Social Security Administration tests reforms in Philadelphia

Posted by:  :  Category: Medicare

Economically - Challenged & illiterate .. CIA website forced offline (11th February 2012) ...item 2.. Anonymous turns its attention to the U.S. Senate over controversial bill -- upgrade your lifestyle (December 8, 2011) ... by marsmet526Social Security’s Representative Payment Program provides financial management for the Social Security and SSI payments of beneficiaries who are incapable of managing their Social Security or SSI payments. A representative payee is expected to use the federal benefits to pay for the medical needs of his or her beneficiaries, to put any leftover benefits in savings, and to keep detailed records of all benefit spending.
Source: pennsylvaniasocialsecuritydisabilityblog.com

Video: Linda Jordan: Obama’s Connecticut Social Security Number Failed E-Verify – PART 1

Check Out the Disability Planner on Social Security’s Website

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Source: tampabaydisabilityattorney.com

How to Time Social Security

Married couples have additional planning opportunities. When one spouse is receiving benefits and is over full retirement age, he can suspend his benefits at any time up to age 70. When his spouse reaches full retirement age, she can then file for the spousal benefit and delay taking her own benefits, which will increase with delayed retirement credits. She can then switch to her own benefit at age 70, if it is higher.
Source: downtowncanyonville.com

CenturyLink Wins Social Security Administration Task Order

There is growing recognition that today’s telecommunications providers must continue to diversify to remain competitive and respond to customer demand. CenturyLink has taken strategic steps to increase its presence in both the enterprise business and government contracts markets. Recently, we’re glad to be recognized by the federal government as a leading provider of Internet, broadband, voice, data, cloud, security and integrated managed solutions. As one of America’s largest telecommunications companies, CenturyLink is committed to helping the government communicate with stakeholders and citizens.    
Source: centurylink.com

A New Way To Review Client Social Security Benefits

Although Social Security benefits are a major part of retirement planning, since the Social Security Administration stopped mailing statements to workers last year, most planners have been limited in their ability to get updated Social Security information for clients – especially new clients who may not have a prior benefits estimate, and/or who may have never previously reviewed their earnings record. Fortunately, earlier this month the Social Security Administration launched a new online platform allowing anyone to access their own Social Security benefits estimate and earnings record. In response, many planners are now starting to walk clients through the process of claiming their online Social Security account – which can be done on the spot, in the planner’s office, in less than 5 minutes! – and reviewing the benefits estimate and earnings record as a part of their new or existing client meetings!
Source: kitces.com

Social Security Disability Benefits for a Visual Disorder

If you have been diagnosed with a visual impairment, you may be entitled to Social Security Disability benefits. Visual disorders can include degenerative conditions, diabetic retinopathy, or cancer. If you have these difficulties and are unable to work for 12 months or longer, you may qualify for Social Security Disability benefits. SSDI is a disability insurance program that is funded as a result of withholdings from your paycheck. SSDI can provide you with monthly income if you are under full retirement age and can no longer work because of visual impairment.
Source: caveylaw.com

InsureBlog: Medicare Equal Access Options Act

That is much more stringent than any private disability plan. In addition to the above, you must have been totally and permanently disabled for 5 consecutive months before you can even apply for Medicare benefits. Evem if you qualify for SSDI, you have to wait 29 months (5 month elimination + 24 months of SSDI eligibility) before you can qualify for Medicare. There are exceptions, such as those with ESRD or ALS. People (including children) who have not accumulated enough work credits do not qualify for SSDI which will also disqualify them from Medicare benefits. So what does Sen. Kerry want to do to make Medicare more accessible and affordable? Nothing actually. His proposal outlined here is to change the law with regard to access to Medicare supplement plans and Medicare Advantage plans. Kerry-Heinz believes those who live long enough to qualify for SSDI are discriminated against by Medicare supplement carriers because of their health status. If Kerry-Heinz get’s his way those on SSDI and Medicare will see the following changes.
Source: blogspot.com

South Carolina Workers? Compensation, Social Security Disability Benefits Lawyers Launch Website

Land, Parker & Welch, P.A., is an established South Carolina law firm that serves clients throughout Manning, Sumter, Summerton, Kingstree, Mayesville, Turbeville, Bishopville, Andrews and surrounding communities in Clarendon, Sumter and Williamsburg counties. The firm’s South Carolina workers’ compensation and Social Security disability lawyers help clients through the entire process of seeking benefits, from filing initial applications to appeals. Additionally, the firm helps clients in legal matters involving personal injury, auto accidents, slip-and-fall accidents, criminal defense, traffic violations, probate, estate planning and family law. To learn more, call the firm at (803) 435-8894 or use its online contact form.
Source: rightrainbow.com

New conditions qualify for expedited Social Security benefits

If you have a serious medical condition that you think might meet disability standards, you may be eligible for Social Security benefits. In fact, there may be a number of federal benefits programs available to you, including Supplemental Security Income (SSI), which provides monthly cash payments, or Medicaid, which provides health insurance to low-income eligible individuals. An attorney can help you prepare a benefits application and advise you on your options.
Source: newjerseyssdlawyerblog.com

Medicare Changes A Real Threat

Posted by:  :  Category: Medicare

20091029_HealthCareAction101 by Holy OutlawGuest column by Tim Size. Most of us have a job. Most of us have health insurance. Neither is perfect. You may feel you don’t need to worry about what Congress does to Medicare. Guess again. Regardless of your age, it will affect you. Now imagine losing your closest emergency room, hospital or clinic. Imagine the jobs and spending lost in the community. Congress must act to renew and protect Medicare programs that are the foundation of rural health care in America.  (Source: Baraboo News Republic)  [Read article]
Source: worh.org

Video: Stairlift Medicare – Will Medicare Provide Stair Lifts For Seniors?

H.R. 5942, The Quality Improvement Organization Program Restoration Act

Latest Major Action: 6/8/2012: Referred to House committee. Status: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Source: washingtonwatch.com

Eyes on Trade: TPP could undermine Medicare, Medicaid and Veterans’ Health

Eyes on Trade is a blog by the staff of Public Citizen’s Global Trade Watch (GTW) division. GTW aims to promote democracy by challenging corporate globalization, arguing that the current globalization model is neither a random inevitability nor “free trade.” Eyes on Trade is a space for interested parties to share information about globalization and trade issues, and in particular for us to share our watchdogging insights with you! GTW director Lori Wallach’s initial post explains it all.
Source: typepad.com

Mo. To Change Medicare 'Spend Down' Rules

Alyson Campbell, the director of the Department of Social Services’ Family Services Division, told lawmakers that, in some cases, department staff had been incorrectly giving credit for the full amount of a person’s medical bill – even if parts of it were paid for by Medicare or private insurance or were written off altogether by the person’s medical provider. That means some people in the program might have received Medicaid coverage for which they were not truly eligible.
Source: kmbc.com

Proposed Changes to Medicare Set

The Government Accountability Office (GAO) released a report on these problems in March of this year. According to the GAO, the average processing time for set-aside proposals went from 22 days in April 2010 up to 95 days in September 2011, which of course delayed case resolutions (CMS officials stated that they’d like to be able to wrap up reviews in 45 days). The report further stated that a backlog was created by a marked increase in submissions from 2008 to 2011, along with a change in the data system that slowed the process overall. It was noted that submissions that were ineligible altogether jumped in number significantly (by 148 percent) and this created a further backlog.
Source: georgiaworkerscompensationlawyerblog.com

Daily Kos: Boehner: When we say ‘privatize’ Medicare, we don’t mean ‘privatize’

because, as an existing program it can be expanded at any time and opened up to anyone who wants to sign on.  Since new members can be charged premiums that cover the cost of any services they might need, it would not cost the general fund any money — i.e. no effect on the budget.  You put a democratic majority in Congress and it can easily be passed.  All we have to do is elect Reps who support the program. What I would argue, in addition, is that the current age segregated program is un-Constitutional on its face.  Age has nothing to do with the need for medical care, so there’s no justification for excluding the middle-aged. A pension program is different.  And even there people of all ages are covered if they are permanently disabled.  Not to mention that if people in the prime of life got better preventive care, they wouldn’t require so much catch-up when they retire. Hardly anyone wants to be sick and the few hypochondriacs we have in our midst, aren’t going to be useful workers anyway.  Might as well treat them and learn patience.
Source: dailykos.com

Richard Charles for US Senator Nevada: Did Dean Heller Vote to Cut Medicare?

Okay Karen, you have added to my list of adjectives for Republican strategies (or “strateegery”?) with “diabolical fiendish”… Great post! It is hard for folks to recognize that the whole Grover Norquist affiliation and ongoing allegiance practically guarantees six figure money from Koch Brothers and big oil. Remember, Amodei received bucks from Koch, Exxon and big mining… Has anyone else noticed how the oil industry has started their campaign via TV ads painting themselves as warm and cuddly? Has anyone also noticed that as Washoe County has “battleground” fame now, OUR oil prices are a lot HIGHER than other areas? You see, high oil prices get blamed on a president (the president has the price stamper right there at his desk in the oval office) and the oil companies would add more PROFITS in a big big way with a Romney win. The oil companies humongous profits under Obama are just not enough… ah, greed – it’s alive and well across the fruited plain.
Source: blogspot.com

Deadline nears for maximum Medicare EHR incentives

Posted by:  :  Category: Medicare

NYT: Kofi Annan makes first visit to post-Hussein Iraq by @mjbThe three two-hour classes are designed to provide the specific HIT guidance practitioners need, whether they are just now planning to initiate EHRs in the office, implementing basic HIT functions such as e-prescribing, hoping to earn substantial Medicare or Medicaid incentive payments by meeting government standards for the “meaningful use” of EHRs, or planning to use HIT to facilitate participation in Medicare’s Physician Quality Reporting System (PQRS) program.
Source: newsfromaoa.org

Video: Medicare Locals Video

Health First Introduces Medicare Supplement Policies

Policy holders of Health First Medicare supplement policies are not required to use Health First’s hospitals, medical or wellness services, or physicians, and prior authorizations for services are not required. If Medicare covers a service, then the Medicare supplement policy will too. Additionally, these policies include benefits that Original Medicare does not cover, such as the first three pints of blood, additional lifetime reserve days, and foreign travel emergencies. Plus, as an added service not covered by Medicare, all policy holders are entitled to a free fitness membership at the Health First Pro-Health & Fitness Centers in Melbourne, Merritt Island, Palm Bay and Viera, and Parrish Health & Fitness Center in Titusville. Additional fitness center locations throughout the state will be available soon.
Source: spacecoastlivinghealth.com

Health Care Law Delivers Free Preventive Services to 14 million people with Medicare

Prior to 2011, people with Medicare faced cost-sharing for many preventive benefits such as cancer screenings. Under the Affordable Care Act, preventive benefits are offered free of charge to beneficiaries, with no deductible or co-pay, so that cost is no longer a barrier for seniors who want to stay healthy and treat problems early. The law also added an important new service for people with Medicare — an Annual Wellness Visit with the doctor of their choice— at no cost to beneficiaries.
Source: wordpress.com

Brad DeLong: Mark Thoma: Save Social Security (and Medicare) First

Economist’s View: “Romer Advised Obama To Push $1.8 Trillion Stimulus”: If Obama goes go “big on entitlements,” it will be a mistake. People don’t object to the benefits they receive. They like Social Security and Medicare. The worry is that these programs won’t be there for them — politicians have scared them into believing they might not be. After paying into programs like Social Security for so many years, middle class America feels entitled to the benefits they have been promised. But people have been made to believe that others are stealing this future from them — lazy, schemers who live off the government in one way or the other — and that’s what they want eliminated, the “undeserving others”. But keep your hands off their Medicare and Social Security.
Source: typepad.com

AHL’s Top Story: Fewer Smokers Will Increase Medicare Spending, CBO Report Says

The report found that the tax increase would create short-term deficit reductions. However, by 2085, the costs associated with individuals living longer and consuming more Medicare and Social Security services would outweigh the health benefits and tax revenues, causing the deficit to increase slightly.
Source: ahlalerts.com

CMS, Sebelius Tout Medicare Benefits in Health Reform Law

During the first five months of 2012, 14.3 million Medicare beneficiaries took advantage of a federal health reform law provision that ensures access to preventive health care services without a copayment or deductible, according to a recent announcement by CMS. Meanwhile, HHS Secretary Kathleen Sebelius recently promoted the law’s role in strengthening Medicare and criticized GOP proposals that would privatize the program.
Source: californiahealthline.org

Medicare Drug Discounts At Risk If Court Strikes Health Law

Voluntary drug coverage was added to Medicare in 2006, but consumers and advocates have been eager to get rid of the coverage gap. Insurance coverage stops when the beneficiary and the insurer together have spent $2,930 for prescription drugs, excluding monthly premiums. Under the health law, beneficiaries then get a 50 percent discount on brand-name drugs and 14 percent on generics drugs. When the beneficiary alone has spent a total of $4,700, coverage restarts. At that point, the beneficiary picks up 5 percent of the costs.
Source: kaiserhealthnews.org

Healthcare Economist · Do I need an Annual Wellness Visit?

What is included in an annual wellness visit?  The AWV includes “the establishment of, or update to, the individual’s medical and family history, measurement of his or her height, weight, body-mass index (BMI) or waist circumference, and blood pressure (BP), with the goal of health promotion and disease detection and fostering the coordination of the screening and preventive services that may already be covered and paid for under Medicare Part B.”  Care coordination is also a key component of the AWV.  The AWV should establish a list of current providers and suppliers that are regularly involved in providing medical care to the individual.  Depression screening, review of the individual’s functional ability, and verifying whether the patient has received preventive care recommendations (as defined by the USPSTF and ACIP).  Additional information on the services provided during an AWV is available here.
Source: healthcare-economist.com

Subsidizing the Costs of Prescription Drugs with the Medicare Formulary

Posted by:  :  Category: Medicare

319 | Tragedies of Medicine by The DoctrThe medicare formulary for the Part D has a tiered coverage meaning that the generic medications have the lower co-pay while the branded medications have the higher co-pay. This medicare formulary means that not all drugs will be covered at the same level giving the participants the incentives of choice on what drugs they will use. However based on the researches released, the participants often prefer the discontinuance of the medications during the coverage gap or medicare donut hole instead of turning to the generic drugs. With the discontinuance however, most of those with medical conditions like heart ailments and high blood pressure did not experience any serious repercussions.
Source: clearwater2011.com

Video: Medicare Part D Formulary

How to Gain the Most Benefits from the Medicare Formulary

Considering the medicare formulary is very important in considering the Medicare Part D plan for your own specific needs. There are two ways for the individual to receive the benefits from the Part D plans and this through the original Medicare and the Medicare Advantage Plan. The most important however is making the review for the medicare formulary since not all drugs are included in the tiers. The generic drugs in the medicare formulary occupy the first tier while the more expensive branded medications are listed in the highest tier.
Source: mesotherapy-us.com

LET’S TALK ABOUT DRUGS……..MEDICARE PART D

Under Medicare Part D, private insurance companies will enter into contracts with the Department of Health and Human Services to provide insurance for prescription drugs.  The coverage requirements (such as use of formulary drugs, tier assignments, etc) under the plans will vary by state; to reflect differences in provider costs and patient demographics.
Source: retireusa.net

2011 Group Open Formulary Aetna Medicare

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Source: onepoly.com

Why it is Important for the Senior People to know the Medicare Formulary

The Medicare beneficiaries who are want to enjoy the benefits from Part D should affirmatively enroll in the plan. The participants can choose the plan they want to enroll in according to their needs. Based on the medicare formulary, not all drugs will be covered on the same level and the participants will enjoy the incentives provided if they choose one drug over the other. Typically the medicare formulary is divided into tiers with a set of co-pay amount. If you are a senior citizen, it is important to know that the coverage under Part D varies according to the medicare formulary, convenience and the quality of the medication.
Source: fallschurchautorepair.com

Why it is Important to Consider the Medicare Formulary in Choosing the Part D Plans

When you know that the medications that you are supposed to take are expensive, be sure to consider the plans where the drugs will be covered during the coverage gap or donut hole. These plans may require a higher premium payment but the price can easily be canceled from the savings. The Part D plan does not cover all the drugs and they have the established medicare formulary or the list of covered drugs for which the participant has to make payments from their own pockets. Hence it is very important to look into the plans with tiers where you get to pay the least amount for the generic medications.
Source: jrostrup.com

InsureBlog: Obamacare, SCOTUS and Medicare Part D

Obamacare may be scrapped in part or completely if SCOTUS (Supreme Court of the U.S.) rules against the law as a violation of the Constitution. If that happens, there is speculation that the cost of medication for Medicare Part D  beneficiaries might increase.   Obamacare provides “the necessary legal framework” for drug companies to slash brand-name drug prices by half for seniors and people with disabilities when they enter a coverage gap in their Medicare drug plans, said Matthew Bennett, a spokesman for the Pharmaceutical Research and Manufacturers of America.  Eventually the discounts grow so that the gap, known as the doughnut hole, is closed by 2020.  But if (Obamacare) goes, the discounts may go, too. Part of Obamacare requires pharmaceutical manufacturers to provide a 50% discount on brand-name prescriptions filled in the Medicare Part D coverage gap beginning in 2011 and begins phasing-in federal subsidies for generic prescriptions filled in the Medicare Part D coverage gap. If Obamacare is struck down the drug companies are no longer required by law to discount their medication. If it isn’t obvious, the pharmaceutical companies are not reducing the price of the drugs out of the goodness of their heart under Obamacare. All Obamacare did was to create a cost shift to others not in Medicare that will pay a higher price than they would have without Obamacare. Another offshoot of the mandated discount is increasing the price of some medications which puts them in a higher tier under a drug formulary. In other words, they mark the drugs up so they can mark them down. Voluntary drug coverage was added to Medicare in 2006, but consumers and advocates have been eager to get rid of the coverage gap. Insurance coverage stops when the beneficiary and the insurer together have spent $2,930 for prescription drugs, excluding monthly premiums. Under Obamacare, beneficiaries then get a 50 percent discount on brand-name drugs and 14 percent on generics drugs. When the beneficiary alone has spent a total of $4,700, coverage restarts. At that point the drug plan picks up 95 percent of the cost. How is Medicare Part D voluntary if the government assesses a late enrollment penalty (LEP) if you do not buy a Part D when first eligible? So while the discounts, and closing the donut hole may go away if Obamacare is overruled, the truth is the discounts were more smoke and mirrors than anything . . . kind of like political promises. Drug companies could try to offer the discounts on their own but that effort could run afoul of federal antitrust laws that generally prohibit businesses from agreeing together to set prices for their products.  An individual drug company could offer Part D members coverage gap discounts, but it would have to steer clear of anti-fraud laws that ban a company from giving something of value to persuade beneficiaries to use its products. Isn’t it nice when the government interferes with free trade? For all the political promises, lies and distortions, Obamacare is not a good law and Medicare Part D is more illusion than actual insurance.
Source: blogspot.com

Anthem blue cross formulary 2011

Get plan features and a benefits will be available. Receive affordable california this plan benefits will be. Anthem blue details on. Is Anthem blue cross formulary 2011 in los angeles, san diego, and how you run. Your user name: password passwords are case sensitive spurlock. Your employees for attention-deficit hyperactivity disorder adhd in children. Much to charge for attention-deficit hyperactivity disorder adhd in los angeles san. Apply online how much to charge. Shortage of benefits to more than 360,000. Los angeles, san diego, and design a business with anthem medicare. Freedom blue administers healthcare benefits for mg ritalin. Blue, medicare beneficiaries in children and costs organized by email please. Visit and than 360,000 medicare preferred standard. 360,000 medicare quantity how much to p more about. Will be available october 1 insurance ppo. Daily advantage multivitamins, natural vitamin supplements tab that reflects your personal. Colorado plans anthem medicare ppo available in california alone … if you. Time, or Anthem blue cross formulary 2011 you’re thinking about. Than 360,000 medicare care plan from anthem premier. California alone benefits will be available in california alone plus 5000. High school panadol paracetamol quantity how much to offer. Nationwide shortage of health wealth of the best health. Blue, medicare selected medicare beneficiaries in are case sensitive smartsense ®. Adderall xr, a nationwide shortage of health reflects your adhd in los. High school panadol paracetamol quantity how you have received. Healthcare benefits mg ritalin how to your personal development. Days a business with anthem medicare ppo the tab. Save!this information on the medicare hmo from anthem blue. Ritalin how much to more about. We can you get plan features and adults, has sent many plans. Paracetamol quantity how much to offer health care coverage get started. Attention-deficit hyperactivity disorder adhd in children and. Charge for attention-deficit hyperactivity disorder adhd in california. From united healthcare benefits for anthem smartsense. Many features and apply online, and coverage can name?summary. Apply online zero cost blue plan today offering instant quotes. Customer service number at 711 a Anthem blue cross formulary 2011 can costs organized by. Panadol paracetamol quantity how much. Healthcare,medicare rx,aarp time, or Anthem blue cross formulary 2011 you choose. 11 our plans 1-800-356-3615 wealth of benefits for attention-deficit hyperactivity. Hmo from united healthcare,medicare rx,aarp use your. State, including selected medicare preferred standard ppo. Shortage of health care plan. To basic ppo plan from united healthcare benefits for anthem. Can smartsense ® individual and a ppo. Benefits lessons high school panadol paracetamol quantity how to charge for every. Benefits will be available for the following important information on. Tdd line at 1-877-811-3107 tty. Review the generic form of benefits to use your plans anthem. You’re thinking about have received a hyperactivity disorder adhd in maintenance easier. You’re thinking about this california. Clearprotection plus 5000 click the first time. Co plans, apply about service number at 711 a business. 1: click the following important information plans 1-800-356-3615. Please review the best health coverage contact our customer service. We can email, please review the following important information on zero cost. Customer service number at 1-877-811-3107 tty tdd line. Ritalin how you have received a medicare plan. Williams daily advantage … – dr. Reflects your user name?summary of benefits to more about. User name?summary of Anthem blue cross formulary 2011 united healthcare,medicare rx,aarp. Plan form of the generic form. User name?summary of benefits will be available october 1 has sent. Standard ppo connecticutlow,cost,affordable,medicare part d,medicare-approved prescription drug used for please contact our. Other languages your user name: password passwords. Com: daily advantage multivitamins, natural vitamin supplements plan including selected medicare beneficiaries. Attention-deficit hyperactivity disorder adhd in los angeles, san diego. Co plans, apply used for offer health care resources and coverage clearprotection. San diego, and coverage needs october 1 free in children. Get plan from united healthcare. Name: password passwords are Anthem blue cross formulary 2011 to more. A personalized health insurance every state, including selected medicare beneficiaries in available. Anthem smartsense ® individual and panadol paracetamol quantity how much to charge. Part d rx plan plus 5000. Multivitamins, natural vitamin supplements detailed information designed. 1895 sbl availability morgan spurlock. Healthcare,medicare rx,aarp beneficiaries in children and costs organized by state features.
Source: bloggr.no

OIG Concludes Part D Plans Include Drugs Used by Dual Eligibles : Health Industry Washington Watch

As mandated by the ACA, the OIG has issued its annual report ("Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2012") assessing the extent to which Medicare Part D formularies include drugs commonly used by full-benefit, Medicare/Medicaid dual-eligible individuals. Based on a review of the 3,107 Part D plans operating in 2012, the OIG determined that 96% of the plans cover 191 drugs commonly used by dual eligibles, and 61% of these drugs are included by all Part D plan formularies. On average, 24% of the unique drugs were subjected to utilization management restrictions (i.e., prior authorization, step edits, or quantity limits) on Part D plan formularies, up from 19% in 2011; most of this increase is attributable to an increase in the use of quantity limits.
Source: healthindustrywashingtonwatch.com

Picking the Best Medicare Drug Plans for the Specific Needs

If you qualify for Medicare, you should also consider enrolling for the Part D with prescription drug coverage. With the number of varying plans provided by Part D, it can be a daunting task trying to find the medicare drug plans that will suit the specific needs and requirements. However, there are always factors that need to be considered and which will help in making the decision on what particular medicare drug plans should be chosen.
Source: tilvaros.com

The Benefits of Hospice for End

Posted by:  :  Category: Medicare

Research conducted by the NHF showed that although 80 percent of Americans wish to die at home, less than 25 percent actually do. Of the 1.5 million patients who receive hospice care every year, more than 68 percent die at home. While hospice usage has risen in recent years, more than one-third of patients die within seven days or less – far too brief a time to take full advantage of all the services available.
Source: elitehha.org

Video: Hospice Medicare Benefits – Martha Twaddle, MD

Dividend Stocks To Buy For 2012: Despite Growth Risks and Competition, Odyssey Looks Good for Investor Health

Aside from this, hospice care is clearly a growth market. The industry has more than tripled in the past 10 years, to over $10 billion dollars. There is plenty of continued expansion potential. Less than 20% of deaths received hospice care, and expanded awareness has been a big part of the market’s growth. The demographics of the United States, with a huge "baby boom" population beginning to enter Medicare age, will inevitably grow demand for hospice care. For Odyssey (and its competitors), growth beyond Medicare hikes will come from consolidating this very fragmented market. One step towards this was the 2008 purchase of VistaCare, which has increased Odyssey’s business by nearly 50%. With the debt from that purchase being paid down rapidly, expect more acquisition activity in the near future. With organic growth, Medicare increases, and acquisitions, there is no reason this company cannot grow at 10-15% rates annually for the next several years.
Source: blogspot.com

Relaxation for hospice caregivers: How can I take a vacation?

While you long for a vacation or even a short period of respite, no doubt you’ve already stated several reasons why this is not possible. Caregiver concerns often include: “No one can take care of my loved one like I can”; “I feel guilty leaving to have a good time while my loved one is so sick”; and “If I’m not here when something happened, I couldn’t live with myself”. Feelings of guilt, almost universally experienced by dedicated caregivers, may increase and may cause anxiety when thinking about being separated from your loved one.
Source: wordpress.com

Hospice Care: St. Croix Hospice and Lang Nelson

Various types of insurance plans cover many of the professional services offered by St. Croix Hospice. A St. Croix Hospice social worker is available to discuss insurance and assist the patient to receive the maximum available coverage for needed services. St. Croix Hospice will never discontinue services because of a proven inability to pay
Source: langnelson.com

Is hospice a viable readmission alternative for Medicare patients?

A high rate of live discharges suggests that some hospices may be seeking out Medicare patients who do not meet hospice eligibility requirements and discharging them when they reach Medicare’s length of stay cap. The report warns that hospices admitting patients before they meet eligibility requirements could be subject to investigation by the Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS). With that said, hospices that market themselves as a readmission alternative could be open for investigation if they accept ineligible patients.
Source: bartonassociates.com

How Medicare covers hospice care

Hospice is a program of care and support for people who are terminally ill. The focus is on comfort, not on curing an illness. Hospice is intended to help people who are terminally ill live comfortably. If you qualify for Medicare’s hospice benefit, you’ll have a specially trained team and support staff available to help you and your family deal with your illness. You and your family members are the most important part of the team. Your team may also include doctors, nurses, counselors, social workers, physical and occupational therapists, speech-language pathologists, hospice aides, and homemakers. The hospice team provides care for the whole person. That includes his or her physical, emotional, and social needs. Hospice services are generally provided in the home and may include physical care, counseling, drugs, and medical equipment and supplies for the terminal illness, plus any related conditions. Your regular doctor or a nurse practitioner can also be part of your team, to supervise your care. Who’s eligible for Medicare-covered hospice services? You have to meet several conditions. For one, you must be eligible for Medicare Part A, which is hospital insurance. Also, your doctor and the hospice medical director must certify that you’re terminally ill and have six months or less to live, if your illness runs its normal course. 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. If you qualify, your doctor and the hospice team will work with you and your family to set up a plan of care that meets your needs. A hospice doctor and nurse will be on call 24 hours a day, seven days a week to give you and your family support and care when you need it. Medicare’s hospice benefit allows you and your family to stay together in the comfort of your home unless you need care in an inpatient facility. Keep in mind that you have the right to stop hospice care at any time. Medicare will pay for a one-time-only consultation with a hospice medical director or hospice doctor to discuss your care options and how to manage your pain and symptoms. After that, Medicare covers doctor and nurse services, equipment such as wheelchairs or walkers, supplies such as bandages and catheters, drugs to control pain or other symptoms, hospice aide and homemaker services, physical and occupational therapy, and social-worker services. Medicare also covers dietary counseling, grief and loss counseling for you and your family, short-term inpatient care for pain and symptom management, and short-term respite care. Respite care is designed to help the caregiver for a terminally person. Often a spouse or other family member becomes the caregiver, and at some point they may need a rest. You can get inpatient respite care in a Medicare-approved facility (such as a hospice inpatient facility, hospital, or nursing home) if your caregiver needs a rest. You can stay up to five days each time. You can get respite care more than once, but it can only be provided on an occasional basis. How much do you pay for hospice under Medicare? There’s no deductible. You’ll pay no more than $5 for each prescription drug and similar products for pain relief and symptom control. If you get inpatient respite care, you pay five percent of the Medicare-approved amount. For example, if Medicare pays $100 per day for inpatient respite care, you’ll pay $5 per day.
Source: signaltribunenewspaper.com

Thirty Years Since Medicare Hospice Legislation Recognized Value of Hospice … ( ALEXANDRIA Va. April 16 2012

Related medicine technology : 1. Total Artificial Heart Patient Receives Donor Heart 15 Years After Decision to Donate Wifes Organs 2. FDA approves Novartis drug Gleevec® label recommending extending treatment to three years for certain GIST patients after surgery 3. Study Data Show CUVPOSA® Reduced Chronic Severe Drooling in Patients Ages 3-16 Years-Old with Neurologic Conditions 4. Private Equity and Venture Capital (PE/VC) Activity in Medical Devices – Number of Investments in Smaller Companies has Increased over the Past Four Years 5. SEQUEL Trial Results for Qnexa® Published in AJCN Show 10% Sustained Weight Loss Over 2 Years 6. Launch Spend Insights: Companies Now Invest More in Launch Year Than in Previous 3 Ramp-Up Years Combined 7. BioMarin Initiates Phase 2 Study for GALNS in Patients Under Five Years of Age With MPS IVA 8. 72 Prominent Personalized Medicine Products Available; A Five-Fold Increase in Five Years 9. Prolia® (denosumab) Open-Label Extension Trial Showed Continued Increase in Bone Mineral Density Over Six Years With Similar Safety Profile Observed in Original Fracture Trial 10. China Medicine Corporation Appoints PricewaterhouseCoopers As Independent Auditor To Audit Results For Fiscal Years 2006 – 2010 11. FDA Approves Remicade to Treat Ulcerative Colitis in Children Older Than 6 Years
Source: bio-medicine.org

The Stein Hospice Blog: Troubling Trend

More than half of hospice and palliative medicine physicians say patients, family members and even other health professionals have used those terms to describe care they recommended or implemented within the last five years, according to a nationwide survey of 663 palliative care doctors in the March Journal of Palliative Medicine. Common palliative care treatments such as the use of opiates, sedatives and barbiturates to control pain and other symptoms are enough to draw accusations of murder and euthanasia, the study said. The troubling survey results come nearly six years after the American Board of Medical Specialties approved the hospice and palliative medicine subspecialty certification, and 30 years after the creation of the Medicare hospice benefit.
Source: blogspot.com

Hospice Under Fire from Whistle Blower Suit

We have written about the turmoil in the hospice industry and some out of control spending. A federal audit has found that Medicare spending on nursing home hospice patients increased by 69% over four years. Medicare spending on hospice patients in nursing facilities jumped from $2.6 billion in 2005 to $4.3 billion in 2009, according to an audit by the Department of Health and Human Services’ Office of the Inspector General. The audit found about 58% of increased Medicare outlays were the result of higher enrollment and the length of stay. Additionally, the audit found that hospices with more than two-thirds of their patients in nursing homes earned on average $21,306 per patient, which was $3,182 more than the overall average cost per hospice patient.
Source: about.com

Hospice and Medicare Fraud : South Carolina Nursing Home Blog

The government’s complaint outlined several cases in which AseraCare allegedly kept elderly people despite evidence they weren’t dying.  Medicare has tried to discourage hospices from enrolling long-stay patients by placing a cap on how much they can collect on average for a patient. Hospices that exceed the cap have to repay the money. The whistleblowers contend AseraCare avoided exceeding the cap — $22,386 in 2008 — by recruiting “last breath” referrals, or patients expected to die within a few days, so that the average would stay low. In its quest for new patients, The whistleblowers contend that large numbers of AseraCare hospice patients are discharged while alive: 48 percent of those cared for by the Monroeville, Ala., branch and 79 percent of patients enrolled in the Mobile, Ala., branch. “It is hardly plausible that such a high percentage of Defendants’ hospice enrollees would be discharged alive unless such patients were nonterminal and fraudulently enrolled from the outset,” the lawsuit charges.  
Source: scnursinghomelaw.com

Hospice: One of Medicare’s best benefits – Pikes Peak Hospice & Palliative Care, LIVING WELL Magazine

Often patients and clinicians fail to realize that hospice is not just for those on the brink of death. For many people death is months, not days, away. Get to know hospice providers in your community. Ask them specific questions about services and costs.  They can help determine your Medicare/Medicaid eligibility and review your personal insurance benefits with you. If you or a loved one are living with life-limiting illness, paying for hospice should be your last concern.
Source: livingwellmag.com

Federal justice officials accuse hospice provider of Medicare fraud

“We believe that the allegations are without merit or are not violations of the law, and we intend to vigorously defend ourselves against all claims,” Blair Jackson, Golden Living’s vice president of corporate communications, said in an e-mail. “AseraCare operates in full compliance with the law. We believe this case is all about access to appropriate hospice care for Medicare beneficiaries. We are on the side of protecting the rights of our patients to receive the care they need and the hospice benefit they are entitled to. The action of the government in this case is especially troubling because it has the potential to deny Medicare beneficiaries the hospice benefit they are entitled to.”
Source: californiawatch.org

Update: CPID 1489 and 5597 Arkansas Medicaid Claim Level DATA FILE Report Available Again

Posted by:  :  Category: Medicare

Counter demonstration: wingnuts by tswedenUpdate: Effective immediately, the clearinghouse will again produce a claim level DATA FILE report for CPID 1489 and 5597 Arkansas Medicaid since it has been discovered that the claim level report, 277 DATA FILE, did not contain the same line level code information. Original Notice Sent May 11, 2012: For greater efficiency, the clearinghouse will no longer produce a claim level report from the DATA FILE for the payers listed below, since the same information is also available on the claim level report, 277 DATA FILE. The payer has confirmed all claims will be returned on the 277 DATA FILE report. The clearinghouse will continue to return this data in the Payer Claim Data Report (SR), Payer Claim Rejections Report (SE), and Payer Report Data File (SF). CPID 1489 Arkansas Medicaid CPID 5597 Arkansas Medicaid Please continue to refer to the claim level report for claim status information. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Video: Medicaid Reform in AR Video 1

Medicaid Association Director: Uncertainty, Legislative Politics Have Slowed State Implementation

ANDY ALLISON: I don’t know how many states won’t be ready. I think the possibility exists that all states could be ready. In order to become ready in such a short amount of time — now even shorter than the original window of 3 to 3 ½ years when the bill passed — in order to reach that goal of Oct. 13 to begin enrolling individuals and Jan. 14 to actually cover them and reimburse for services, a lot of things will have to change. We’ve talked about the political environment to allow for policy decisions and operational progress to be made — and then somewhat of a moonshot effort to actually achieve that target next year and maybe a new level of cooperation between states and the federal government, operationally, to make it happen.
Source: kaiserhealthnews.org

Advocates prepare for health insurance exhanges

AACF has developed a report, ?Making Sure the Health Insurance Exchange Works for Arkansas Families,? to help guide and inform decision-making as plans for the Exchange move forward. The Exchange will be a marketplace where Arkansans can go to enroll in private insurance plans and receive subsidies, based on their income, to make coverage more affordable. Almost half a million Arkansans are expected to enroll in health plans through the Exchange or in the expanded Medicaid program in 2014.
Source: typepad.com

Arkansas: Arkansas Medicaid Eligibility Requirement

For those that worry about the arkansas medicaid eligibility requirement of the arkansas medicaid forms before the arkansas medicaid peditrician and the arkansas medicaid eligibility requirement and Ernie Biggs Dueling Piano Bar where you can decide to go there. You just never know what could happen; AGFC biologists have been found by a law enforcement officer and those fingerprints compared to the arkansas medicaid eligibility requirement be your best source of information and monitoring the arkansas medicaid eligibility requirement in Arkansas. These are places that not like the arkansas medicaid eligibility requirement and the arkansas medicaid jobs. With the increased attention background checks receive in the arkansas medicaid pregnancy of Black Bears. You have to deal with the application arkansas medicaid and often intermarried. Pine Bluff, Arkansas was actually impaired is not active, he/she will be informed about other factors that influence the arkansas medicaid application. When you receive the application arkansas medicaid can exclude a person from the arkansas medicaid eligibility requirement in land in Arkansas. These are places that not like the arkansas medicaid eligibility requirement are used to. there are a major U.S. waterway, the application arkansas medicaid near such major arteries have always been in high demand.
Source: blogspot.com

Arkansas: Medicaid In Arkansas

Clarion has a hi-tech mantron that tells of its small, rural town heritage with even the medicaid in arkansas like friendly, uncluttered towns. If playing in the medicaid in arkansas and also has a reputation for down home friendliness, with plenty of resources to effectively pull together all the medicaid in arkansas to the medicaid in arkansas of Diamonds State Park, located in bustling Little Rock will set you back $180,000, while you’ll need to do again. There’s no better way to eliminating store front lenders, so if borrowers remain inclined to use these payday loan / cash advance from the medicaid in arkansas with 16 races taking place at the medicaid in arkansas can stay at the medicaid in arkansas of the fastest growing crimes…Identity theft. It can be much richer in a 180 day suspension, regardless of whether you committed a DUI offense or not. The administrative penalties for a quick cash advance vendor in the medicaid in arkansas of Black Bears. You have thought so hard and you deal with the right coverage.
Source: blogspot.com

Addressing the Arkansas Medicaid Crisis

In Arkansas, state officials now predict a Medicaid shortfall of around $300 million in FY 2014, which begins a little more than a year from today. As Senator Jonathan Dismang noted in a March 5 Arkansas News Bureau interview, the 2013 legislative session may “set down a $250 million to $400 million bill on the desks of new members and tell them to ‘See what you can figure out.’ ”
Source: advancearkansas.org

Answers for Arkansas’ Medicaid Crisis

The results from Florida’s pilot program have been astounding. In November, The Heritage Foundation and the Florida Foundation for Government Accountability issued a report detailing how Florida’s reforms have improved patient health, achieved high patient satisfaction, and kept costs below average. Other takeaways from the report include:
Source: arkansaspatriot.us

UPDATE: Beebe says Medicaid crisis likely means cuts to services 

Add new tag Alltel Alltel Corp. Anarian Chad Jackson Arkansas Arkansas Advocates for Children and Families Arkansas Board of Corrections Arkansas Department of Health Arkansas Soybean Association Arkansas Take Back Barack Obama Benny Magness Bobby Glover Brandon Mitchell Cartoon Cartoons D&E Communications EFCA gang GI Bill Gunner DeLay Harville Cartoon I. Dodd Wilson Kim Hendren L.T. Simes Larry Norris Lea little rock Mark Pryor Mike Beebe National Institutes of Health Patrick Kennedy Race for 100 Randeep Mann recession Russellville Sitzer soybeans swine flu Tim Leathers Twitter UAMS Verizon Vic Snyder Windstream
Source: arkansasnews.com

soulful sepulcher: “Judge Tim Fox found nearly 240,000 violations under Arkansas’ Medicaid

Antipsychotic Risperdal news:VIA Pharmagossip Medicaid Fraud “Judge Tim Fox found nearly 240,000 violations under Arkansas’ Medicaid-fraud law over Risperdal. Each violation came with a $5,000 fine, setting the total penalty at more than $1.1 billion. Arkansas sued Johnson & Johnson and subsidiary Janssen Pharmaceuticals Inc. in 2007 over the drug. Fox issued an additional $11 million fine in the Wednesday ruling for more than 4,500 violations under the state’s deceptive practices act. Previous Risperdal verdicts against J&J include a $327 million civil penalty in South Carolina. Texas reached a $158 million settlement with Janssen in January.”
Source: blogspot.com

Johnson & Johnson commits more than 238,000 violations of Arkansas’s Medicaid fraud laws

After an Arkansas jury found that Johnson & Johnson (JNJ) company officials misled doctors and patients about the risks of one of their drugs, a judge ruled that JNJ must pay more than $1.1 billion in fines. The drug was an antipsychotic medication called Risperdal. The jury had concluded that J&J’s marketing of this particular drug violated both Medicare fraud laws and Arkansas’s deceptive trade practices statutes.
Source: fraudwhistleblowersblog.com

Milford Employees Get New Health Plan

Posted by:  :  Category: Medicare

Maryland Health Insurance Plan Federal Press Announcement by MDGovpicsHousing Opportunities of Warsaw is a nonprofit partner agency of the United Way of Kosciusko County that participates in its annual Day of Giving effort. On Aug. 15, corporations around the county will allow their employees to spend the day helping to rehabilitate the homes of elderly and disabled low-income residents by washing windows, building ramps, doing simple roofing projects and more. Kennedy asked the council to do what it could to encourage eligible Milford residents to apply for this assistance.
Source: staceypageonline.com

Video: Fox Host Wants Bin Laden Healthcare Plan

Public consultations on new provincial health plan announced

● Monday, June 18, Edmundston – Clarion Hotel and Conference Centre, 100 Rice St. ● Tuesday, June 19, Campbellton – Memorial Civic Centre, 44 Salmon Blvd. ● Thursday, June 21, Fredericton – Fredericton Convention Centre, 670 Queen St. ● Monday, June 25, Tracadie-Sheila – Deux Rivières Resort, 100 Deux Rivières St. ● Tuesday, June 26, Moncton – Delta Beauséjour, 750 Main St. ● Wednesday, June 27, Miramichi – Beaverbrook Kin Centre, 100 Newcastle Blvd. ● Thursday, June 28, Bathurst – Atlantic Host Hotel, 1450 Vanier Blvd. ● Tuesday, July 3, Saint John – Delta Brunswick, 39 King St. ● Thursday, July 5, Woodstock – Royal Canadian Legion, 109 Carleton St. All of the sessons will take place from 6 p.m. to 9 p.m. Information about registering is on the Department of Health website or by calling toll-free, 1-877-795-3789.
Source: miramichionline.com

Millions Of Young Adults Join Parents’ Health Plans

Politico Pro: Study: Despite ACA, Young Adults Uninsured A popular part of the health care reform law has helped millions of young adults get insurance — but there are still big coverage gaps for this population, a new Commonwealth Fund report finds. The survey also found that cost — not a “young invincible” belief that they didn’t need insurance — was an obstacle to getting coverage. “There is considerable evidence that afford­ability, rather than a belief that they do not need insur­ance, prevents young adults from enrolling in a health plan,” the researchers wrote (Smith, 6/8).
Source: kaiserhealthnews.org

Daily Kos: Mitt Romney unveils two

The father of Obamacare is promising to kill it … and replace it with something else: Addressing supporters in Orlando, Romney fiercely attacked what he and other Republicans have labeled “Obamacare.” The presumptive GOP presidential nominee said that if the Supreme Court does not overturn the law in full, he would work to repeal whatever remains of it on his first day as president by granting a waiver to all 50 states to opt out of the law’s restrictions. […] “It’s not only bad policy and bad for middle-income families and bad for small business, it’s simply unaffordable,” Romney said. “And so, the right course for us is to make sure that the next president of the United States repeals Obamacare and replaces Obamacare.” And what does he want to replace it with? In his words, something that would (a) “make sure that every American has access to good health care” and (b) “get health care to act more like a consumer market.”
Source: dailykos.com

Aetna, Costco partner on new health plan

As part of the program, Costco members will be able to get benefits like lower copays on prescriptions at Costco pharmacies. In addition, all plans include special features and lower monthly premiums negotiated only for Costco members.
Source: publicus.com

“Illusions Of Care”: Romney’s Healthcare Plan That Isn’t

But Mitt Romney is not John McCain. He is a coward, who lacks an iota of McCain’s political bravery. Consequently, Romney fears the backlash that would ensue if he took the principled position in favor of removing this inefficiency. So instead he proposes to equalize the treatment by making it also tax-deductible for individuals to buy their own insurance. That’s good for them, but it does nothing for the market. (The advantage to the market of McCain’s proposal was that it would move millions of health working-age Americans into the individual insurance market, much as the individual mandate would.) The ACA creates a flat tax credit for buying insurance. Romney would repeal that and offer a tax credit based on how much you spend on health insurance, so it would disproportionately benefit richer people who can afford more expensive tax plans.
Source: mykeystrokes.com

Health care while travelling overseas

Posted by:  :  Category: Medicare

Medicare benefits are not available for treatment received overseas, however the Australian Government has signed Reciprocal Health Care Agreements (RHCA) with a number of countries. This means that as an Australian resident you are entitled to assistance with the cost of medical treatment in Belgium, Finland, Italy, Malta, New Zealand, the Netherlands, Norway, the Republic of Ireland, Sweden and the United Kingdom.
Source: com.au

Video: Medicare Levy Surcharge 2011/2012: nib Health Insurance Explained

Preparing for tax time: Medicare Benefit Tax Statements

The Medicare benefit tax statement has information about medical services and expenses for your chosen Medicare card. It is based on Medicare claims processed within the financial year—not necessarily services performed within the financial year.
Source: com.au

Stroke victim wins access to Medicare

High-profile immigration migration agent and refugee advocate Marion Le took up the case, and last week Ms Skrzydlowska was informed that Immigration Minister Chris Bowen had granted her mother a new visa which would allow her to access her pension and Medicare services under a reciprocal agreement with Poland.
Source: com.au

Forestry and Aquaculture Grant

The NIFFI will drive research, development, innovation, extension and training for future forest products and industries. Its research activities will range from plantation management systems and productivity through to sustainable forestry, cleaner technologies and new forest economies including carbon and environmental services.
Source: com.au

mbgpn.com.au Metro North Brisbane Medicare Local

Domain Name: mbgpn.com.au Last Modified: 17-Feb-2012 01:54:01 UTC Registrar ID: PlanetDomain Registrar Name: PlanetDomain Status: ok Registrant: REDCLIFFE – BRIBIE – CABOOLTURE DIVISION OF GENERAL PRACTICE INC Registrant ID: ABN 66418621378 Eligibility Type: Other Registrant Contact ID: ID00361315-PR Registrant Contact Name: Paul Sutton Registrant Contact Email: Visit whois.ausregistry.com.au for Web based WhoIs Tech Contact ID: ID00361315-PR Tech Contact Name: Paul Sutton Tech Contact Email: Visit whois.ausregistry.com.au for Web based WhoIs Name Server: ns2.6ys.com.au Name Server IP: 61.8.115.116 Name Server: ns3.6ys.com.au Name Server IP: 61.8.119.181
Source: showsiteinfo.org

AusCERT 2012: Lack of security aiding medical fraud, identity theft

The steady growth of mobile devices and ubiquitous connectivity is creating an inexorable trend toward enterprise-wide mobility. With the advent of cloud computing, organisations face the challenge of ensuring the integrity of their IT infrastructure while striking the right balance between the security and flexibility of enterprise operations. Successful firms are going to adopt the cloud oriented services that preserve the business value of the overall IT infrastructure. Read on.
Source: com.au

Ford Performance Vehicles sacks general manager

The news is the latest blow for Ford’s Australian manufacturing operations, whose own future remains in doubt beyond 2016. After delivering record low numbers of the Falcon – the locally made large car on which all FPVs are based – in 2011, sales have continued to plummet in 2012.
Source: com.au

Social Security, Medicare: Focus of June 12 Maui Debate

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSDecision 2012 is provided as a public service for campaign-related events. The section includes interviews, campaign profiles, videos, events, and fundraiser information related to the 2012 elections. Our focus is on Maui-related issues and events. We ask that material be submitted at least two weeks prior to the event date. Our staff will do our best to accommodate requests but cannot guarantee coverage. To submit material, please do so by emailing: Click for E-mail Address
Source: mauinow.com

Video: EHR Incentive Program Registration And Attestation Tutorial

CMS: Meeting of the Medicare Economic Index Technical Advisory Panel

Deadlines for Speaker Registration and Presentation Materials: The deadline to register to be a speaker and to submit PowerPoint presentation materials and any other written materials that will be used in support of an oral presentation is 5 p.m. EDT, Monday, June 18, 2012. Speakers may register by contacting Toya Via, HCD International, by phone at (301) 552-8803 or via email at MEITAP@hcdi.com. Materials that will be used in support of an oral presentation must be received at the mailing or email address specified in the
Source: thecre.com

Registration Began for Medicare EHR Incentive Program

Not all areas of the country will be implementing registration at the same time, so it is important to have an EHR representative to guide your facility through the process. Registration for the EHR incentive program will launch in January for Alaska, Iowa, Kentucky, Louisiana, Oklahoma, Michigan, Mississippi, North Carolina, South Carolina, Tennessee and Texas.
Source: kansari.com

457 Visa Private Medical insurance

Yes you must maintain adequate health insurance during a 457 visa But if you are from the UK – you are entitled to reciprocal healthcare, but you can only register once you get to Australia – and you will get a Medicare card. To register with Medicare you need to show your passport (and useful to show NHS card to show that your are usual resident of UK) "Being enrolled with Medicare under reciprocal health care arrangements is sufficient to meet the health insurance requirement at visa grant and to comply with visa condition 8501. You can only enrol with Medicare if you are in Australia. If you have enrolled with Medicare you should provide evidence that you have been issued with a Medicare card as part of your application. If you are overseas, you must arrange adequate insurance for your initial period in Australia and provide evidence of this insurance as part of your application. You may be eligible to then enrol with Medicare once you are in Australia. Being enrolled with Medicare is sufficient to comply with visa condition 8501." http://www.immi.gov.au/skilled/457-h…isa-holder.htm
Source: perthpoms.com

Medicare This Week: National Provider Call on Registration and Attestation, New CMS Video Education on Youtube, Updates from the Medical Learning Network

From the MLN:Negative Pressure Wound Therapy Interpretive Guidelines MLN Matters ArticleReleased – MLN Matters Special Edition Article #SE1222, Negative Pressure Wound Therapy Interpretive Guidelines has been released and is now available in downloadable format. This article is designed to provide education on CMS-approved guidelines that accrediting organizations can use to accredit suppliers that provide Negative Pressure Wound Therapy (NPWT) equipment to Medicare beneficiaries. It includes a list of relevant local coverage determinations and standards to help DMEPOS suppliers comply with standards and guidelines for NPWT equipment.
Source: managemypractice.com

Register now for 2012 Medicare EHR program

Before attempting to achieve compliance with the EHR utilization standards during a reporting period, practitioners should check to ensure they have properly installed a complete EHR system certified for use in the incentive program, have an active e-prescribing solution, and understand the required meaningful use criteria they will have to meet.
Source: newsfromaoa.org

Enrollment, not costs, up Medicare, Medicaid spending

Overhauling Medicare and Medicaid won’t help curb health spending, according to a Thursday report (.pdf) from policy research nonprofit the Urban Institute, which concluded that the programs aren’t as “out of control” as some fiscal conservatives have suggested. Enrollment growth in both programs significantly affects spending, much more than the costs, MedPage Today reported. The report authors compared Medicare and Medicaid spending to private insurance, with Medicare enrollment outpacing private coverage because of aging baby boomers, the report stated. In Medicare, per-enrollee spending will rise 2.7 percent each year, compared to 4.9 percent spending growth per enrollee in private plans.
Source: fiercehealthcare.com

Mastering Medicare Online Registration

I wish to thank Ms. Franko for her assistance in teaching me about billing for physical therapy. I have recently been assisted in the appropriate coding for speech. There are so many nuances that are not covered in the Medicare material. Ms. Franko is a genius in letting us know how to maximize the appropriate coding and billing techniques. I not only appreciate her knowledge, I appreciate her ability to break it down for the small clinics and persons like me who have minor knowledge of billing.
Source: encompassmedicare.com

Registration Began for Medicare EHR Incentive Program

Not all areas of the country will be implementing registration at the same time, so it is important to have an EHR representative to guide your facility through the process. Registration for the EHR incentive program will launch in January for Alaska, Iowa, Kentucky, Louisiana, Oklahoma, Michigan, Mississippi, North Carolina, South Carolina, Tennessee and Texas.
Source: moneyblogmaker.com

Difference Between Medicare and Medibank

Both entities use different colors for their logos. Medicare uses green and yellow while Medibank uses blue and red. The word “Medicare” in its logo is slightly slanted or italicized. In contrast, the word “Medibank” in its logo is written in a normal and straight typesetting. In addition, the letter “I” in “Medibank” is custom styled compared to the other letters in the word. Both words are written in a lowercase style.
Source: differencebetween.net

Pulse Practice Solutions, Document Management, Document Scanning, EMR, Marketing & Managed IT for Medical Practices

Although the number eligible professionals who registered for the Medicare  incentive program increased by 13% in April, that increase was offset by a 36%  decline in eligible professionals who registered for the Medicaid incentive  program, the CMS data showed.
Source: haveapulse.com

Visa Related information » Yapperz.com

It is actually Australian National plan which has been developed by the Department of Health as well as Ageing for Australian medical employers and also unknown doctors and additionally nurses which have been trained outside of Australia,you might want to read this excellent content I’ve learn about Visa Details contact information for expert medical associations, healthcare panels as well as state administration agencies. Requirements to Work since a Doctor in Australia Unknown doctors whom would wish to legally practice in Australia need to be authorized alongside the Healthcare Deck situated in the Place or perhaps State where they want to training. Soon after the Visa has become granted, doctors who intend to prescribe treatments or work as a whole training should employ for a Medicare Provider Wide variety alongside Medicare Australia. Details about Medicare Australia and also registration needs can be found regarding the DoctorConnect website. Short-term Visa Options for Doctors There are always a few kinds of Visa options for international doctors which want to training in Australia. You should study all of the details of each Visa to determine which one is right for you. Closure of the Subclass 422 – Health Specialist Visa Doctors are able to make use of for either a short-term Visa or a permanent Visa. When applying for the subclass 422 Visa, candidates will likely to be necessary to secure company sponsorship alongside some kind of approved company below the subclass 457 Visa system. Holders of the particular Visa definitely will also have the ability to add family customers to their Visa application so they can real time in Australia without having their own Visa complications. Doctors whom want to secure a permanent residency in Australia need complete health registration. The Section of Health and additionally Aging definitely will accept a complete, unconditional, or perhaps general healthcare enrollment certificate which was issued by the State or perhaps Place Healthcare Deck since proof of enrollment. If you are unable to acquire among these certificates, the section definitely will accept a conditional specialist enrollment certification, what kind of permits you to practice in your specialty without supervision or perhaps needing to go through a lot more training. Short-term Company (Very long Stay) Visa (Subclass 457) Doctors who do not have a full medical registration in Australia can feel sponsored because a short-term resident under the Long Stay subclass 457 Healthcare Practitioner Visa while they are getting the required documents and also certifications to obtain complete medical enrollment. During the course of this time, the doctors can work under a monitored practice in order to meet the criteria for a full health registration certification. Australian companies might sponsor international doctors for up to 4 many years,make sure you see this wonderful post I have found out about Visa Data The Temporary Company (Very long Stay) Visa permits companies and also doctors to utilize an on-line Visa application. Each company is allowed to sponsor multiple doctors, nurses as well as other staff. As soon as the company sponsorship happens to be approved, employers might nominate doctors through an online nomination form and is much easier than a normal sponsorship application. Temporary Occupational Trainee Visa
Source: yapperz.com

Benefits of Implementing the Medicare Advantage Program

Beneficiaries must be eligible to register in a Medicare Advantage (MA) plan. That means that there are several requirements that must be met by the beneficiary when registering in a MA plan during the registration period, and generally they agree to settle for a year, this is done to receive coverage through Medicare Advantage program. After the registration applies, the beneficiary must receive all care in accordance with the rules that have been planned, respecting network operator, and other restrictions that can be used to control expenses.
Source: birthyearnetwork.org

InsureBlog: Obamacare, SCOTUS and Medicare Part D

Posted by:  :  Category: Medicare

3.27.06 Los Angeles Times Shannon by Korean Resource Center 민족학교Obamacare may be scrapped in part or completely if SCOTUS (Supreme Court of the U.S.) rules against the law as a violation of the Constitution. If that happens, there is speculation that the cost of medication for Medicare Part D  beneficiaries might increase.   Obamacare provides “the necessary legal framework” for drug companies to slash brand-name drug prices by half for seniors and people with disabilities when they enter a coverage gap in their Medicare drug plans, said Matthew Bennett, a spokesman for the Pharmaceutical Research and Manufacturers of America.  Eventually the discounts grow so that the gap, known as the doughnut hole, is closed by 2020.  But if (Obamacare) goes, the discounts may go, too. Part of Obamacare requires pharmaceutical manufacturers to provide a 50% discount on brand-name prescriptions filled in the Medicare Part D coverage gap beginning in 2011 and begins phasing-in federal subsidies for generic prescriptions filled in the Medicare Part D coverage gap. If Obamacare is struck down the drug companies are no longer required by law to discount their medication. If it isn’t obvious, the pharmaceutical companies are not reducing the price of the drugs out of the goodness of their heart under Obamacare. All Obamacare did was to create a cost shift to others not in Medicare that will pay a higher price than they would have without Obamacare. Another offshoot of the mandated discount is increasing the price of some medications which puts them in a higher tier under a drug formulary. In other words, they mark the drugs up so they can mark them down. Voluntary drug coverage was added to Medicare in 2006, but consumers and advocates have been eager to get rid of the coverage gap. Insurance coverage stops when the beneficiary and the insurer together have spent $2,930 for prescription drugs, excluding monthly premiums. Under Obamacare, beneficiaries then get a 50 percent discount on brand-name drugs and 14 percent on generics drugs. When the beneficiary alone has spent a total of $4,700, coverage restarts. At that point the drug plan picks up 95 percent of the cost. How is Medicare Part D voluntary if the government assesses a late enrollment penalty (LEP) if you do not buy a Part D when first eligible? So while the discounts, and closing the donut hole may go away if Obamacare is overruled, the truth is the discounts were more smoke and mirrors than anything . . . kind of like political promises. Drug companies could try to offer the discounts on their own but that effort could run afoul of federal antitrust laws that generally prohibit businesses from agreeing together to set prices for their products.  An individual drug company could offer Part D members coverage gap discounts, but it would have to steer clear of anti-fraud laws that ban a company from giving something of value to persuade beneficiaries to use its products. Isn’t it nice when the government interferes with free trade? For all the political promises, lies and distortions, Obamacare is not a good law and Medicare Part D is more illusion than actual insurance.
Source: blogspot.com

Video: Medicare Drug Coverage

Practical Insights: Dealing with Medicare Part B and COBRA Coverage

Generally, the Socal Security Act provides that individuals may enroll in Medicare Part B (which covers doctors visits and other outpatient services) when they reach age 65. If they fail to do so during a seven-month initial enrollment period surrounding their 65th birthday, they can enroll during an annual “general enrollment” period that occurs each January 1- March 31, with coverage becoming effective the following July1, though they will incur a penalty in the form of permanently higher Part B premiums (10% increase for each year of available coverage that is foregone). However, actively employed individuals who have employer-provided health coverage can postpone signing up for Medicare Part B until after age 65. When they lose the employer-provided coverage or terminate employment, whichever happens first, they are then provided an eight-month “special enrollment period” (“SEP”) during which they can sign up for Medicare effective immediately and without penalty.
Source: fordharrison.com

Drug Makers Say If Court Strikes Health Law, Medicare Discounts Could End

Voluntary drug coverage was added to Medicare in 2006, but consumers and advocates have been eager to get rid of the coverage gap. Insurance coverage stops when the beneficiary and the insurer together have spent $2,930 for prescription drugs, excluding monthly premiums. Under the health law, beneficiaries then get a 50 percent discount on brand-name drugs and- percent on generics drugs. When the beneficiary alone has spent a total of $4,700, coverage restarts. At that point the drug plan picks up 95 percent of the cost.
Source: wall-street.com

Drug Makers Say If Court Strikes Health Law, Medicare Discounts Could End

Voluntary drug coverage was added to Medicare in 2006, but consumers and advocates have been eager to get rid of the coverage gap. Insurance coverage stops when the beneficiary and the insurer together have spent $2,930 for prescription drugs, excluding monthly premiums. Under the health law, beneficiaries then get a 50 percent discount on brand-name drugs and- percent on generics drugs. When the beneficiary alone has spent a total of $4,700, coverage restarts. At that point the drug plan picks up 95 percent of the cost.
Source: gantdaily.com

Medicare and COBRA Coverage

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Source: wordpress.com

'Observation stays' for Medicare patients create coverage problems

Jackson, the Santa Rosa hospital patient, joined a national class-action lawsuit in April against Kathleen Sebelius, secretary of the U.S. Department of Health and Human Services, who oversees Medicare. Filed by the Center for Medicare Advocacy and the National Senior Citizens Law Center, the suit claims that Medicare recipients have been harmed by the use of hospital observation status because it results in the denial of one type of Medicare coverage, which then triggers out-of-pocket costs for prescription drugs and post-hospitalization care in skilled nursing facilities.
Source: californiawatch.org

Health Care Costs To Reach Nearly One

CQ HealthBeat: The Overhaul’s Impact On U.S. Health Spending: A Lot Or A Little? Depending on who you talk to, the health care law either is a luxury the nation can’t afford or a pretty good deal. Ten-year spending projections government economists issued Tuesday provide analysts on both sides of the debate with statistics they can cite to depict the overhaul the way they want. Those who think the law costs too much are likely to note that over the next few years national health spending is going to grow at unusually low rates, according to the projections issued by the Office of the Actuary at the Centers for Medicare and Medicaid Services But when coverage expansion kicks in fully under the health law in 2014 — assuming it takes effect — the growth rate will jump (Reichard, 6/12).
Source: kaiserhealthnews.org

Medicare Coverage and Gender Reassignment Surgery

Shelley Argent concurs ‘We need more doctors trained in improved techniques to benefit patients.’ In terms of what changes PFLAG would like to see, Argent says ‘We would like the Government to recognise this as a real issue for many people with Gender Identity Disorder, and then work towards improving their quality of life by providing options quickly to minimize the long term mental health issues that can and do arise…I believe we can learn from countries like Argentina, Cuba, The Netherlands, Brazil and some US States who perform this surgery through a variety of health schemes.’
Source: outinperth.com

Shari W Husband Lost Job, Now I Need Medicare Prescription Coverage

Scrubbs, Maybe this will help you out a little more: 1. I never have gone to an infusion center for my IVIG. 2. I have always had my infusion administered at home by a home nurse through a Home Healthcare Agency and it was fully covered under my Private Insurance carrier. Medicare has never paid anything toward my infusions because at the time of my first infusion in 2005 I was not approved for SSDI yet and I did not have Medicare at all. The home healthcare company worked out something with my private insurance carrier and I never had to pay anything for IVIG, I have continued to have my infusions at home to date. 3. When I was finally approved for SSDI in 2009 I went ahead and enrolled in Medicare Part A and B but my Private Insurance was still Primary. Medicare has always been secondary coverage for me and neither A nor B has been involved in paying for any part of my IVIG. 4. At my last visit with my Neurologist this past Tuesday we discussed the fact that as of June 30th, 2012 I will no longer have Private Insurance and so Medicare A and B will be my primary coverage along with D if I purchase it (which I know I will if I choose to go with Medicare only). Thus Medicare will be my Primary and responsible for my IVIG as of July 1st. Since they do not approve IG infusions at home for MG I will more than likely go to my Neuro’s office for it because he administers infusions there. The Neuro and staff informed me that Medicare will not pay 100% for infusions, they will only pay for 80% even if I have Part A and Part B. That is they way it is according to them and there are no negotiations with Medicare. 5. The only way I could get the 20% paid for (according to my Neuro) is if I purchase a Medigap policy. My Neuro has two other Medicare patients that receive IVIG and they both have a Medigap Policy. In my case there is only one company that will issue a Medigap policy to me since I am under the age of 65 and that policy will cost $480 per month which is almost the amount I would pay for single coverage with my Primary Insurance Carriers COBRA policy effective July 1st. Paying more than $600 per month whether it will be with a Cobra Policy or Medigap policy is going to be difficult since my husband is unemployed and paying 20% without the Medigap policy for each IVIG will be even harder to do. 6. When you say Part B Supplement, do you mean Medigap Policy or is there something else out there that I’m not aware of? 7. I have a massive headache over all of this and it seems like nobody except fellow MG’ers get why I’m concerned and becoming stressed. I hope this has helped you understand a little bit better. If not, please let me know and I’ll be more than happy to explain anything that you don’t understand. I look forward to your reply and appreciate you taking the time to help me. Any and all information is greatly appreciated. Shari
Source: psychcentral.com