pays out to the beneficiary which you designate. It might be your spouse and your little ones. Premiums are set in this sort of insurance but you will be made available with tons of possibilities that you can opt for. Know more about Medicare part d Colorado .
Source: skyrock.com

Colorado Medicare Now Covering CyberKnife Cancer Treatment

The change was made by a ruling in January and since then CyberKnife treatments at Denver CyberKnife in Lone Tree have gone from three to five prostate cancer patients a month to more than 20 to 30 patients a month.
Source: danisfoundation.org

2012 Proposed Medicare Payment Rates Released

The Ambulatory Surgery Center Association (ASCA) has been highly critical of the agency’s continued reliance on the CPI-U to update ASC payments since the payment system was originally implemented. The hospital market basket is a more appropriate measure of inflation for ASCs and has typically been higher than the CPI-U.  Previous updates and adjustments had pushed ASC rates down to 56 percent of HOPD rates last year, and the continued use of the CPI-U, compounded by different measures of multifactor productivity for ASCs and HOPDs, will likely push the gap even wider in 2012.  ASCA is extremely disappointed that the agency has continued to ignore the widening gap in payments for outpatient surgical services in these two settings.
Source: cascacolorado.com

THE Consortium: Colorado’s Medicaid Incentive Program Registration & Attestation Site Now Open!

If you qualify for Medicaid and have previously registered for incentives on the CMS site, please be sure that you register for the Medicaid incentive (many of you registered last year when the CMS site only offered one option-Medicare). It takes 24 hours for the change (or if you are a hospital, adding Medicaid along with Medicare) on the CMS registration site to pass through to the HCPF site.
Source: blogspot.com

Active Minds® Medicare Presentation at Sunrise Senior Living of Cherry Creek

April 13, 2012 – Friday, 2:30PM – 4:30PM Location: Sunrise Senior Living of Cherry Creek Address: 251 S Colorado Blvd, Denver, CO Join Active Minds® as we explain the history, current, and future state of Medicare. We will cover how and why it was created, how it has grown, and significant changes (like Part D and Healthcare Reform). The emphasis will be on understanding what it all means for seniors and those who care for seniors. 2:30-3:30 Medicare presentation, 3:30-4:30 Networking. RSVP: 303-333-1166. Cost: Free. This program is being brought to you by Sunrise Senior Living of Cherry Creek and Active Minds®. www.activeminds.com www.sunriseseniorliving.co
Source: summitadultday.com

Webinar on Social Security Benefits & Medicare Eligibility

Posted by:  :  Category: Medicare

Grand Bargain Watch - Save Social Security by DonkeyHotey“Learning about your Social Security and Medicare benefits may be the smartest investment you can make in your finances and health,” said Tai Venuti, Allsup’s manager of Strategic Alliances. “I guarantee you it will be 60 minutes well-spent, especially if you have a spinal cord injury or disorder such as multiple sclerosis.”
Source: spinalcord.org

Video: Medicare Explained

Denial of Medicare Benefits :Gould & Lamb

A party to the redetermination may request a reconsideration if dissatisfied with the redetermination. Section 521 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) included provisions aimed at improving the Medicare fee-for-service appeals process. Part of these provisions mandate that all second-level appeals (for both Part A and Part B) be conducted by qualified independent contractors.  The qualified independent contract reconsideration process allows for an independent review of medical necessity issues by a panel of physicians or other health care professionals. A minimum monetary threshold is not required to request a reconsideration.  However, a written reconsideration request must be filed within 180 days of receipt of the redetermination (a request for a reconsideration may be made on Form CMS-20033).
Source: themedicarecomplianceblog.com

Lawyer, Lawyers, Attorney, Attorneys, Law, Legal Information

Are Online Screen Shots Electronic Receipts for Purposes of the Federal… (Anita Ramasastry, for FindLaw’s Writ) — The Fair and Accurate Credit Transactions Act of 2003 (FACTA) prohibits merchants that accept credit cards or debit cards for payment…Read More »
Source: findlaw.com

Reform of Medicare Benefits Schedule

A recent Australian Institute of Health and Welfare report confirms that the complexity of the work that is delivered by GPs in Australia has increased significantly over the past 10 years. Yet since 2000, the data show that labor supply GP decreased by 2 percent, while supply increased by 17 percent specialized. We must do more to attract the next generation of doctors in general medicine.
Source: sentfromebove.com

Ask MTG Questions, MTG Help and MTG Rules

Before an individual lookup for Medicare Supplement prices, he or she must make positive that they are now enrolled in Medicare Aspect An and Element B. Men and women, who are scheduling to swap from Medicare benefit method to original Medicare, should apply for Medigap just before the finish of the protection. Plans E, H, I and J are not sold anymore, but persons can hold them if they are now enrolled in it. Only a single man or woman can be covered in a solitary Medigap policy, so in case of married pair both of those the husband and spouse desire to choose impartial policy. An insured man or woman is needed to pay out independent rates for Medicare Piece B and Medigap coverage. Medicare health supplement premium goes to the personal firm you are enrolled with.
Source: askmtg.com

Making Medicare claims and benefits statement clearer, simpler

This MSN redesign is part of a new initiative, “Your Medicare Information: Clearer, Simpler, At Your Fingertips,” which aims to make Medicare information clearer, more accessible, and easier for beneficiaries and their caregivers to understand.  CMS will take additional actions this year to make information about benefits, providers, and claims more accessible and easier to understand for seniors and people with disabilities who have Medicare.  This MSN redesign reflects more than 18 months of research and feedback from beneficiaries to provide enhanced customer service and respond to suggestions and input.
Source: medicare.gov

Docudharma:: The Continued Lies About Social Security and Medicare

Remember we were talking about Social Security? Note that Samuelson refers to “lifetime Social Security and Medicare benefits.” It wasn’t an accident that he brought Medicare into this discussion. That is because Steuerle and Rennane’s calculations show that this average earning couple would get back less in Social Security benefits than what they paid in taxes. That would not fit well with Samuelson’s story, so he brings in Medicare (remember this is the Washington Post).
Source: docudharma.com

Biggert tells Naperville seniors that Medicare will be protected

Biggert noted that the House of Representatives recently passed both a budget and HR-5, a bill that would reform the process of medical lawsuits and repeal the Independent Payment Advisory Board. […]
Source: biggert.com

Q1Medicare.com Brings the Finalized 2013 Medicare Part D Defined Standard Benefit Parameters Online

As can be seen on the Q1Medicare.com/2013 page, the final 2013 defined standard benefit plan parameters show a slight increase above the same 2012 values. For example, Medicare beneficiaries enrolling in a 2013 Medicare Part D prescription drug plan modeled after the CMS Defined Standard Benefit will find the 2013 initial deductible increasing from the current value of $ 320 to $ 325. Likewise, the initial coverage limit will increase to $ 2,970 from the current 2012 limit of $ 2,930, meaning that Medicare beneficiaries with an average monthly negotiated retail drug cost of over $ 248 can expect to enter the Donut Hole sometime in 2013.
Source: diethomebusiness.info

Facing Disability? Medicare Benefits Can Help

There are situations in which you may have other insurance, as well, and may be confused by the coordination on benefits. If you are under 65 and disabled, but have group health plan coverage based on your or a family member’s current employment, and the employer has 100 or more employees, your group health plan pays first. If you are under 65 and disabled and have group health plan coverage based on your or a family member’s current employment, and the employer has less than 100 employees, Medicare pays first.  If you have End-Stage Renal Disease (ESRD), and are covered by group health insurance, your group health plan will pay first for the first 30 months after you become eligible to enroll in Medicare. Medicare will pay first after this 30-month period.
Source: joppel.com

Research Roundup: Medicare Vs. Private Plans

Archives Of Internal Medicine: Obesity Treatment For Socioeconomically Disadvantaged Patients In Primary Care Practice – Low-income patients are underrepresented in clinical trials and are disproportionately prone to obesity and the related problems of high blood pressure and heart disease. Researchers conducted a 24-month trial of more than 300 low-income, obese patients from various Boston community health centers, randomizing participants “to usual care or a behavioral intervention that promoted weight loss and hypertension self-management using eHealth components. The intervention included tailored behavior change goals, self-monitoring, and skills training, available via a website or interactive voice response.” The intervention resulted in “modest weight losses, improved blood pressure control and slowed systolic blood pressure” (Bennett et al., 4/9). Kaiser Family Foundation: How Does The Benefit Value Of Medicare Compare To The Benefit Of Typical Large Employer Plans? A 2012 Update — This study, updated from 2008, found that “Medicare remains less generous on average than typical large employer health plans, even after recent improvements in the program’s drug coverage. Overall, Medicare would cover $11,930 on average of the $14,890 in estimated annual spending for an individual age 65 and older, less than would be covered under either the federal employee plan ($12,260) or the typical PPO comparison plan ($12,800) for an individual age 65 and older. The gap was narrower in 2011 than it was in 2007, largely due to provisions in the Affordable Care Act that provide discounts on brand-name drugs purchased in the Medicare drug benefit’s coverage gap, or “doughnut hole” (McArdle, Levinson, Stark and Neuman, 4/4). The Heritage Foundation: Saving The American Dream: Comparing Medicare Reform Plans – The Heritage Foundation has proposed a premium support plan for Medicare as part of a comprehensive defict reduction package. This backgrounder looks at that proposal and five other plans that offer such supports. In a plan with a premium support, sometimes called a voucher, the government makes a fixed payment to Medicare beneficiaries, who then can shop for appropriate health insurance.  The author writes that, while details vary, each requires “traditional Medicare to compete with private plans, using competitive bidding to determine market-based payments to health plans, requiring upper-income retirees to pay more for their benefits, providing extra assistance to lower-income enrollees, and adding a risk-adjustment mechanism to guarantee market stability and security for older and sicker retirees. The breadth of the consensus on key policy components could be the basis for a strong bipartisan agreement” (Moffit, 4/4).
Source: kaiserhealthnews.org

Medicare Supplement Insurance And Medicare Are In The News

Under the new rules, organizations meeting certain qualifications will be given permission to access patient-protected Medicare data to generate public reports about the health care services of clinics, physicians and hospitals.  These reports will combine Medicare and Medigap Insurance claims data with private sector claims data to point out which health care providers give the most cost-effective and highest-quality services.  This strategy is a part of the Affordable Care Act aimed at improving health care, making people pro-active about their health, and  decreasing  health care costs. 
Source: eftreport.com

How Medicare covers hospice care

You have to sign a statement choosing hospice care instead of other Medicare-covered benefits to treat your terminal illness. (Medicare will still pay for covered benefits for any health problems that aren’t related to your terminal illness.) And you must get care from a Medicare-approved hospice program.
Source: thisisreno.com

Tricare Help – Do Medicare

Posted by:  :  Category: Medicare

Congressman Kendrick B. Meek by cliff1066™Neither Medicare nor Tricare require their beneficiaries to enroll in the Medicare Pharmacy Plan, Part D of Medicare. To the contrary, Medicare Part D is not recommended for Tricare for Life beneficiaries. The Office of the Assistant Secretary of Defense for Health Affairs is on record for saying that the only Tricare beneficiaries likely to achieve any financial advantage from Medicare Part D enrollment are those whose incomes are below the federal poverty level and who qualify for financial aid to help pay their Medicare Part B premiums.
Source: militarytimes.com

Video: Medicare Advantage Plans 2011

‘Science is Fun': Complex Choices in Medicare Advantage Program May Overwhelm Seniors

The researchers found that, on average, an increase in the number of plans was associated with increased Medicare Advantage enrollment, provided the number of available plan options was fewer than 15. When the number of options surpassed 30, as it did in 25 percent of U.S. counties, such increases were actually associated with decreased enrollment. More importantly, beneficiaries with low cognitive function were substantially less likely than their peers with high cognitive function to appreciate the advantages offered by these plans, choosing to remain in the traditional Medicare program instead.
Source: blogspot.com

State Teachers Retirement…To Save or Not To Save

As with all situations there is never a hard fast rule for everyone, but in most cases for the employee it is what I call a “no brainer.”  The current premium in Ohio for the employee is $81/month.  The plan offered by STRS is the Aetna Medicare Plan (PPO) which is a group Medicare Advantage Plan.  The plan has a $500 deductible and a $1500 annual out of pocket maximum (which includes the deductible).  More importantly, the prescription drug plan does not have the infamous donut hole like Medicare Part D has.  So if you are a retired teacher, be very wary of “advisors” recommending you leave STRS to go on a Medicare Advantage plan on your own.  If you have already made this mistake, don’t worry because you may be able to get back on your STRS plan.  Just give them a call to find out what to do.  You may have to wait until the Annual Enrollment Period (AEP) before you can get out of your current plan.
Source: wordpress.com

A New Concept for Medicare Advantage Plans

Here’s a new concept for Medicare Advantage insurance: integrating its use as part of a long-term care system with basic benefits to help the patient avoid long stays in the hospital.  Essentially, the foundation of this concept is based on the idea that prevention is the key to keeping health care costs down.  Howard Gleckman  presents this interesting  approach to Medicare Reform in his article for Forbes.com.
Source: mostmedicare.com

CMS Unveils 2013 Medicare Advantage Bidding Rules

CMS has released a Medicare program final rule that is set to appear in the Federal Register April 12. The agency also has released key 2013 Medicare Advantage and Medicare Part D program bidding documents: The rate announcement and the “final call letter.”
Source: lifehealthpro.com

Q1Medicare.com Brings the Finalized 2013 Medicare Part D Defined Standard Benefit Parameters Online

As can be seen on the Q1Medicare.com/2013 page, the final 2013 defined standard benefit plan parameters show a slight increase above the same 2012 values. For example, Medicare beneficiaries enrolling in a 2013 Medicare Part D prescription drug plan modeled after the CMS Defined Standard Benefit will find the 2013 initial deductible increasing from the current value of $ 320 to $ 325. Likewise, the initial coverage limit will increase to $ 2,970 from the current 2012 limit of $ 2,930, meaning that Medicare beneficiaries with an average monthly negotiated retail drug cost of over $ 248 can expect to enter the Donut Hole sometime in 2013.
Source: diethomebusiness.info

Tricare Help – I’m on Tricare for Life, but my doctor won’t take Medicare

Posted by:  :  Category: Medicare

Deputy Administrator and Director for the Center of Medicare at CMS Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana Care15 percent age appeal catastrophic cap child born out of wedlock claims continued care cost share death DEERS dental dependent disabled divorce doctor doctors FEHBP handbook health care reform hospital ID card 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

Video: MedicareWire: It’s Medicare Made Clear [er] – News & Reviews

HHCAHPS Update for Medicare Providers

CMS announced during its February Home Health Open Door Forum that providers who have not registered for and begun participation in the Home Health Consumer Assessment of Health Providers and Systems (HHCAHPS) must begin doing so by April 2012 in order to receive a full market basket update in 2014. Information about HHCAHP can be found here.
Source: hcafnews.com

Medicare Providers Don’t Want Less Revenue

Only the third payment model resulted in real cost savings, and even there a caveat is in order. The one demonstration using a bundled payment approach (for coronary bypass surgeries) resulted in a commendable ten percent reduction in spending with no apparent effect on patient outcomes. However, for the seven participating hospitals, CMS provided a significant incentive: each was named a Medicare Participating Heart Bypass Center, potentially boosting its volume of bypass surgeries. In other words, the hospitals were given the chance to increase their revenues (albeit at the expense of competitor facilities), by agreeing to accept the lower bundled payments.
Source: careandcost.com

Know About Medicare Fraud :Electronic Medical Records Software

Medicare fraud happens when somebody deliberately forges information or cheats the Medicare Program. There are certain providers, suppliers and physicians who may have the intention of taking advantage of Medicare and deceiving the program, as this type of fraudulency takes a lot of money. What is not considered a fraud related to Medicare would be complaints on the provider’s quality of service.
Source: electronic-medical-records.us

Bad blood: Specialty hospital sues medical center : Lake Travis View

According to the lawsuit petition, HUD officials supplied the specialty hospital with a June 2010 letter from Surgical Development Partners attorney Frank Sossi that stated before receiving the federal loan guarantee, “The existence of the plans for the Transitional Medical Center were discussed in detail with HUD Client Service Team” and “the facility requires numerous upgrades and modification to meet Texas licensing standards for providing true acute care services.”
Source: laketravisview.com

H.R. 6331 (110th): Medicare Improvements for Patients and Providers Act of 2008

Prescribes prohibitions on certain sales and marketing activities under Medicare Advantage (MA) plans and prescription drug plans, including: (1) the provision of gifts or prizes as enrollment inducements; (2) unsolicited means of direct contact; (3) cross-selling (the sale of other non-health related products, such as annuities and life insurance, during any sales or marketing activity or presentation conducted with respect to an MA plan); or (4) the provision of meals to prospective plan enrollees. Requires the Secretary of Health and Human Services to establish limitations under MA plans of certain other marketing activities, including co-branding. Requires the inclusion of the plan type in the plan name. Imposes requirements on MA organizations relating to the exclusive use of licensed agents and brokers and compliance with state information requests in order to enable states to collaborate with the Secretary to address fraudulent or inappropriate marketing practices.
Source: govtrack.us

How America hangs on healthcare

As Blahous said, “If Medicare were going insolvent in 2016, you’d better believe right now there would be more pressure on lawmakers to do something about it. . . . It’s essential that there be a full public understanding of the most economically significant federal law in years.” Abandoning what is dubbed “Obamacare” as the Republicans would, could provoke huge social discontent. But pursuing it could lead to financial ruin.
Source: virtuepolitics.com

Medicare provider inquiries, enrollment, appeals draw mostly positive comments in survey

Overall satisfaction with Medicare fiscal intermediaries (FIs), carriers, and RHHIs exceeded 75 percent; in each case, dissatisfaction was about 10 percent. Satisfaction with Part A and Durable Medical Equipment (DME) MACs was nearly as high at 74 percent. Satisfaction with Part B MACs was somewhat lower at 69 percent and dissatisfaction was higher at about 15 percent.
Source: newsfromaoa.org

Have You Received a Notice of Termination of Your Medicare Provider Number?

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Source: wordpress.com

Florida Health Agency Offers Free Quotes for Florida Medicare Plans

Posted by:  :  Category: Medicare

George W. Bush by cliff1066™Miami, Florida (March 23, 2012) – Florida Health Agency is helping local clients find the insurance that suits their needs by offering free, no-obligation consultations regarding the different types Florida Medicare plans. This health insurance agent offers online quotes to help Florida clients find which healthcare insurance option works for them.To take advantage of this offer, simply fill out the online form found on their website and click the Submit button. Applicants then receive information through the e-mail address they’ve provided. Registrants are entitled to an individualized review of their healthcare insurance options, a list of medical plans to compare, and objective advice that can help them make an informed decision.
Source: pressreleasefiles.com

Video: Florida Medicare Supplements

Miami Medicare Fraud: Feds targeting South Florida halfway

Medicare paid American Therapeutic, with seven clinics in South Florida and Orlando, $83 million over the past decade for group-therapy sessions that could not have helped people with drug and alcohol addictions, Justice Department lawyers say. Patients with drug addictions received treatment for mental illnesses they didn’t have, such as bipolar disorder. In many other instances, no treatment was provided at all.
Source: healthcarefraudblog.com

Guilty pleas submitted by four in Medicare fraud case in Florida

Fraud conspiracy charges were brought against the four individuals in connection to their alleged involvement in this Medicare fraud scheme. Recently, these four individuals pled guilty to these charges. The four are scheduled to be sentenced in June. The four individuals reportedly could each be sentenced to serve up to 10 years in prison in this case.
Source: criminallawsarasotafl.com

Seniors Blow the Whistle on Medicare Fraud

A federal report Tuesday spelled out the results of the South Florida calls: $58.6 million in overpayments recovered, $10.7 million in questionable bills not paid, $3 million seized from fraudulent firms, 103 companies booted from Medicare, 106 companies flagged for extra scrutiny, 835 fraud investigations started, and 30 cases referred for prosecution.
Source: hcafnews.com

Florida man pleads guilty to participating in $200 million Medicare fraud scheme

According to court filings, ATC’s owners and operators paid kickbacks to owners and operators of assisted living facilities and halfway houses and to patient brokers in exchange for delivering ineligible patients to ATC and ASI.  In some cases, the patients received a portion of those kickbacks.  Throughout the course of the ATC and ASI conspiracy, millions of dollars in kickbacks were paid in exchange for Medicare beneficiaries to attend illegitimate treatment programs so that ATC and ASI could bill Medicare for medically unnecessary services.  According to court filings, to obtain the cash used to pay the kickbacks, the co-conspirators laundered millions of dollars of payments from Medicare and structured their transactions to avoid detection by bank officials and the authorities.
Source: sandiegocountynews.com

Physical Therapy Diagnosis: 27 New Medicare Accountable Care Orgnaizations Open April 1st, 2012

Under the new Medicare Shared Savings Program (Shared Savings Program), 27 Accountable Care Organizations (ACOs) have entered into agreements with CMS, taking responsibility for the quality of care furnished to people with Medicare in return for the opportunity to share in savings realized through improved care. The Shared Savings Program and other initiatives related to Accountable Care Organizations are made possible by the Affordable Care Act, the health care law of 2010. Participation in an ACO is purely voluntary for providers and beneficiaries and people with Medicare retain their current ability to seek treatment from any provider they wish. The first 27 Shared Savings Program ACOs will serve an estimated 375,000 beneficiaries in 18 States. This brings the total number of organizations participating Medicare shared savings initiatives on April 1 to 65, including the 32 Pioneer Model ACOs that were announced last December, and six Physician Group Practice Transition Demonstration organizations that started in January 2011. In all, as of April 1, more than 1.1 million beneficiaries are receiving care from providers participating in Medicare shared savings initiatives. “We are encouraged by this strong start and confident that by the end of this year, we will have a robust program in place, benefitting millions of seniors and people with disabilities across the country,” said CMS Acting Administrator Marilyn Tavenner. Anyone who has multiple doctors may have experienced the frustration of fragmented and disconnected care: lost or unavailable medical charts, trouble scheduling an appointment or talking to a doctor, duplicated medical procedures, or having to share the same information over and over with different doctors. Accountable Care Organizations are designed to lift this burden from patients, while improving care and reducing costs. The Shared Savings Program was created by the Affordable Care Act after a number of efforts in the private sector showed that improving care can lead to lower costs. The selected ACOs include more than 10,000 physicians, 10 hospitals, and 13 smaller physician-driven organizations in both urban and rural areas. Their models for coordinating care and improving quality vary in response to the needs of the beneficiaries in the areas they are serving. CMS is reviewing more than 150 applications from ACOs seeking to enter the program in July. To ensure that savings are achieved through improving and providing care that is appropriate, safe, and timely, an ACO must meet strict quality standards. For 2012, CMS has established 33 quality measures relating to care coordination and patient safety, appropriate use of preventive health services, improved care for at-risk populations, and the patient and caregiver experience of care. CMS also announced today that five ACOs are participating in the Advance Payment ACO Model beginning April 1. This model will provide advance payment of expected shared savings to rural and physician-based ACOs participating in the Shared Savings Program that would benefit from additional start-up resources. These resources will help build the necessary care coordination infrastructure necessary to improve patient outcomes and reduce costs, such as new staff or information technology systems. CMS is reviewing more than 50 applications for Advance Payments that start in July. LIST OF ACCOUNTABLE CARE ORGANIZATIONS STARTING APRIL 1, 2012
Source: blogspot.com

Future of Medicare Up for Debate

Used to be, it was politically dangerous to try to tinker with Medicare. Former Arizona Governor Bruce Babbitt lost the support of key Democrats in his bid for the 1988 presidential nomination when he talked about means-testing Medicare and other entitlements. And the 1988 Medicare Catastrophic Coverage Act, which would have significantly expanded coverage, was repealed soon after passage. The reason: Terrified lawmakers capitulated to furious higher-income seniors who were to be charged higher premiums than other beneficiaries.
Source: floridawealthadvisors.com

Florida Seniors And Florida Medicare Supplement Ideas

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Source: apssupplements.com

Arkansas Medicare Part D Plans

Posted by:  :  Category: Medicare

Counter demonstration: wingnuts by tswedenWhen researching Arkansas Medicare Part D plans, take the time to visit plan websites for any plan that you are interested in and explore the formulary. Not only will you determine if your drugs are covered but which tiers your drugs are listed in as well. The drug tier will determine how much you will pay for copays and coinsurance. Follow these simple steps and you should have no problem finding the right Arkansas part D plan for 2012.
Source: partdplanfinder.com

Video: Arkansas Medicare Supplements

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: tompump.com

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: 1shadowcompany.com

J&J to pay $1.1B for misleading doctors on antipsychotic drug — Business — Bangor Daily News — BDN Maine

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

How Do I Apply for an Arkansas Medicare Provider Transaction Access Number?

21st Century Care Providers specializes in opening New Home Care Agencies. We will help you establish a well organized senior home care business that gives the highest level of service to your deserving senior population.Their new agency start-up program has NO FRANCHISE FEES – NO ROYALTY FEES or NO TERRITORY RESTRICTIONS. They can be reached at 888-850-6932 or visit them on the web. www.1stproviders.com.21st Century Care Providers specializes in opening New Home Care Agencies. We will help you establish a well organized senior home care business that gives the highest level of service to your deserving senior population.Their new agency start-up program has NO FRANCHISE FEES – NO ROYALTY FEES or NO TERRITORY RESTRICTIONS. They can be reached at 888-850-6932 or visit them on the web. www.1stproviders.com.
Source: 1stproviders.com

Arkansas Medicare Supplemental Insurance

Medicare supplement insurance quotes – Is your Medicare supplemental insurance plan working for you? Medicare Supplements for You provides only the additional coverage you require, also cutting your out-of-pocket costs.
Source: 9orbs.com

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: wwwamazingwomen.com

Arkansas Among States to Begin Collecting Meaningful Use Attestations

It is important to note that for 2015 and later, Medicare eligible professionals who do not successfully demonstrate meaningful use will have a payment adjustment to their Medicare reimbursement. The payment reduction starts at 1% and increases each year that a Medicare eligible professional does not demonstrate meaningful use, to a maximum of 5%.
Source: mosbilling.net

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: newliferenewal.com

The Republican push to end Medicare

The Obama administration has refused to make insurance companies define benefits as well already. If they appear to be doing anything it will be an act of defining down. via the new england journal of medicine http://www.nejm.org/doi/full/10.1056/NEJMp1200693 **** The promise of nearly universal health insurance coverage embodied in the Affordable Care Act (ACA) has meaning in part because it is tied to a minimum set of covered services called essential health benefits (EHBs). Health and Human Services Secretary Kathleen Sebelius surprised the health care community when, on December 16, 2011, she announced that there would not be one single national definition for EHBs.1 Rather, each state will have 10 options to choose from in defining the EHBs, 7 of which are tied to existing coverage in that state’s small-group, state-employee, and health maintenance organization markets. ****** Republicans as always on this issue are just telling you what Dems are now or will soon be doing. Bob Dole and Mitt Romney, now Obama care” over the last twenty years should be more than enough proof of that.
Source: arktimes.com

Nearly half on Military and Medicare

Mike Masterson began his journalism career in 1971 and has gone on to be the editor of three Arkansas daily papers, a reporter for the Los Angeles Times and The Chicago Sun-Times as well as the investigative team leader at The Arizona Republic. He is a regular staff columnist for the Arkansas Democrat-Gazette and its opinion editor for Northwest Arkansas. Mike’s writing and reporting have received more than two dozen national honors, including twice being a finalist for The Pulitzer Prize and a four-time award recipient in the annual Robert F. Kennedy Awards.
Source: nwasource.com

Texas laboratory named in Medicare kickback case

Posted by:  :  Category: Medicare

i don't need your rockin' chair... by jmtimagesAMA Code of Ethics AmeriPath anatomic pathology ASTRO Chesapeake Urology Associates client billing College of American Pathologists Colorado damages cap direct billing Drug test Florida Forensic pathology fraud Grandfather clause IMRT In Office Pathology Jean Mitchell kickback LabCorp laboratory lawsuit legislation Mayo Clinic Medicaid Medical malpractice Medicare Medicare fraud Myriad Genetics non compete pathologist Pathology payouts Physician self-referral Prometheus Laboratories prostate cancer Quest Diagnostics Radiation therapy self referral Stark Law stock Supreme Court United States Supreme Court Urology Whistleblower
Source: pathologyblawg.com

Video: 7 Accused of Bilking $375M From Medicare

National Association to Stop Guardian Abuse: TX: Biggest Medicare Fraud in History Busted in February, Says Feds

Federal officials say they have taken down the largest Medicare fraud scheme investigators have ever discovered: a $375 million dollar home healthcare scam operating in the Dallas, Texas area. The alleged “mastermind” of the fraud, Dr. Jacques Roy, is charged with certifying hundreds of fraudulent claims for Medicare reimbursement, and pocketing millions in payments for services not needed, or never delivered. Prosecutors say the 54-year-old Dr. Roy, who was arrested today and could be sentenced to life in prison, operated a “boiler room” to churn out thousands of phony Medicare claims and recruited homeless people as fake patients “Today, the Medicare Fraud Strike Force is taking aim at the largest alleged home health fraud scheme ever committed,” said Assistant Attorney General Lanny Breuer. “According to the indictment, Dr. Roy and his co-conspirators, for years, ran a well-oiled fraudulent enterprise in the Dallas area, making millions by recruiting thousands of patients for unnecessary services, and billing Medicare for those services.” Full Article and Source: Biggest Medicare Fraud in History Busted, Says Feds See Also: NASGA’s Open Letter to Congress: The Fleecing of Medicaid and the Taxpayer
Source: blogspot.com

But there will be no FEMA, no Medicare, no highways, no education!

Saying Paul would abolish Federal funding for highways is an incorrect statement. Our fuel taxes are collected through the Department of Transportation. This is not on the list of the 5 Unnecessary Federal Departments that Paul wants to end. He doesn’t like that we get taxed on our fuel by the Feds and then only have a percentage of it given back to the states with strings attached, while creating a huge unproductive bureaucratic department that wastes many of our hard earned dollars. They end up spending a lot of this on other things besides transportation many times. http://www.rawstory.com/rs/2012/01/17/ron-paul-dept-of-transportation-only-needs-one-guy-and-a-computer/ National Standards / Dept. of Education: Dr. Paul certainly wants to abolish this and for very good reason. In many states, most public schools get the majority of their operating funds from state taxes, not federal. Sure there are some federal programs and some poor schools that are propped up by the Feds, but that is the exception. Since the Feds have been involved we now have an 82% failure rate of public schools in regards to standards, thanks to their “one size fits all” solution. Look at the schools in the Dept. of Education’s own back yard (Washington), they are some of the most deplorable in the nation. The only helpful thing that I can see that the Dept. of Education does is provide student loans. That can be done through a private bank. They have failed us. The expense of this huge government department is not worth the low amount of returns citizens receive. The states can manage just fine without it. http://www.cnn.com/2011/POLITICS/03/09/education.congress/ http://www.allgov.com/Agency/Department_of_Education
Source: briangallimore.com

Feds Accuse Texas Doctor Of Largest Medicare Fraud In US History

Nick Martin is a reporter for TPMMuckraker. He comes to the site from Arizona, where he worked as a freelance journalist, investigating serial killers, extremist groups, politicians and scoundrels of all stripes for a variety of local and national news outlets. He also operated the award-winning news blog, Heat City. Contact him: nick [at] talkingpointsmemo.com
Source: talkingpointsmemo.com

Information About Texas Medicare Supplements

People 65 years and older are generally unable to work due to new or ongoing medical issues including rheumatism or other standard condition related to aging. Rather than suffering thru the discomfort, seek help and help for hospital bills. There are many options that can assist you in finding the medical therapy you want. Do not let the price of medical services shock you away when there is help available for you.
Source: self-employed-taxes.com

Texas Medicare Supplement Plan N

Regardless of who sells it, Plan N pays for your Part A deductible and coinsurance, a full 365 days extra coverage for hospital care after Medicare coverage ends, Part B coinsurance or copayment, except up to $20 copayment for office visits and $50 copayment for emergency room care, the first three pints of blood, foreign travel emergency care and the copayment for a skilled nursing facility. Under Plan N, you are responsible for paying your Part B deductible, any Part B excess charges above Medicare approved amounts and the cost of home health care. Again, these benefits are the same for every Plan N available.
Source: texasmedicarehealth.com

Texas doctor accused of largest Medicare, Medicaid fraud scheme in US history

• CDC vaccine scientist who downplayed links to autism indicted by DOJ in alleged fraud scheme • Fraud in medical research: A frightening, all-too-common trend on the rise • Neurologist Dr. Fred Baughman talks about the fraud of ADHD and the poisoning of U.S. children • Pfizer pleads guilty to felony crime in fraudulent marketing of Bextra, pays billions in fines • Merck Caught in Massive Scientific Fraud as In-House Authors were Disguised as Independent Scientists (opinion) • American Doctors Busted for Fraud, Conspiracy in HIV Treatment Scam
Source: naturalnews.com

We Stand FIRM: Texas Doctors Opting Out of Medicare

The 3/9/2012 Houston Chronicle reports, “More Texas doctors opting out of Medicare”. Only a few states track this particular statistic, but I suspect this reflects a nationwide trend. As for why conscientious physicians might wish to opt out, Dr. Kathleen Brown explains in her recent essay, “Exiting the Game”. Note: The federal government makes it difficult for patients and doctors to opt out of Medicare. If a patient wants to opt out of Medicare and seek their own private arrangements with willing physicians, they may lose their Social Security benefits — something many seniors can’t easily afford. Conversely, if a doctor wishes to completely opt out of Medicare, then they basically have to give up all Medicare reimbursements for 2 years. So effectively, they have to be willing to sever relations with all their Medicare patients, even if they just want to work out a non-Medicare arrangement with one patient for one particular operation or treatment. (There is a way in which doctors can sometimes take Medicare and other times not, but to do so they have to agree to accept less than the Medicare rates, which is already pretty low. Interested readers can find details at, “Medicare Participation Options for Physicians”.) More broadly, the government has a deliberate policy of making it difficult for patients and doctors to engage in private contracts outside of Medicare. Attorney Kent Brown covers this in, “The Freedom to Spend Your Own Money on Medical Care: A Common Casualty of Universal Coverage”.
Source: westandfirm.org

Medicare Experts Guide Texas Woman through Medicare Maze

Whether you’re new to Medicare or have been on Medicare for several years, you no doubt have questions. After all, Medicare itself is confusing enough on its own. Once you understand the gaps in coverage that Medicare can create, you’re faced with a daunting proposition: finding a Medicare supplement that can plug those holes so you can have peace of mind. Forgoing Medicare supplement insurance means that you’ll have to pay more out of pocket, and that could be the path to financial ruin at a time in your life when you should be able to breathe a little easier.
Source: ezinemark.com

Texas Doctor Charged In $375 Million Medicare Scam

Bloomberg: Texas Health-Care Services Accused By U.S. Of $374 Million In Phony Bills Seven people in Texas billed U.S. government health programs for $374 million in services that weren’t provided or necessary in the largest at-home health-care fraud scheme, according to the Justice Department.  A doctor, the office manager of his practice and five owners of at-home health agencies were arrested yesterday on charges related to their participation in the fraud, the department said in a statement. In court papers, the U.S. described door-to-door efforts to recruit thousands of patients who didn’t need services, a boiler room where falsified documents were signed and overseas bank accounts (Stern, 2/29).
Source: kaiserhealthnews.org

Texas Medicare supplement plan

Fortunately, if you are looking for quality dental insurance price, can it for themselves and their families afford no need to further the choice looks better as now you have the Blue Cross already made to Medicare buy insurance, you are ready to buy, to find the best interest rates in Texas around.
Source: usspeedpost.com

Highmark (MAC Jurisdiction H) Dates Released

The Centers for Medicare & Medicaid Services (CMS) recently released the Medicare Administrative Contractor (MAC) transition dates for Jurisdictions 4, which covers Texas, Colorado, New Mexico and Oklahoma,  and 7, which covers Louisiana, Arkansas and Mississippi.  As previously reported, CMS is consolidating these two jurisdictions into a new Jurisdiction H, and has awarded the contract for administering all Medicare Part A and B operations to Highmark Medicare Services. After an unsuccessful appeal by TrailBlazer Health Enterprises and Pinnacle Business Solutions, the current MACs for these regions, implementation is moving forward.
Source: lilesparker.com

Daily Kos: Texas TBagger Doctor Indicted In Largest Medicare Fraud In History

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Source: dailykos.com

Texas Kaos:: The Medicare Killing GOP to Rick Perry: Please Run for President

This the guy that ran for re-election on the platform that he had brought all these jobs to Texas and the State was doing excellent financially. However, it was a big deception and now the State is in a world of hurt. Also, this guy doesn’t have too much respect for women. I am not a propoent of aborations;however, a women should have a right to make that decision. Yeah, it is a Human Life but it is not up to us mortals to judge , that belongs to the big man up there beyond that blue sky. Previously, he attempted to pass mandatory bill to have women take some cancer pill. Had that pass, he would have a big bribe from the pill maker. Nope, the reason he will not run for President, is that the truth will be discover, he is a fake. Americans need to stop playing this Democrat / Republican game. We need to vote for best candidate , that has a vested interest of our State and this great Country. America Love It or Leave IT!
Source: texaskaos.net

Should You Apply for Medicare Even Though You’re Still Working?

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSEven if you’re not receiving Social Security benefits at age 65, you’re still eligible for full Medicare benefits. This includes the premium-free Part A (hospitalization), as well as Part B (doctors visits and outpatient care) and Part D (prescription drugs) for each of which you pay a premium. But it’s up to you to contact Social Security to sign up, and you must do this within what’s called your Initial Enrollment Period. Generally, this period extends from three months before the month you turn 65 until three months after the month you turn 65—a seven-month period in total. If you want your Medicare benefits to start right when you turn 65, you have to sign up during the three months before your birthday.
Source: schwab.com

Video: Pete Mitchell’s When To Sign Up For Medicare by Pete Mitchell

Could you be saving money?

Many people with limited income and resources may qualify for Medicare’s “Extra Help” program, but they must apply to find out. You could be one of them. You may qualify if you have up to $16,755 in yearly income ($22,695 for a married couple) and up to $13,070 in resources ($26,120 for a married couple). Get more information about Medicare’s “Extra Help” program.
Source: medicare.gov

Ask MTG Questions, MTG Help and MTG Rules

Before an individual lookup for Medicare Supplement prices, he or she must make positive that they are now enrolled in Medicare Aspect An and Element B. Men and women, who are scheduling to swap from Medicare benefit method to original Medicare, should apply for Medigap just before the finish of the protection. Plans E, H, I and J are not sold anymore, but persons can hold them if they are now enrolled in it. Only a single man or woman can be covered in a solitary Medigap policy, so in case of married pair both of those the husband and spouse desire to choose impartial policy. An insured man or woman is needed to pay out independent rates for Medicare Piece B and Medigap coverage. Medicare health supplement premium goes to the personal firm you are enrolled with.
Source: askmtg.com

The place to Research for Medicare Supplement Rates

Earlier than an individual lookup for Medicare Supplement rates, he or she ought to make positive that they are by now enrolled in Medicare Element An and Element B. Men and women, who are considering to swap from Medicare advantage approach to original Medicare, should apply for Medigap just before the finish of the protection. Plans E, H, I and J are not sold anymore, but men and women can preserve them if they are now enrolled in it. Only 1 particular person can be lined in a solitary Medigap policy, so in circumstance of married few both equally the husband and spouse have to pay for impartial policy. An insured particular person is needed to pay out independent rates for Medicare Piece B and Medigap coverage. Medicare health supplement premium goes to the personal organization you are enrolled with.
Source: officerelocationmagazine.com

Looking for vision insurance tips?

10. Be aware of how vision coverage works with Medicare*. Original Medicare (Parts A and B) does not provide routine vision benefits. However, many Medicare Advantage plans do cover routine vision care. If you don’t have a Medicare Advantage plan with routine vision coverage, you may want to purchase a vision plan on your own in the same way that people who don’t qualify for Medicare do. Age-related medical conditions of the eye (macular degeneration, cataracts, retinal detachment, etc) are typically covered under the medical portion of Medicare coverage.
Source: ehealthinsurance.com

Social Security and You: Applying for Medicare

When each member of a married couple meets all other eligibility requirements to receive Social Security retirement benefits, each spouse receives a monthly benefit amount based on his or her own earnings. Couples are not penalized simply because they are married. If one member of the couple earned low wages or failed to earn enough Social Security credits (40) to be insured for retirement benefits, he or she may be eligible to receive benefits as a spouse.
Source: mysanantonio.com

Medicare insurance and folks By using Problems

Several. Treatment Portion Some sort of delivers a hospital stay health benefits. Treatment Portion D contains scientifically vital treatment methods, robust health devices (DME) and a lot of protective expert services. Kinds of protective expert services incorporate tests intended for heart disabilities, type 2 diabetes, digestive tract most cancers, glaucoma and also Aids. Additionally, mammograms, and also prostate related and also pelvic check-ups are actually taken care of.
Source: scpgrandslacs.org

How to Apply for a Medicare Appeal

If one has received no payment or less payment from Medicare when it was required, he/she would get those details in the Medicare summary notice. This is a notice sent by Medicare to all its beneficiaries every three months as an update to what Medicare has paid for and what not. If at all Medicare has failed to pay or has paid less for a medical expense incurred by the beneficiary, the details will show in the Medicare summary notice. One could mark the matter in question upon the notice and give a valid reason for appealing in writing. Upon signing it, he/she is to send this to the Medicare contractor’s office. It is important that all this happen within 120 days of the delivery of the notice.
Source: emedicare.net

Medicare Application Texas

Posted by:  :  Category: Medicare

Jessica Sundheim by On BeingI want my representatives to start representing. Members of Congress get a much better retirement plan than you and I do. They can even collect after being convicted of a crime while still in office and they take a lot more days off than our employers would allow for us little people. So I think we should begin holding our representatives to a higher standard or at least one equal to what is expected of us by our employers. The system for paying all of our elected representatives should be changed to a salary plus bonus plan. The bonus would only be paid when a representative leaves office or is re-elected. When we go to the ballots there should be a new question on every ballot in every state which would determine whether or not our representatives collected their bonus; Did Mr. /Ms (Insert name here) represent your interests to the best of his/her ability? If the majority feels that the representative did their best then the bonus is paid as soon as the current term expires. However, if the people feel that they were not properly represented then there is no bonus. I think that a system like this would force our elected officials to keep in touch and understand how we are feeling about the issues. Oh Yeah, from now on when someone running for office says that they are going to change this or change that, I for one want to see the plan. If someone says they can do better than the current elected officials we should have the right to know how they intend to do it before we vote for them.
Source: virginiamedicarepros.com

Video: How to Apply For Medicaid in Florida Online

How medical billing consultants are crucial to Credentialing with Medicare & Medicaid?

Accountable Care Organization Accountable Care Organizations ACO denial management EHR Electronic Health Records Electronic Medical Records EMR Financial Management health healthcare Health insurance HIPAA HIPAA 5010 Hippa Hospitalist Medical Billing Hospitalists medical billing ICD -10 icd-10 ICD 9 ICD 10 insurance medica billing comapnies medical biling company medical billers medical billers & coders medical billers and coders Medical Billing medical billing & coding Service medical billing and coding medical billing companies medical billing consultancy medical billing outsourcing medical billing service medical billing services Medical Billing specialists Medicare & Medicaid Services Ohio Medical Billing outsourced medical billing physician Physician Bundle Payment physician medical billing physicians medical billing revenue cycle management texas medical billing
Source: medicalbillersandcodersblog.com

The Medicare News You Can Use This Week: eRx Exemptions for 2012 and 2013, Billing Education, and eSignatures

Although there is no appeal or review process established for the eRx Incentive Program and payment adjustment, CMS encourages eligible professionals with questions or concerns about the eRx payment adjustment and hardship exemption requests to contact the QualityNet Help Desk. Through the QualityNet Help Desk, CMS is working with eligible professionals and CMS-selected group practices that have questions about eRx payment adjustments and/or hardship exemption decisions. CMS is handling all hardship exemption requests and any questions or concerns on a case-by-case basis. Contact the QualityNet Help Desk if you have issues relating to the eRx payment adjustment and/or the rationale for denial of your hardship exemption request.
Source: managemypractice.com

The place to Research for Medicare Supplement Rates

Posted by:  :  Category: Medicare

Try new Ryan Plan Senior Food - coming to a Republican Congress near you by EN2008Earlier than an individual lookup for Medicare Supplement rates, he or she ought to make positive that they are by now enrolled in Medicare Element An and Element B. Men and women, who are considering to swap from Medicare advantage approach to original Medicare, should apply for Medigap just before the finish of the protection. Plans E, H, I and J are not sold anymore, but men and women can preserve them if they are now enrolled in it. Only 1 particular person can be lined in a solitary Medigap policy, so in circumstance of married few both equally the husband and spouse have to pay for impartial policy. An insured particular person is needed to pay out independent rates for Medicare Piece B and Medigap coverage. Medicare health supplement premium goes to the personal organization you are enrolled with.
Source: officerelocationmagazine.com

Video: Medicare Coverage

Medicare Mental Health Coverage

Medicare beneficiaries are also offered coverage for mental health treatments. In 2012, the Medicare program covers 60% of the Medicare approved amount for outpatient treatment of your mental health condition. Due to the Congress legislation, the percentage of coverage for mental health services is scheduled increase until it reaches 80% in 2014, which is align with the amount of Medicare Part B coinsurance for other medical services.
Source: ehealthinsurance.com

Glade Residents Services to answer Medicare queries

Becoming an Information Volunteer appealed to Kornreich and she began her specialized training. With the vast knowledge she has obtained about Medicare, she is now ready to assist the residents of Fairfield Glade. Evelyne realizes that not every one might be physically able to come to the office, so she is willing to accommodate those individuals by phone. It would be best to make an appointment so the possibility of a waiting period might be avoided.
Source: vistanewspaper.com

Ask The Experts: Retirement

First, please review previous Q&As to see if your question already has been answered. If you cannot find the answer, submit your question to our Retirement expert at fedexperts@federaltimes.com PLEASE NOTE! Do not submit ANY questions via the Comments form. Questions submitted via the Comments form will NOT be answered!
Source: federaltimes.com

Research Roundup: Medicare Vs. Private Plans

Archives Of Internal Medicine: Obesity Treatment For Socioeconomically Disadvantaged Patients In Primary Care Practice – Low-income patients are underrepresented in clinical trials and are disproportionately prone to obesity and the related problems of high blood pressure and heart disease. Researchers conducted a 24-month trial of more than 300 low-income, obese patients from various Boston community health centers, randomizing participants “to usual care or a behavioral intervention that promoted weight loss and hypertension self-management using eHealth components. The intervention included tailored behavior change goals, self-monitoring, and skills training, available via a website or interactive voice response.” The intervention resulted in “modest weight losses, improved blood pressure control and slowed systolic blood pressure” (Bennett et al., 4/9). Kaiser Family Foundation: How Does The Benefit Value Of Medicare Compare To The Benefit Of Typical Large Employer Plans? A 2012 Update — This study, updated from 2008, found that “Medicare remains less generous on average than typical large employer health plans, even after recent improvements in the program’s drug coverage. Overall, Medicare would cover $11,930 on average of the $14,890 in estimated annual spending for an individual age 65 and older, less than would be covered under either the federal employee plan ($12,260) or the typical PPO comparison plan ($12,800) for an individual age 65 and older. The gap was narrower in 2011 than it was in 2007, largely due to provisions in the Affordable Care Act that provide discounts on brand-name drugs purchased in the Medicare drug benefit’s coverage gap, or “doughnut hole” (McArdle, Levinson, Stark and Neuman, 4/4). The Heritage Foundation: Saving The American Dream: Comparing Medicare Reform Plans – The Heritage Foundation has proposed a premium support plan for Medicare as part of a comprehensive defict reduction package. This backgrounder looks at that proposal and five other plans that offer such supports. In a plan with a premium support, sometimes called a voucher, the government makes a fixed payment to Medicare beneficiaries, who then can shop for appropriate health insurance.  The author writes that, while details vary, each requires “traditional Medicare to compete with private plans, using competitive bidding to determine market-based payments to health plans, requiring upper-income retirees to pay more for their benefits, providing extra assistance to lower-income enrollees, and adding a risk-adjustment mechanism to guarantee market stability and security for older and sicker retirees. The breadth of the consensus on key policy components could be the basis for a strong bipartisan agreement” (Moffit, 4/4).
Source: kaiserhealthnews.org

Medicare Supplemental Health Insurance Resources Online

When looking into health insurance of any kind the rules, regulations and stipulations often make it so that every word on the policy seems foreign and a bit sketchy. The policy is never laid on it terms that one without industry knowledge would completely understand. Words such as co-payment, deductible, family allowance, preventative vs. routine care often times add confusion in really understanding what is being offered. Health Insurance in general is difficult to understand and often leads us to believe we are being manipulated let alone getting into the next generation of health insurance, Medicare. How is one to determine exactly what is being offered and to finally settle upon a policy that best fits the need with Medicare and Medigap supplemental insurance policies? One way to gain information on recent updates and current information on Medicare and Medigap is online. Although the internet is a terrific source of information people often find that they would like to speak with someone to make sure what they understand is exactly what is meant. Many companies will offer information online along with a telephone number to speak with advisors who will offer guidance into the technical aspects of what is being offered. This is especially important when it comes to Medicare Supplemental Insurance aka: Medigap Supplemental Insurance. Many insurance companies offer supplemental insurance plans for Medicare. The one thing to remember is that with all Medicare and Medigap policies the coverage will be the exact same no matter where it is purchased. The prices will vary due to the company sponsoring the plan. When you purchase Medicare supplemental insurance plan g or Medicare supple insurance plan n the coverage at one company will be the exact same as another. The difference will be the cost of the policy and this can be varied do to the level of service offered. The great thing about many online companies is that they offer clients to compare Medicare supplemental insurance rates and plans offered by multiple insurance companies without offering up any personal information. These same sites often offer the chance to buy Medigap supplemental insurance through them acting as a facilitator in getting you the best supplemental insurance rate and coverage to fit your exact need. They offer online support as well as assistance free help over the phone. Advisors that are up to date on all topics related to Medicare will assist you in obtaining the right coverage for your need at a desirable price. Medigap Plan G, Plan F and Plan N are currently the most popular option amongst Medicare recipients. When considering a plan that will work for your situation it is important to look at everything that is covered by the plan and as well as what is not covered. We will take a look into just one of the many Medicare supplemental plans, plan N. Medigap supplemental insurance plan N offers one feature that many people find incredibly important in their Medicare Health Coverage; it covers the twenty percent of the doctor and hospital bills left over from traditional Medicare coverage. The twenty percent that is covered has no limit and is often astronomical when talking about major illness or injury. Take for instance a one hundred thousand dollar procedure. Medicare traditionally covers eighty thousand and the recipient is left to cover the other twenty percent on his or her own. Medigap supplemental insurance plan N would be one of the many Medigap plans that cover this extra expense. In addition plan N covers the part A yearly deductible. However plan N does not cover the Medicare plan B deductible. It also uses a method known as cost-sharing when handling doctor’s office visits. This would that you either pay twenty percent or twenty dollars whichever is less when going in for an office visit. With this plan there is also an additional out of pocket co-pay due for emergency room visits. With any plan the options will need to be weighed. The benefits and drawbacks should be looked at with a cost analysis to determine what scenarios are most likely to occur in your life. Medicare supplemental insurance plans are enough different that a plan should be a best fit for your Medicare health insurance needs.
Source: abcarticledirectory.com

Better Coordination Leading to Swifter Medicare Coverage and Access

Aortic valve replacements are used in patients whose aortic heart valves are damaged and cause the valve to narrow – a condition known as “aortic stenosis.” Once patients experience symptoms of aortic stenosis, treatment is critical to improve their chances of survival.  Until recently, aortic stenosis has been treatable only through surgical aortic valve replacement.  And as our population ages, the number of Americans with aortic stenosis progressively increases. 
Source: cms.gov

Medicare supplement insurance the help in need to get better benfits

Moreover, it is also a very crucial matter to make the choice of the Medicare supplement plans very carefully. In fact the point is that while choosing your Medicare supplement plans the most important thing that is needed is to compare Medicare supplement plans so that you can easily make the choice of the perfect plans matching your needs. In fact there are also several other options available for choosing Medicare supplement plans. In fact one of the most common means is to go online and look for the Medicare supplement services selling websites where you can easily get the best choice of the Medicare supplement plans comparing one with the other. However, it is always a better idea to go through the offer documents carefully and if you are able to go through the offer documents of all of them, it would be much better to get the best choice of the Medigap plans.
Source: ezinemark.com

H.R. 1543: Improving Access to Medicare Coverage Act of 2011

Improving Access to Medicare Coverage Act of 2011 – Amends title XVIII (Medicare) of the Social Security Act to deem an individual receiving outpatient observation services in a hospital to be an inpatient with respect to satisfying the three-day inpatient hospital requirement in order to entitle the individual to Medicare coverage of any post-hospital extended care services in a skilled nursing facility (SNF).
Source: govtrack.us