Sterling Insurance providing Medicare Supplement Policies in California

Posted by:  :  Category: Medicare

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Source: medigap4seniors.com

Video: Pat Creech Insurance – Mount Sterling, KY

Attorney Jobs in Montana: Medicare Appeals Specialist I position at KCI / LifeCell in Dillon

For detail informations about this position opportunity please read the description below. Position Summary: The Appeals Specialist I is responsible for 1) patient primary insurance claims denied reimbursement by a DMERC will be evaluated and processed in a timely manner in accordance with State and Federal laws, 2) patient primary insurance claims denied reimbursement by Medicare may be processed through the Review, Fair Hearing, and the Administrative Law Judge, and 3) reviewing all Medicare denials and initiates the next appeal step for Fair Hearing or ALJ Hearing process with the appropriate DMERC consistent with the requirements specified by Medicare Appeal Process outlined in the DMERC Provider Manual. Major Responsibilities and Duties: Respond to email in a timely manner as needed. Listen and respond to voicemail in a timely manner as needed Provide supervisor with work progress reports on a daily, weekly, monthly basis or as required Investigate and analyze patient charts by reading documents and negotiating computer-based research. To develop, for each Medicare Insurance claim denial, a reasonable patient product use detail and history; to develop and substantiate the product use evidence, and present the patient’s case to Medicare in the manner required. Write a medically concise and issue focused Review, Fair Hearing, or Administrative Law Judge letter as required. Pull denied and/or partially paid patient charts in appropriate numbers in order to maintain timely completion of the Review Department filing limit caseload. Review patient chart for complete documentation needed for reconsideration of denial and/or partial denial of payment. (I.e. Number of wounds, new wound(s), re-start patient, wound improvement, billing cycle number of denied or partially denied claim.) If documentation is missing from the patients chart, print documents from Alchemy and/or FileNet Generate a Medical Manager /M8 report and a written chronological diary of the patients VAC rentals and supplies to substantiate reason for Medicare payment reconsideration. Consistently meet and maintain production level as established by management For adjust offs, using Medical Manager, for each date of service and product code, leave a note in office notes collections, complete a Request for Adjustment, form, attach a copy of the Remittance Advice and forward to your supervisor, and add to spreadsheet. Understand and implement different tactics for a review, fair hearing and administrative law judge letter. Answer all incoming inquires regarding Review or Fair Hearing cases as appropriate. Understand their role and impact they have in the departmental team; including exhibiting positive attitudes, willingness to help wherever asked, staying focused and on task to the matter at hand, and being part of the success of your team Performs other duties as assigned. Basic Qualifications: High School diploma or equivalent. Experience with general office applications. 6 months previous office experience Experience with MS Office applications including: Word, Excel, and Outlook Other Qualifications : Ability to learn quickly, good level of oral and written communication skills, excellent organizational skills, filing and keyboarding skills. Ability to follow work instructions, work independently or as part of a team, and complete all projects and tasks in required timeframes. Ability to meet all performance and attendance requirement. Ability to work in a team environment as well as independently Preferred Qualifications : Experience with File Net. Information listed above is not a comprehensive list of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice. – . If you were eligible to this position, please give us your resume, with salary requirements and a resume to KCI / LifeCell.
Source: blogspot.com

Sterling Investors Medicare Supplement Plans

It’s human nature for a person to constantly feel secured. If they feel safe, if they feel like they don’t have to worry, then they can enjoy themselves. They can be themselves. This idea can apply to many contexts. If parents are dropping their kids off at a well-maintained and secured daycare, they know they’re in good hands. Family members double check their supplies to be sure they’re completely prepared for the camping trip. The very same idea goes for seniors and healthcare insurance. Elderly people and their families want to be certain that they are receiving top quality healthcare insurance. They also want to have options that meet their requirements.
Source: gomedigap.com

Medicare Part D Disclosure to CMS Due Soon

STERLING HEIGHTS wnj.com Medicare Part D Disclosure to CMS Due Soon 2/8/2011 Norbert F. Kugele Have you made your 2011 Medicare Part D Disclosure to the Centers for Medicare and Medicaid Services (CMS) yet? If not, we at Warner want to remind you that employers who sponsor group health plans that cover any prescription drugs must disclose whether the plan provides creditable or noncreditable prescription drug coverage to CMS within 60 days of the start of a new plan year. If your plan year begins on January 1, you must file your disclosure with CMS by March 1. Filing is done electronically using the CMS Web site. Instructions also are available there. This filing requirement applies to health plans that cover anyone who is eligible for the Medicare Part D prescription drug program, whether as an active employee, spouse, dependent or retiree. There are limited exemptions for plans that contract with a Medicare Part D plan or directly with Medicare to become a Part D plan. No disclosures are required for health flexible spending accounts (FSAs) or health savings accounts (HSAs); but disclosures are required for Health Reimbursement Arrangements (HRAs), either on a stand-alone basis or, more likely, in connection with a high deductible health plan if the HRA reimburses prescription drug expenses. Note that this disclosure is in addition to the Notice of Creditable (or Noncreditable) Coverage that you provide annually to Medicare-eligible participants. Remember also that if, after filing this disclosure, you terminate prescription drug coverage or change from creditable to noncreditable coverage (or vice versa), you must file a new electronic disclosure within 30 days (and also provide an updated notice to participants in your plan). If you have any questions about the creditable coverage disclosure to CMS, or about Medicare Part D generally, please contact Norbert F. Kugele (616.752.2186 or nkugele@wnj.com) or any other member of the Employee Benefits Practice Group at Warner Norcross & Judd.
Source: jdsupra.com

Utah Medicare Part D Plans

Whereas you can compare stand-alone plans to each other, you must compare the entire Advantage plan package to other Advantage plans. This complicates things a little. For instance, a plan with great drug benefits may be less than desirable for its medical benefits or provider network.
Source: partdplanfinder.com

Insurance Insider News March 21 – Employers Don’t Plan to Reduce Benefits

But, when it comes to employers and employers, there is a disconnect about what benefits are valuable. While 66% of the employees say that offering health benefits is an important way to drive their loyalty, only 57% of employers believed so. The divide widens when it comes to retirement and non-medical benefits. For instance, 59% of employees said retirement benefits are very important in influencing loyalty toward their employer, but only 42% of employers realized this. Fifty-one percent of employees said the same for non-medical benefits like dental, disability, and life insurance, while only 32% of employers thought so.  Sixty-two percent of employers agree that employee-paid benefits will become a more important strategy in the next five years. The survey also revealed that, compared to Baby Boomers, younger workers are more concerned about having a secure retirement.
Source: calbrokermag.com

OUGHTISM: Cut Who’s Entitlements, Who Decides?

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /Medical health insurance billing is completely out of control. The notion that for profit private insurance companies can be more efficient and save money is a complete sham.  Medical health insurance billing should be managed by a private non-profit agency not connected with any insurance company contracted through the US Department of Health and Human Services.  There is an inherent conflict of interest in allowing insurance companies to control access to medical services.  Such an independent non-profit organization should be subject to monitoring and review by an oversight group consisting of health care, governmental, insurance industry and private health advocacy groups. Please don’t bother me with your whining about government inefficiency.  The administrative cost of the IRS is 4 tenths of one percent and 93% accuracy,  and of Social Security administrative cost is from 0.6% to 2.3% depending on the program. Show me a private company with such low administrative cost. 
Source: blogspot.com

Video: Medical Billing Software – Capture Billing and Advanced Data Systems

Compliance with Conditions of Participation Necessary for Reinstatement of Terminated Medicare Billing Privileges or Revoked Medicare Provider Number and Participation Agreement

We recommend immediately retaining an experienced health attorney to help you prepare and file a corrective action plan (CAP), request for reconsideration of the decision and an appeal, if necessary.  We recommend that you include proof of currently meeting every required condition of participation (COP) for your health specialty, service or item.  We include copies of written policies adopted, new forms, new procedures, insurance policies, copies of CMS forms 855 that were previously submitted, and other documents that may be required by the COP.  Please see our prior blog/article on submitting CAPs.
Source: thehealthlawfirm.com

THE Consortium: Medicare to Automatically Convert Format 4010A1 Electronic Remittance Advice (835) to X12 Version 5010 Effective August 1, 2012

Effective August 1, 2012, if you have not yet converted from the 4010A1 format of the electronic remittance advice, the Medicare Fee-For-Service (FFS) program will automatically convert your electronic remittance advice to the X12 Version 5010 format. If the computer software you use to open/translate the electronic remittance advice X12 Version 5010 format is not ready for this conversion, you may not be able to open and read the electronic remittance advice to review payments, adjustments, and denials, as well as post payments to patient accounts. If you use a vendor, clearinghouse, or billing service for receipt of your electronic remittance advice and your computer software is unable to open/translate the electronic remittance advice X12 Version 5010 format, please contact your vendor, clearinghouse, or billing service before contacting your Medicare contractor.
Source: blogspot.com

Find Easy Scholarships for College Students If College Costs Are Posing a Threat to Your Education

The college experience is a much anticipated and sought after goal for many high school students. It brings with it new levels of freedom while also tagging along new levels of responsibility. The wealth of knowledge contained in stoic, picturesque buildings with supportive professors on a nice, expansive organically decorated campus with parks and natural retreats of solitude is certainly a dream come true for many high school students. You get to meet new people from different parts of the country and thrive in an academic atmosphere all designed to catapult you to a new level of success. But with all the benefits associated with a college education, there are many pitfalls and obstacles standing in the way. One of the biggest would have to be an inadequate cash flow. College tuition generally rises twice the rate of inflation and, during economic downturns, can be beyond the reach of many students hoping to attain a degree (there are reports that show money issues is one of the main reason students drop-out). And although there is free money available in the form of scholarships, they can often have a surfeit of competition waiting at the door. This leads many hoping to attain a college education to pursue easy scholarships.
Source: excellencetriathlon.org

Medicare fraud busters unveil command center

FILE – In this Feb. 14, 2012 file photo, Health and Human Services (HHS) Secretary, Kathleen Sebelius speaks at HHS headquarters in Washington. Federal fraud busters invited the news media to visit their new $3.6 million command center and watch staffers explain how they’ll jump on unfolding Medicare scams. While the action on the tour Tuesday wasn’t real, the problem is _ more than $60 billion a year is lost to fraud. And two Republican senators immediately questioned whether the new multimillion-dollar facility is just throwing more money away. (AP Photo Manuel Balce Ceneta, File)
Source: sltrib.com

Me and My Doctor: Texas Needs Realistic Solutions

Today Texas state senators met to discuss the potential impact of the health reform in Texas. Austin orthopedic surgeon C. Bruce Malone, MD, immediate past president of the Texas Medical Association took the witness stand. Dr. Malone told members of the Senate committees on Health and Human Services and State Affairs that physician practices are struggling to surmount the growing regulatory burdens of the new federal law. Physicians have had to invest in expensive health information technology, upgrade coding and billing systems, implement e-prescribing programs, and endure the frozen fee schedule and continuous pay uncertainty from Medicare. The financial stress is hurting small practices in rural Texas, midsize practices in the suburbs, and large practices in every urban center.
Source: meandmydoctor.com

Medicare Billing Specialist

Details: Medicare SpecialistJob Responsibilities: Resolve billing edits in the electronic billing software in order to submit clean claims to Medicare within 48 hours of bridge. Resolve ?Return to Provider?
Source: topcareerlinks.com

SE Health Insurance Deduction: Has the IRS Finally Gotten It Right?

Posted by:  :  Category: Medicare

It seems the IRS cannot make up their minds related to the self-employed health insurance deduction. Although it made sense that the Medicare premiums paid by a self-employed individual should be allowed as part of the self-employed health insurance deduction, the IRS said no in their 1040 instruction through 2009. Then for 2010 returns, without any fanfare, they quietly modified the instructions, allowing the self-employed individual to include his or her premium in the computation of the self-employed health insurance deduction and suggested prior year returns where the 3-year statute of limitations had not expired could be amended.
Source: acgnm.com

Video: Medicare Supplement plan F High Deductible Explanation

Understanding a Health Savings Account

Disclaimer: The above content is a general overview which is provided for discussion purposes only and is not in any way meant as providing recommendations or legal counsel. It is not intended to apply to each circumstance. Because the facts and circumstances of every matter differ and the terms, conditions, exclusions and limitations contained in insurance policies vary, you should review your policy carefully and seek any legal counsel that may be necessary or appropriate.  Momentous is not responsible for any losses or damage resulting from reliance on the information contained herein.  If you would like to further discuss the issues raised here, you may contact Sherrie Zenter by phone 818.933.2739 or email: szenter@mmibi.com.
Source: momentousins.com

Medicare Premiums Qualify Are Deductible Above the Line (in some cases)

However, for S corporation shareholders and partnerships, a notice issued previously by the IRS requires that these premiums actually be reimbursed by the corporation (or paid directly by the employer which is not normally applicable with Medicare premiums).  This requires a check be issued by the employer to the employee paying the Medicare premiums.  These payments would then be included in the income of the employee (deducted by the employer) and then deducted on page 1 of form 1040.  If these guidelines are not followed completely, then the deduction is not allowed.
Source: farmcpatoday.com

ASK RALPH: Planning 2012: Tax Strategies for Dependent Children

Even if child care is not a concern of yours, these examples illustrate how complex family tax planning can be. There are many other tax considerations, such as the benefits and pitfalls of shifting income to minor children in light of the kiddie tax; determining what expenses qualify for the education credits and deductions and who can claim them; the eligibility requirements for the earned income credit; or the impact of the alternative minimum tax. We can help you see the bigger picture and develop a plan that both meets your needs and saves you money. Please call our office at your earliest convenience to make an appointment for a full review of your tax situation.
Source: unclesaggio.com

Virginia Medicare Part D Plans

Now that several plans include ancillary benefits such as discounts on vitamins and supplements, vision discounts and savings for health related products, you should consider the value of these benefits as well.
Source: partdplanfinder.com

2012 Medicare Premiums, Deductibles and Co

Enrollees in Medicare Part D prescription drug plans pay premiums that vary from plan to plan.  Beginning in 2011, Part D enrollees whose incomes exceed the same thresholds that apply to higher income Part B enrollees must also pay a monthly adjustment amount. The regular plan premium will be paid to their Part D plan, and the income-related adjustment will be paid to Medicare.  The amounts by income level are below.
Source: medicareadvocacy.org

Home Health Providers Should be Aware of New Updates

CMS has posted new Medicare Shared Savings Program Frequently Asked Questions (FAQs) to the CMS Shared Savings Program website. Answers to questions from industry stakeholders have necessitated that the FAQs be updated to provide additional guidance to all Medicare Shared Savings Program applicants under 42 CFR part 425 related to mergers and acquisitions. The new FAQs also cover the following topic categories:  Accountable Care Organization (ACO) Participant List, Form CMS-588 Electronic Funds Transfer, and Governing Body. To learn more about the Shared Saving Program, please visit www.cms.hhs.gov/SharedSavingsProgram
Source: selectdata.com

2012 Medicare Deductible Amounts

One such Medigap option available for purchase is Plan G.  Plan G covers everything that Plan F does except for the Part B deductible.  If Plan G happened to be $300 less (as can be the case) per year than Plan F and Plan F only covers $140 more in costs, then Plan G is a wise choice.  Plan N might also fall into this category if you live in a state (Ohio for instance) that does not allow for Part B Excess charges.
Source: ohioinsureplan.com

Affordable Care Act Has Saved $3.9 Billion on Prescription Drugs for Those on Medicare, CMS Announces | HelpingYouCare™

As a result of the Affordable Care Act, over 5.2 million seniors and people with disabilities have saved over $3.9 billion on prescription drugs since the law was enacted.  The Centers for Medicare & Medicaid Services (CMS) also released data today showing that in the first half of 2012, over 1 million people with Medicare saved a total of $687 million on prescription drugs in “donut hole” coverage gap for an average of $629 in savings this year.
Source: helpingyoucare.com

DownWithTyranny!: Can you imagine Medicare being enacted by a zombified Congress that takes a worthless doodysack like Paul Ryan seriously?

Posted by:  :  Category: Medicare

OBAMA: THE SOCIALIST/MARXIST/COMMUNIST -- UNMASKED FOR ALL TO SEE by SS&SSby Ken We’ll come back to the egregious Representative Ryan. First let’s pause to ponder the lead story today from history.com’s “This Day in History,” which my friend Paul kindly passed on: Jul 30, 1965: Johnson signs Medicare into law.On this day in 1965, President Lyndon B. Johnson signs Medicare, a health insurance program for elderly Americans, into law. At the bill-signing ceremony, which took place at the Truman Library in Independence, Missouri, former President Harry S. Truman was enrolled as Medicare’s first beneficiary and received the first Medicare card. Johnson wanted to recognize Truman, who, in 1945, had become the first president to propose national health insurance, an initiative that was opposed at the time by Congress. The Medicare program, providing hospital and medical insurance for Americans age 65 or older, was signed into law as an amendment to the Social Security Act of 1935. Some 19 million people enrolled in Medicare when it went into effect in 1966. In 1972, eligibility for the program was extended to Americans under 65 with certain disabilities and people of all ages with permanent kidney disease requiring dialysis or transplant. In December 2003, President George W. Bush signed into law the Medicare Modernization Act (MMA), which added outpatient prescription drug benefits to Medicare. Medicare is funded entirely by the federal government and paid for in part through payroll taxes. Medicare is currently a source of controversy due to the enormous strain it puts on the federal budget. Throughout its history, the program also has been plagued by fraud–committed by patients, doctors and hospitals–that has cost taxpayers billions of dollars. Medicaid, a state and federally funded program that offers health coverage to certain low-income people, was also signed into law by President Johnson on July 30, 1965, as an amendment to the Social Security Act. In 1977, the Health Care Financing Administration (HCFA) was created to administer Medicare and work with state governments to administer Medicaid. HCFA, which was later renamed the Centers for Medicare & Medicaid Services (CMS), is part of the Department of Health and Human Services and is headquartered in Baltimore. As it happens, today is also the day that The New Yorker unleashes on the world an embarrassingly toadying paean to the increasingly egregious Paul Ryan by the increasingly alarming Ryan Lizza. With one or two fleeting exceptions, of which I doubt that Lizza himself grasps the significance, the piece reads as if it came straight out of Frankenryan’s PR shop. It’s pretty much PRyan’s own view of himself and the world he lives in, faithfully transcribed by RyanL as if it were true. The coincidence of the Medicare anniversary is oddly ironic, because as we all recall from the 2010 election season, Medicare is a program that all the Teabagging cretins managed to forget as they blithered their imbecilic diatribes against government. And the egregious PRyan is one of the more immediate threats in the land to the future of Medicare as well as Social Security. Early on in RyanL’s puff piece, there’s a surely unintended glimpse of his status as a made-to-order mark for a self-importantly earnestly geeky self-promoter like PRyan:Unlike most members of Congress these days, Ryan is relatively accessible to reporters. “The key to understanding me is really simple,” he said. “I am not trying to be anybody other than who I actually am.” Even his ideological foes comment on his friendliness and good nature. After his sophomore year in high school, back in 1986, he worked the grill at McDonald’s. “The manager didn’t think I had the social skills to work the counter,” he said. “And now I’m in Congress!” RyanL appears so enthralled by his access to PRyan that he appears to completely miss the chill of that declaration, “And now I’m in Congress!,” coming from a man who historically lacks the social skills to work the counter at McDonald’s. We do learn some interesting things about PRyan, like the big-fish-in-a-small-pond world of entitlement he was born into:Janesville, Wisconsin, where Ryan was born and still lives, is a riverfront city of sixty-four thousand people in the southeast corner of the state, between Madison and Chicago. Three families, the Ryans, the Fitzgeralds, and the Cullens, sometimes called the Irish Mafia, helped develop the town, especially in the postwar era. The Ryans were major road builders, and today Ryan, Inc., started in 1884 by Paul’s great-grandfather, is a national construction firm. The historic Courthouse section of Janesville is still thick with members of the Ryan clan. At last count, there were eight other Ryan households within a six-block radius of his house, a large Georgian Revival with six bedrooms and eight bathrooms that is on the National Register of Historic Places. PRyan makes an enormous effort, and it’s completely successful with Ryan L, to portray himself as an aw-shucks ordinary feller, a true man of the people. The reality, it appears, is that he has always had an inborn sense of entitlement — the unearned sense of self of a born princeling. We learn too that, at age 16, PRyan suffered a trauma from which it seems likely he’s never recovered:[T]he summer of 1986 brought a life-changing event. One night in August, he came home from work well past midnight, and he slept late the following morning. His mother was in Colorado visiting his sister, and his brother, who had a summer job with the Janesville parks department, had left early. Paul answered a frantic phone call from his father’s secretary. “Your dad’s got clients in here,” she said. “Where is he?” Paul walked into his parents’ bedroom and thought his father was sleeping. “I went to wake him up,” he told me, “and he was dead.” “It was just a big punch in the gut,” Ryan said. “I concluded I’ve got to either sink or swim in life.” His mother went back to school, in Madison, and studied interior design; his grandmother, who suffered from Alzheimer’s, moved into their home, and Ryan helped care for her. “I grew up really fast,” he said. One can feel sincerely sorry for little PRyan — though “a big punch in the gut” does seem a curious way of describing it, especially at this remove in time. It suggests that even grown-up PRyan thinks his father’s death was all about him. And despite his description of his supposed accelerated growing up, and with all possible allowance for the great stress of those years, it seems more likely that the upshot was that the little brat never did grow up. If you understand him as being emotionally frozen in time at the age of 16, at which point he was apparently a profoundly maladroit social misfit, lacking the social skills for McDonald’s counter work, then I think you’ve got the profile of the adult PRyan. It’s a shame no one put him together with the kind of mental help he clearly needed at the time, but that’s water under the bridge now.
Source: blogspot.com

Video: A Short History on Medicare

President Johnson signs into law a medical insurance plan called

Medicare was to be financed by social security taxes. The national social insurance program now guarantees access to health insurance for all Americans over the age of 65 and to younger citizens with disabilities. In general, Medicare covers an average of half of the cost of all medical care for enrollees.
Source: famousdaily.com

Daily Kos: Happy Birthday Medicare

Consider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

The Truth About Medicare/Medicaid and Social Security: Ok What Do We Do Now?

Medicare and Medicaid, in conjunction with Social Security, need to be redesigned incorporating the true economic realities of today, and the lessons learned about our economy from prior years.  Both programs need to become a true safety net, not a replacement for personal accountability.  Most Americans are living longer and reportedly healthier lives. The retirement age needs to be extended significantly. Also, and most importantly, income and asset eligibility tests need to be established.  Full coordination of care and benefits need to become mandatory across all available sources in order to reduce fraud, abuse, and duplications of services (estimated at as much as sixty cents on the dollar).  Medicare and Medicaid also need to be combined into one national safety-net program and focus also needs to be placed on eliminating the duplication of expenses for the fifty-eight state and territory infrastructures that exist to administer the funds.
Source: wordpress.com

Medicare’s 50th Anniversary: Making Medicare: The History of Health Care in Canada

Canadian Museum of Civilization Making Medicare: The History of Health Care in Canada, 1914–2007 is a new online exhibition produced by the Canadian Museum of Civilization. It offers a thorough, reliable and engaging account of the birth and development of Canada’s publicly-funded health care system. It is an essential resource for anyone interested in Medicare’s past, present and future in Canada: www.civilization.ca/medicare.
Source: blogspot.com

The Most Expensive Demonstration Project In Medicare History

The MA Quality Bonus Payment Demonstration dwarfs all other Medicare demonstrations — both mandatory and discretionary — conducted since 1995 in its estimated budgetary impact and is larger in size and scope than many of them. Our review of CMS and OMB data shows that the estimated budgetary impact of the demonstration, adjusted for inflation, is at least seven times larger than that of any other Medicare demonstration conducted since 1995 and is greater than the combined budgetary impact of all of those demonstrations. While the demonstration is similar in size and scope to some Part D demonstrations, it is unlike many Medicare pay-for-performance demonstrations in that it is implemented nationwide and allows all eligible plans or providers to participate.
Source: investors.com

Health Legislation: Medicare: History of Insolvency Projections

Date of Report: June 11, 2012 Number of Pages: 15 Order Number: RS20946 Price: $29.95 Follow us on TWITTER at http://www.twitter.com/alertsPHP or #CRSreports Document available via e-mail as a pdf file or in paper form. To order, e-mail Penny Hill Press or call us at 301-253-0881. Provide a Visa, MasterCard, American Express, or Discover card number, expiration date, and name on the card. Indicate whether you want e-mail or postal delivery. Phone orders are preferred and receive priority processing. 
Source: blogspot.com

ACP Internist: Annual physical exams a chance to check in for a check

Recently a physician reporter for the New York Times, Elisabeth Rosenthal, argued in the cover article of the Sunday Review that routine physicals are in many ways pointless, and perhaps even dangerous. In the article, “Let’s Not Get Physicals, Dr. Rosenthal goes on to point out that many routine tests performed during physicals–EKGs, pap smears and blood work, are unnecessary. In my opinion, Dr. Rosenthal’s front page skepticism of the utility of the annual ritual misses the key point and sets a dangerous tone. As every good primary care physician knows, the key benefit of an annual check-up (aka “physical”) is not the litany of tests ordered, but the opportunity it provides to do a complete review of a patient’s medical history and risk factors. The “annual physical” also provides an opportunity for healthy people to get to know their physicians and vice versa, so that when illness arises, as it always will, the physician will understand a patient’s personality and healthy baseline. After years of criticism by proponents of prevention Medicare recently started to cover an annual exam, which is referred to as a “Wellness Exam.” The Medicare preventive exam, which became a covered benefit in 2011, emphasizes history-taking as opposed to testing, which in my view is appropriate. The Affordable Care Act also regulates the provision of preventive care by health plans requiring that plans provide a core set of preventive services without requiring a co-pay, co-insurance, or deductible. While the physician author of the New York Times piece surely understands many of her own personal risk factors for disease, and also the signs and symptoms of potentially serious underlying conditions, the general public does not have this expert knowledge. Why shun a once a year, hour-long (or, as is more often the case these days, 20 minute-long) visit to a medical expert to review one’s personal health profile, risk factors and family history? I suppose that Dr. Rosenthal’s point is to de-emphasize the testing component. In my view, if anything, many individuals could benefit from more frequent (biannual or quarterly) preventive checks to keep them on track with their health goals and risk factors; perhaps this would keep more folks out of the ER and hospital. As to the “testing” component of the annual physical, the visit provides an opportunity for patient and physician to discuss the state of the art information that the patient might be reading online, and the evidence for and against screening for particular conditions. Which screening tests health insurance should pay for is a separate question. The issue here may be semantic–should it be called a “physical,” a “wellness visit,” or a “preventive check-up”–but, let’s not get rid of the annual visit. Juliet K. Mavromatis, MD, FACP, is a primary care physician in Atlanta, Ga. Previous to her primary care practice, she served on the general internal medicine faculty of Emory University, where she practiced clinical medicine and taught internal medicine residents for 12 years, and led initiatives to improve the quality of care for patients with diabetes. This work fostered an interest in innovative models of primary care delivery. Her blog, DrDialogue, acts as a conversation about health topics for patients and health professionals. This post originally appeared there.
Source: acpinternist.org

DownWithTyranny!: Can you imagine Medicare being enacted by a zombified Congress that takes a worthless doodysack like Paul Ryan seriously?

Posted by:  :  Category: Medicare

Cynthia Markus, Ingrid McDonald, and Diana Birkett discuss Medicare at the KUOW Studios by kuow949by Ken We’ll come back to the egregious Representative Ryan. First let’s pause to ponder the lead story today from history.com’s “This Day in History,” which my friend Paul kindly passed on: Jul 30, 1965: Johnson signs Medicare into law.On this day in 1965, President Lyndon B. Johnson signs Medicare, a health insurance program for elderly Americans, into law. At the bill-signing ceremony, which took place at the Truman Library in Independence, Missouri, former President Harry S. Truman was enrolled as Medicare’s first beneficiary and received the first Medicare card. Johnson wanted to recognize Truman, who, in 1945, had become the first president to propose national health insurance, an initiative that was opposed at the time by Congress. The Medicare program, providing hospital and medical insurance for Americans age 65 or older, was signed into law as an amendment to the Social Security Act of 1935. Some 19 million people enrolled in Medicare when it went into effect in 1966. In 1972, eligibility for the program was extended to Americans under 65 with certain disabilities and people of all ages with permanent kidney disease requiring dialysis or transplant. In December 2003, President George W. Bush signed into law the Medicare Modernization Act (MMA), which added outpatient prescription drug benefits to Medicare. Medicare is funded entirely by the federal government and paid for in part through payroll taxes. Medicare is currently a source of controversy due to the enormous strain it puts on the federal budget. Throughout its history, the program also has been plagued by fraud–committed by patients, doctors and hospitals–that has cost taxpayers billions of dollars. Medicaid, a state and federally funded program that offers health coverage to certain low-income people, was also signed into law by President Johnson on July 30, 1965, as an amendment to the Social Security Act. In 1977, the Health Care Financing Administration (HCFA) was created to administer Medicare and work with state governments to administer Medicaid. HCFA, which was later renamed the Centers for Medicare & Medicaid Services (CMS), is part of the Department of Health and Human Services and is headquartered in Baltimore. As it happens, today is also the day that The New Yorker unleashes on the world an embarrassingly toadying paean to the increasingly egregious Paul Ryan by the increasingly alarming Ryan Lizza. With one or two fleeting exceptions, of which I doubt that Lizza himself grasps the significance, the piece reads as if it came straight out of Frankenryan’s PR shop. It’s pretty much PRyan’s own view of himself and the world he lives in, faithfully transcribed by RyanL as if it were true. The coincidence of the Medicare anniversary is oddly ironic, because as we all recall from the 2010 election season, Medicare is a program that all the Teabagging cretins managed to forget as they blithered their imbecilic diatribes against government. And the egregious PRyan is one of the more immediate threats in the land to the future of Medicare as well as Social Security. Early on in RyanL’s puff piece, there’s a surely unintended glimpse of his status as a made-to-order mark for a self-importantly earnestly geeky self-promoter like PRyan:Unlike most members of Congress these days, Ryan is relatively accessible to reporters. “The key to understanding me is really simple,” he said. “I am not trying to be anybody other than who I actually am.” Even his ideological foes comment on his friendliness and good nature. After his sophomore year in high school, back in 1986, he worked the grill at McDonald’s. “The manager didn’t think I had the social skills to work the counter,” he said. “And now I’m in Congress!” RyanL appears so enthralled by his access to PRyan that he appears to completely miss the chill of that declaration, “And now I’m in Congress!,” coming from a man who historically lacks the social skills to work the counter at McDonald’s. We do learn some interesting things about PRyan, like the big-fish-in-a-small-pond world of entitlement he was born into:Janesville, Wisconsin, where Ryan was born and still lives, is a riverfront city of sixty-four thousand people in the southeast corner of the state, between Madison and Chicago. Three families, the Ryans, the Fitzgeralds, and the Cullens, sometimes called the Irish Mafia, helped develop the town, especially in the postwar era. The Ryans were major road builders, and today Ryan, Inc., started in 1884 by Paul’s great-grandfather, is a national construction firm. The historic Courthouse section of Janesville is still thick with members of the Ryan clan. At last count, there were eight other Ryan households within a six-block radius of his house, a large Georgian Revival with six bedrooms and eight bathrooms that is on the National Register of Historic Places. PRyan makes an enormous effort, and it’s completely successful with Ryan L, to portray himself as an aw-shucks ordinary feller, a true man of the people. The reality, it appears, is that he has always had an inborn sense of entitlement — the unearned sense of self of a born princeling. We learn too that, at age 16, PRyan suffered a trauma from which it seems likely he’s never recovered:[T]he summer of 1986 brought a life-changing event. One night in August, he came home from work well past midnight, and he slept late the following morning. His mother was in Colorado visiting his sister, and his brother, who had a summer job with the Janesville parks department, had left early. Paul answered a frantic phone call from his father’s secretary. “Your dad’s got clients in here,” she said. “Where is he?” Paul walked into his parents’ bedroom and thought his father was sleeping. “I went to wake him up,” he told me, “and he was dead.” “It was just a big punch in the gut,” Ryan said. “I concluded I’ve got to either sink or swim in life.” His mother went back to school, in Madison, and studied interior design; his grandmother, who suffered from Alzheimer’s, moved into their home, and Ryan helped care for her. “I grew up really fast,” he said. One can feel sincerely sorry for little PRyan — though “a big punch in the gut” does seem a curious way of describing it, especially at this remove in time. It suggests that even grown-up PRyan thinks his father’s death was all about him. And despite his description of his supposed accelerated growing up, and with all possible allowance for the great stress of those years, it seems more likely that the upshot was that the little brat never did grow up. If you understand him as being emotionally frozen in time at the age of 16, at which point he was apparently a profoundly maladroit social misfit, lacking the social skills for McDonald’s counter work, then I think you’ve got the profile of the adult PRyan. It’s a shame no one put him together with the kind of mental help he clearly needed at the time, but that’s water under the bridge now.
Source: blogspot.com

Video: Medicare & You: National Immunization Awareness Month

American Diabetes Association Applauds the Introduction of the Medicare Diabetes Prevention Act

The National DPP at the Centers for Disease Control and Prevention is a public-private partnership made up of government agencies, private insurers and community organizations. This proven prevention program provides evidence-based community programs based on an NIH clinical trial that showed participants over the age of 60 could reduce their risk of developing diabetes by 71 percent. Coverage of this program through Medicare will improve the health of Americas seniors, while advancing the fiscal health of our nation by decreasing annual federal expenditures on diabetes and its devastating complications including amputation, blindness, and end-stage kidney disease.
Source: brazilpress.net

All the Fuss about Medicare Readmission Rates Overlooks State

I asked a former Medicaid director—Sandeep Wadhwa, MD, CMO at 3M Health Information Systems—why states would prefer a different approach. He explained that Medicare model focuses on only three conditions that are common in elderly patients. “Children and their caregivers do not have high rates of these conditions,” he said. “Readmissions related to asthma, GI conditions or obstetrics are of much more interest to a Medicaid program.” The states are targeting broader sets of conditions, allowing providers to better focus quality initiatives and operational improvement.
Source: wordpress.com

In Florida, Obama Attacks Romney On Medicare Plan

Miami Herald: As Thrill Fades, President Barack Obama Fires Up Supporters On Medicare, Tax Cuts But Obama steered clear of attacks on Romney’s business record and instead tailored his message toward seniors and the middle class on the first day of a two-day campaign swing in the nation’s biggest battleground state. He stops in Fort Myers and Orlando on Friday. The president warned that Romney’s proposal to repackage Medicare as a fixed benefit is a “voucher” system “will end Medicare as we know it” as it forces seniors to purchase private health insurance. He said his health care reforms have helped seniors receive discounted prescription drugs and get access to free preventive care (Klas and Caputo, 7/19).
Source: kaiserhealthnews.org

Mosoftpb: Which Medicare Part D Program Would You Pick?

When you reach 65, you will see that it is very important to start exploring a Medicare Part D plan. While this is portion of the Medicare plan, in several ways it is completely different as the only part of your medical care that it insures is your prescribed medicines. Even though you are in good shape today and you may not be taking any sort of prescription drugs, this is still a very important product that you should get involved in as well as one that will help you save an absolute fortune throughout your lifetime. This kind of plan is offered by the federal government but where a great deal of people get lost is that it is basically kind of farmed out to private providers. Essentially, the government signs up multiple prescription organizations, many of which are traditional insurance agencies and some of which are actual pharmacy chains and has them create an insurance program. They are then refunded when they sign you up for prescription insurance. It may sound complicated, but to you personally all you need to know is that as soon as you become sixty five and also you are getting Medicare, then you will be qualified to receive this type of plan. One thing that you have to find out about a Medicare Part D program is that no single plan is good for all people. There are many plans that are good for people who are only on generic medicines, while some are ideal for people with long-term medical problems, including diabetes. It will actually be up to you to evaluate the plans determined by your personal health condition. One thing to consider though is that although you will sign up for a Medicare Part D plan when you first turn 65, you won’t be offered the opportunity to replace your program until the end of the coming year. There is an open signing up period during which any person can certainly switch policies but you cannot change outside of that time period. Therefore, you will discover that numerous seniors spend each autumn re-evaluating programs depending on the medications that they’re taking for them to find a better offer. You can aquire your Medicare Part D plan right from the agency that is promoting this, so it might be a pharmacy chain, an insurance agency, or some other type of firm. They’re going to have all of the forms that you simply fill out and after that the policy will start in January of the coming year. You have to expect to pay a monthly premium, which in some cases can be very reasonable and then you may also have a co-pay for every prescription. A co-pay is the portion that you pay the pharmacy every time you get a prescription filled and it will surely based on the kind of drug that you are picking up. For generic drugs or commonly prescribed drugs, the co-pay is often minimal. Simply because they are on certain tiers, which is how medicines are assessed. If you need to purchase drugs that are on more expensive tiers, then your co-pay was obviously a much more. In addition to your co-pay as well as your monthly premium, also keep in mind that you will usually have to meet an annual deductible before your insurance takes over. What this signifies to you is that you should budget to spend extra for your prescription drugs throughout the first few months of the year and then since your deductible is included, you will have more coverage.
Source: blogspot.com

Time to Overhaul Medicare, Medicaid, and Social Security

Medicare and Medicaid, in conjunction with Social Security, need to be redesigned, incorporating the true economic realities of today, and the lessons learned about our economy from prior years. Both programs need to become a true safety net, not a replacement for personal accountability. Most Americans are living longer and reportedly healthier lives. The retirement age needs to be extended significantly. Also, and most importantly, income and asset eligibility tests need to be established. Full coordination of care and benefits need to become mandatory across all available sources in order to reduce fraud, abuse, and duplications of services (estimated at as much as sixty cents on the dollar). Medicare and Medicaid also need to be combined into one national safety-net program and focus also needs to be placed on eliminating the duplication of expenses for the fifty-eight state and territory infrastructures that exist to administer the funds.
Source: capoliticalreview.com

Make a Statement Against Medicare’s Competitive Bidding Program on Your Website

PFQC would like to send you our logo to put on your advocacy, organization or business website. Once added to your website, this linked logo will offer a simple and direct message about the dangers of Medicare’s competitive bidding program and how to get involved in the fight to end it. Clicking on the linked logo will take interested parties to the People for Quality Care website, www.peopleforqualitycare.org, where they will have access to more information about Medicare’s competitive bidding program.
Source: vgm.com

GAO highlights low participation in Medicare EHR Incentive Program

A new report from the Government Accountability Office (GAO) confirms predicted trends and reveals some humbling truths about the success of the Centers for Medicare & Medicaid (CMS) Electronic Health Record (EHR) Incentive Program for Medicare. While all of the estimated $30 billion in funding for meaningful use incentives from 2011 to 2019 will come from federal coffers, the portion of the program directly administered by CMS on the national level (i.e., Medicare) will constitute more than half of total funds, a reported $17.7 billion. However, if the low level of participation continues, it’s unlikely that enough recipients will emerge to collect these dangling carrots.
Source: ehrintelligence.com

What is Medicare’s 3 Day Skilled Nursing Rule!! »

Posted by:  :  Category: Medicare

OBAMA: THE SOCIALIST/MARXIST/COMMUNIST -- UNMASKED FOR ALL TO SEE by SS&SS“Medicare covers semi-private rooms, meals, skilled nursing and rehabilitative service, and other services and supplies that are medically necessary after a 3-day minimum medically-necessary inpatient hospital stay (which is now in bold font to show how important) for related illness or injury. An inpatient hospital stay begins the day you’re formally admitted with a doctor’s order and doesn’t include the day you are discharged.” *Toni’s tip: Make sure you are formally admitted for at least 4 days…3 the hospital stay plus 1 for day being discharged.
Source: tonisays.com

Video: Ordering the Medicare and You Handbook.mp4

This is the official U.S. government Medicare handbook: Open …

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Source: projectedu.com

COBRA III: Cautions for Employees of Small Businesses 

[1] See Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), Pub. L. No. 99-272 (April 7, 1986), 100 Stat. 222, codified at 26 U.S.C. §4980(b); 29 U.S.C. §§1161 et seq.; and 42 U.S.C§§300bb-1 et seq. [2]  29 U.S.C. §1161(b). [3]  Ibid.  COBRA qualifying events are laid out in COBRA 1: http://www.medicareadvocacy.org/2012/05/24/people-with-medicare-beware-cobra-is-not-coverage-as-a-current-employee/. [4] See http://www.dol.gov/EBSA/faqs/faq-consumer-cobra.html,, Q3. [5] 42 U.S.C. §300bb-1(a), (b)(1).  Federal employees have their own health care continuation coverage.  5 U.S. C. §8905a. See also: http://cciio.cms.gov/programs/protections/cobra/cobra_qna.html. [6] Public Law No. 111-148, enacted March 23, 2010. 124 Stat. 119, 42 U.S.C. §18001 et seq.   See: http://www.healthcare.gov/law/full/index.html. 
Source: medicareadvocacy.org

'''Convalescent Care and Nursing Homes

Medicare only covers skilled care. To receive Medicare benefits for a nursing home stay you must be admitted to a hospital for 3 days (not including your day of discharge), you must be admitted to a nursing home within 30 days of discharge, and you must received skilled nursing care for the condition that caused your hospital admission.
Source: georgia-medicareplans.com

WorkforceTactix Blog: New Medicare Taxes on High Earners

New Medicare taxes on high earners, imposed under the Patient Protection and Affordable Care Act (PPACA), mean big changes in wage withholding, executive compensation and personal financial planning for these employees. Additional Wage Withholding Required in 2013 For taxable years beginning after Dec. 31, 2012, employers will be required to withhold additional amounts from the wages of high-earning employees. The Medicare tax rate will increase by .9 percent (from 1.45 percent to 2.35 percent) on wages over $200,000 for single filers, wages over $250,000 for joint filers, and wages over $125,000 for persons who are married but filing separately. According to the Internal Revenue Service’s Questions and Answers for the Additional Medicare Tax (issued in June 2012), employers are required to withhold this additional Medicare tax if an employee receives wages of more than $200,000 from that particular employer. Employers are not required to consider a spouse’s wages or whether an employee earns wages at a second job. There is no employer match for the additional Medicare tax, and no requirement that an employer notify employees when it begins withholding the additional Medicare tax. An employer is required to begin withholding the additional tax in the pay period in which it pays wages in excess of $200,000 to an employee. The IRS said it does not plan to add additional boxes to Form W-2 for the additional Medicare tax on wages in excess of $200,000. Employers will report aggregate Medicare wages in Box 5 and the aggregate Medicare tax in Box 6. New Tax on High Earners’ Investment Gains In addition, the PPACA imposes a new Medicare tax on high earners’ investment income, to be reported and paid as part of their annual income tax filing. Beginning with tax year 2013, single taxpayers who earn more than $200,000 and married taxpayers with combined income of more than $250,000 will face a new 3.8 percent Medicare tax on their investment gains. The tax will apply to investment income including interest, dividends, capital gains, rents, royalties and the taxable portion of an annuity payout. As a result, high earners may have to rethink their short and long-term financial strategies.
Source: blogspot.com

CMS Releases New Medicaid EHR Incentive Program Guide for EPs

The Centers for Medicare and Medicaid Services (CMS) has released a new guideto help lead eligible professionals (EP) through all phases of the Medicaid Electronic Health Record (EHR) Incentive Program. This new guide is a follow-up to CMS’ first handbook focused on the Medicare EHR Incentive Program. The guide serves as a source for information an EP might need on the Medicaid Incentive Program, and includes information such as eligibility determination, registration through CMS and eligibility verification at the state level, meaningful use and appropriate measures, attestation, and other resources. This is the last year for Medicare EPs to start participating in the EHR Incentive Programs and receive their full Medicare incentive payments.
Source: ehrexperts.com

The Consequences of Missing Medicare Signup

Paying for the gaps in Medicare Part A and B coverage out-of-pocket can be financially devastating for a prolonged or serious illness or injury. Supplemental insurance is very important to control this risk. One choice is to enroll in both a Medigap policy plus a drug plan, known as Medicare Part D. Another choice is to sign up for a Medicare Advantage Plan, also known as Medicare Part C. Neither enrollment is automatic. You will have to choose these plans from private insurers. Again, the “Medicare and You” handbook is very good at outlining the types of coverage plan choices. Once you decide on the type of plan(s) you want, choosing your policies from the array of available private insurers can be overwhelming. A good insurance broker can be very helpful at this point.
Source: ga-cpa.com

2012 Medicare Study: Sarasota Memorial Hospital (Sarasota, FL) Listed Among Nation’s Top Two Hospitals for Heart Attack, Heart Failure, Pneumonia Care

Posted by:  :  Category: Medicare

George W. Bush by cliff1066™Newly-released data from the U.S. Centers for Medicare and Medicaid Services (CMS) posted on the government’s Hospital Compare website this month reveals mortality and re-admission rates for more than 4,600 hospitals nationwide. Sarasota Memorial Hospital was one of just two hospitals singled out for demonstrating the lowest (best) readmission rates in the nation for Medicare patients hospitalized for heart attack, heart failure and pneumonia. (PRWeb July 29, 2012)
Source: rambergmedia.com

Video: Medicare Medigap Supplemental Insurance West Palm Beach Fl

Careplus Medicare Sales Rep

View All Insurance Sales and Marketing Jobs Jobs by Type Account Representatives / Executives / Managers Brokers Directors / Executives District / Regional Managers Field Sales Associates / Representatives Insurance Agent Jobs Insurance Agent Jobs Property / Casualty Agency Insurance Agent Jobs Life / Annuities Agency Insurance Marketing Insurance Producer Insurance Sales Assistants Marketing Managers
Source: insurancesalesweb.com

2012 Medicare Study: Sarasota Memorial Hospital (Sarasota, FL) Listed Among Nation?s Top Two Hospitals for Heart Attack, Heart Failure, Pneumonia Care

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Source: forafreeiran.com

Medicare Supplement Insurance Boynton Beach Fl

Giving up Medicare Part A and Medicare Part B is necessary, because it allows the person to sign with the insurance company that is selling the medicare -advantage-plan. This is a potentially dangerous sacrifice, considering the insurance company is not obligated to renew their contract with Medicare each year. If the insurance company did drop out of their medicare-advantage contract, you would be dis-enrolled from that medicare-advantage-plan.
Source: floridahealthinsurancebroker.com

Florida Medicare Plans: Importance of FL Medicare Plan

A Medicare is nothing but a national health insurance program for the people of the US who are above the age of 65 which is funded by the federal government. It is just like an assistance program for individuals and families with really low income group. The basic aim of the Medicare program is to make sure that the elderly people have no difficulties and uncomfortable lifestyle as they grow old. For example, Florida Medicare Plans are one such program.
Source: blogspot.com

Importance Of FL Medicare

The US Government has always been very much concerned about the health and well-being of its senior citizens as well as younger people suffering from disabilities. People belonging to this category can avail the facilities of Medicare, a health insurance program that provides access medical facilities. People suffering from the last stage of renal disorder are also included in the Medicare program. Florida is one of those states which has been a pioneer in providing excellent Medicare facilities to its residents through its
Source: devhub.com

ASTD Job Bank: Training / Instructing jobs, Tampa jobs, Florida jobs, Senior Sales Trainer at WellCare Health Plans, Inc.

Facilitates learning and delivers sales training for WellCare’s Sales division. Oversees and conducts the assessment of current curriculum, facilitation, teaching and monitoring of educational programs. Orchestrate the compliance training activities, state specific training programs. DEPARTMENT: Sales REPORTS TO: Sr. Director, Sales Training LOCATION: Northeast (CT, NJ or NY – including Queens, Brooklyn), Florida, Georgia, Texas, Louisiana, Illinois, Ohio, Kentucky, Missouri. Essential Functions: -Facilitates new-hire orientation and role-specific training programs for Benefit Consultants, Sales Managers, Sales Directors, Marketing Outreach Specialists, Sales Assistants and other sales & marketing roles, as needed. -Manages classroom dynamics through the use of “learner focused” environment, adult accelerated learning methods and blended learning methodologies. -Conducts course research and student needs assessments and provides written complete detailed recommendations. -Assists with the ongoing design and development of instructional materials for training programs including training manuals, teaching aids, self-paced study and performance evaluation tools. -Produces professional presentations and online training modules using MS Word, PowerPoint, Articulate and other eLearning publishing software. -Reviews all programs assigned and continuously ensures course delivery meets rigorous standards set forth. -Revises existing training materials and programs based on audit results, questionnaires, changing procedures and feedback from internal/ external customers, subject matter experts, program sponsors and trainers. Coordinates and organizes enrollment of students utilizing the WellCare Learning Management System (LMS), assembles necessary program materials, setup of classrooms/facilities, supplies, catering and other functions related to National Sales Training. -Conducts comprehensive market needs assessments and provides detailed recommendations to help the Sr. Director of National Sales Training determine how training can best support annual Marketing and Sales objectives. -Conducts follow-up performance evaluations of field-based sales associates through use of approved company methods/tools, providing on-site performance coaching and corrective instruction as indicated. -Facilitates and conducts approved online learning sessions (webinars, etc.) with target audiences, while preparing, managing and recording all student participation. -Facilitates delivery of ancillary training (Compliance, Operations, IT, Legal, HR, etc) to field-based sales associates on an as-needed basis Monitors Sales Leadership reports and Complaint Tracking Modules (CTMs) on a weekly basis and recommends course of action to Sr. Director, including coordinating and delivering required training or materials. -Delivers training as specified by Compliance Monitoring Action Plans (MAPs) as indicated -Monitors CMS guidelines, WellCare policy and corporate communications and implements changes to field training delivery as indicated. -Provides ongoing telephonic and in-person support to markets by fielding questions, addressing issues/concerns accurately and forwarding issues to appropriate departments for resolution. -Partners with other departments and associates to ensure content accuracy, best practices in delivery and development of timely instruction. -Manages schedule and any associated travel in accordance with company policy and department guidelines -Performs other duties as assigned.
Source: astd.org

The Motley Monk Blog: Senior citizens will be “out in the cold”: The DNC Chair dredges up the same old scare tactics…

So much for Romney, Ryan, and the Republicans.  It’s all been said before, beginning with Ronald Wilson Reagan in 1976. What about President Obama? The President, Wasserman Schultz said, has spurred 28 months of job growth in the private sector, enacted 18 tax breaks for small businesses, and put a “tourniquet” on the bleeding economy through the Stimulus #1. Wasserman Schultz closed her speaking tour with the fervor of a Bible Belt preacher: We have a real opportunity to make sure that we can turn this state blue again.  We know that the progressive values of people here in New Hampshire are going to shine through on November 6. A “tourniquet” on the “bleeding economy”? Apparently, Wasserman Schlutz believes that people will continue to fall for the same old scare tactics. Let the discussion begin… To read Foster’s Daily Democrat, click on the following link: http://www.fosters.com/apps/pbcs.dll/article?AID=/20120729/GJNEWS_01/707299888/-1/FOSNEWS
Source: blogspot.com

Getting the Best of Fl Medicare

Fl medicare is a health cover provided to people based on certain conditions. The conditions are that it is eligible for individuals of 65 years and above, those under 65 but have disabilities and any individual with a kidney problem. Boasting as a giant in Medicare provision, Florida medicare insurance has several health plans. This gives you the privilege of choosing the right medicare that fits your needs. An FL medicare offers a combinational medical approach to their clients. This includes affordability, flexibility and value. The three words summarizes the packages that Florida Medicare insurance offer. Medicare insurance Florida is divided into 4 sections. These include Medicare Part A, Part B, Part C and Part D.
Source: dime-co.com

Florida ranks among the 10 most expensive states for car insurance

Florida’s personal injury protection (PIP) system in effect requires the typical resident to pay twice for medical coverage — through health insurance and again through car insurance. The U.S. Supreme Court’s upholding of the Affordable Care Act last month likely means millions fewer Americans will lack health insurance, undercutting one argument for keeping PIP in Florida — that many drivers have no other medical coverage.
Source: allstardirect.com

Time to save Medicare from extinction

Posted by:  :  Category: Medicare

Judy by Thomas HawkWe get so busy with our lives, so distracted by entertainments and so lazy from denial, that the things we take for granted are up for grabs. We forget that there are misguided people who by word or deed will take away our fundamental rights, rights that were won in decades of struggle. I am a senior, and twice a week I eat dinner with seniors. I see that eventually we all become seniors or disabled. This is the time of the year that we should thank President Lyndon Johnson and his staff and Congress, who enacted Medicare on July 30, 1965, and implemented it in 1966. If seniors, the disabled and their families stand up and fight for Medicare as we know it, we shall have it for many years more.
Source: pnhpcalifornia.org

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

Medicare Beneficiaries More Satisfied Than Privately Insured

Martha, Medicare is not free by any stretch of the imagination. Most people pay a premium for Part B and a few pay for Part A. Plus there are co-payments and such. In my area Mecicare Advantage plans are not free either with additional monthly premiums and cost sharing structure. I should hope the study controlled for situations in which the beneficiary has supplemental or secondary insurance in both groups. In the case of supplemental medi-gap policies again those have their own premiums and some forms of secondary insurance do as well. None of these scenarios translates to “free” as you put it. By all means correct me if I misread your comment.
Source: californiahealthline.org

Medicare for all CA Bus tour: In West Covina Tonight SiCKO ‘Sisters’ Reunite

Today in West Covina, the California Nurses Association summer 2012 Medicare for all bus tour will come to a close.  After visiting 18 other California cities since June 19, the nurses will wrap up this run with a bang and with clarity.  Three of the subjects of Michael Moore’s 2007 documentary film SiCKO will be on hand to help lead others in sharing their stories of struggle and frustration with the broken healthcare system. 9/11 first responder Reggie Cervantes and Dawnelle Keys, the mother whose toddler died because she was denied treatment at an out-of-network hospital, will join me at this final stop where the nurses will perform health screenings from 3:00-6:00 p.m. and then we’ll have a town hall meeting from 6:30 – 8:00 p.m.  My husband and I lost everything we had worked a lifetime to achieve when we got sick even though we always carried health insurance. Five years ago, when SiCKO was released, the nurses of CNA went to Sacramento with Michael Moore to call attention to the pain Californians were needlessly suffering at the hands of the dysfunctional system.  On this fifth anniversary of the film’s release, this West Covina reunion of some of the American SICKOs will help highlight how far we have yet to go and what these women have to say about the current healthcare law – the Affordable Care Act – just upheld by the Supreme Court and the subject of so much political gamesmanship.  These SiCKO patients will share what it means to real people, real Californians.  And that’s what this tour has been all about. Don’t come planning to sit unengaged through a lengthy program.  Come ready to become a part of what moves California and the nation to a place where there are no more SiCKOs like me or Reggie or Dawnelle.  See you in West Covina.  And don’t think because this tour is almost a wrap that the nurses are finished.  They won’t be done until every patient is treated under a system that includes a single standard of high quality care for all – a guaranteed, improved Medicare for all system.
Source: michaelmoore.com

Hospital Readmissions Fall Slightly, Medicare Data Show

Hospital readmissions rates in the U.S. have dropped only slightly despite CMS-led campaigns and the threat of financial penalties, according to Medicare data released last week. Twenty percent of Medicare patients were readmitted to a hospital within one month of discharge from 2008 to 2011, according to data posted on CMS’ Hospital Compare website. On Oct. 1, CMS will implement penalties for hospitals with above-average readmissions rates.
Source: californiahealthline.org

Yuba City Doctor Indicted On Medicare Fraud

John Balazs is an attorney in Sacramento, California, specializing in criminal defense, including appeals, habeas corpus, pardons, expungements, and civil forfeiture actions. After graduating from UCLA Law School in 1989, he clerked for Judge Harry Pregerson of the U.S. Court of Appeals for the Ninth Circuit. John was an Assistant Federal Defender in Fresno and Sacramento from 1992-2001. He currently serves as an adjunct professor in clinical trial advocacy at the University of the Pacific McGeorge School of Law. Please email EDCA items of interest to Balazslaw@gmail.com. Follow me on twitter @balazslaw.
Source: typepad.com

Medicare Patients Happier than Those with Private Coverage

Medicare beneficiaries age 65 and older are more satisfied with their health insurance, have better access to care, and are less likely to have problems paying medical bills than working-age adults who get insurance through employers or purchase coverage on their own. Only 8 percent of Medicare beneficiaries age 65 or older rated their insurance as fair or poor, compared with 20 percent of adults with employer-sponsored insurance and 33 percent of adults purchasing coverage in the individual market according to a recent study by The Commonwealth Fund.
Source: calbrokermag.com

Does Medicaid take life insurance benefits from deceased residents of nursing homes whose estates r worthless? Question

Yes they are correct. but dont confuse Medicare and Medicaid. Medicaid is the program which pays for the permanent nursing care. As you say their pension only covers 1/3 of the nursing care cost, and monthly cost is $3000-$5000, they would try to recoup some of their losses upon the death of a patient. The age of 30 has no relevance to anything. Every state is a bit different because Medicaid is funded 50/50 by fed and state and even the county within the state might have different guidelines. My mother was in a nursing home in Oregon using Medicaid only to pay. She had no pension, and no life insurance. No. LIfe insurance companies are legally required to give the beneifts ONLY to the beneficiary listed on the policy. It is illegal for them to give it to anyone else. 1 person rated this as good source: insurance quotes
Source: decadesilove.com

Nurses Cross California to Promote Medicare for All

About the Contributor: National Nurses United, with close to 160,000 members in every state, is the largest union and professional association of registered nurses in U.S. history. NNU are leading advocates of guaranteed healthcare by expanding and updating Medicare to cover all Americans, for negotiating many of the best collective bargaining contracts for RNs in the nation, and for sponsorship of innovative legislation and regulatory protections for patients and nurses. www.nationalnursesunited.org
Source: nursetalksite.com

Medicare for All Takes Show on the Road

Despite the upward pressure on Medicare spending, per capita expenditures for Medicare beneficiaries are expected to increase more slowly than in the private sector, according to the Kaiser Family Foundation. Burger is confident that Medicare for All would provide more savings than accrued through private insurance. Among private insurers, about 30 cents of every dollar goes to administration, lobbying and profit, while the overhead for Medicare is just 3%, Medicare for All proponents point out.
Source: californiahealthline.org

New Jersey physical therapy assistant be charged with Medicare fraud

Posted by:  :  Category: Medicare

All these activities may result in charges  related to participating in a Medicare fraud  scheme,  including bribery, health care fraud, falsifying  medical records, and various conspiracy charges. In order  to prove their case, the prosecution will have to show that the physical therapy assistant knew  the information  he provided was false, or that the  forms he signed contained false information and would be used to fraudulently  bill Medicare. It is not a defense for a physical therapy assistant to  claim that he was just doing what his  bosses  told him to, if he knew that he was actively participating in fraud.
Source: nj-criminallawyer.com

Video: New Jersey Medicare Advantage Plans for 2012

The Official Medicare Set Aside Blog And Information Resource: New Jersey DWC Changes Position on MSAs

The federal case in question is obviously an interesting one which I cannot wait to read in its entirety. In the pages from the pleadings that were published in support of the DWC’s change in position, it is obvious that CMS is being accused of bad faith in failing to respond to proposals for WCMSA approval. I’m not an expert in bad faith, but NJ’s law must have some pretty extensive reach to get to CMS. Questionable pleading aside, it appears that the delay may have something to do with plaintiff not answering development letters. Could it be that the requests cannot be answered? I think we’ve seen that before. Still it doesn’t mean that CMS is the real problem – the fact that the parties elected to prevail themselves of that program is the issue.
Source: medicaresetasideblog.com

Senior Benefit Services, Inc.

Effective March 01, 2012, on New Business and April 1, 2012 on Inforced Business United of Omaha 2010 Modernized Medicare Supplement (policies effective on or after June 1, 2010) in New Jersey will be having a Rate Increase on Plans A, C, F, G, and M.
Source: srbenefit.com

Morning News Digest: July 30, 2012

If approved, the school will eventually serve 2,840 Camden students in grades pre-K through 12 and provide guaranteed enrollment for children in the Lanning Square neighborhood.   The first class of kindergarten students would begin in 2014.  It will offer a college preparatory curriculum , with the goal of at least doubling the number of Camden students who attain a four-year college degree by 2030, according to an announcement from the group.
Source: politickernj.com

Avoiding the (Medicare) “Doughnut Hole”

According to the new study, and sheer intuition, patients that fall within the doughnut hole are associated with a significant drop in medication use – 12% on average. That is always relevant, but perhaps especially so in the case of depression medication. While discontinuing any prescribed medication is never advisable, it is often easier to justify foregoing depression medication than other medications.
Source: jmtjrlaw.com

How To Get Medicare Supplement Quotations

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSShould you be perusing this article, this would mean you’re either a elderly get older 65+ seeking to complete the particular interruptions in the latest Medicare insurance insurance, or maybe are an individual exploring for anyone that’s. In any case, you will see some means here in the next few paragraphs to provide you the most affordable Medicare supplemental insurance Estimates, and do a comparison with some other providers. Essentially the most easiest method to secure a line will be deciding upon a coverage business or maybe brokerage firm you really feel at ease with, and asking these individuals for a line. When after you be handed a line, you are not delighted by the particular quality amount of money, you possibly can begin mastering yet another corporation within your deciding upon and asking these individuals for an additional line. Having said that, if you think the particular quality you actually received is affordable, you may get insurance right then and there based on your overall health standing. inspirational quotes Usually when you’re getting an insurance quote, your brokerage firm will list the highest Twelve providers with “A” comparisons to suit your needs, and they’ll do the looking for you actually therefore you need not. They will collection adidas and puma alongside each other, and provide you payments for each, and provide you a background upon each and every insurance broker. Several of the providers outlined may contain; Shared involving Omaha, Blue Crossstitching Blue Face shield, Aetna, Gerber, U . s . involving Omaha, Sentinel Living, U . s . Medical care, and Woodmen of the World. All of these providers include “A” comparisons, therefore you should keep that will under consideration to see if the particular brokerage firm you will be working together with provides rates because of providers. U . s . involving Omaha ordinarily is definitely the most affordable, based on your quality of life. Allowing your Medicare supplemental insurance Insurance cover brokerage firm that may help you after you know for the lowest priced rates doesn’t only help save time frame, yet help save from complications and complications likewise. This is actually the very best tactic to take, plus the completed help save as much as possible. If you are uncertain regarding which brokerage firm so that you can call or maybe make contact with that may help you, you can just search on Google for a community one, and then determine whether they can advise you regarding having Medicare supplemental insurance Estimates. At this time, there are specific problems that may well enhance your first quality. The particular financing that will Medicare insurance will get, one example is, may affect exclusive complement plans, and Medicare insurance development (that may reduce and sometimes improve payments). Although the brokerage firm you end up picking will go over all that on hand when you finally sit down and talk to these individuals.
Source: blogspot.com

Video: Medicare Supplement Insurance Plans – Where Do I Start?

Are You Looking For No cost Medicare Supplement Quotations?

love quotes In search of Medicare supplemental insurance prices is simple provided that you are familiar with your requirements and price range. There’s no variance throughout insurance coverage when comparing 1 business to a different when Supplement Medicare Insurance is definitely consistent. Really the only variance can be in the expense of the insurance programs. Supplement Insurance coverage is definitely not at no cost. You’ll want to shell out your month to month high quality to get guaranteed. You can certainly find Medicare supplemental insurance prices on-line. love quotes Regarding Initial Medicare health insurance, your physician may ask for a high price but not what’s been pre-decided by the Us authorities. In such a situation, an individual has to repay the other total with this wallet. That isn’t the truth with Supplement Insurance cover. This specific insurance policies gives insurance coverage for all the out-of-pocket costs. Supplemental Insurance cover possesses its own down sides. That is this worth acquiring? Properly, in this unforeseen financial state, it is still your debatable issue. In order to possibly be in protected area, it is really advisable to safe a person’s health care costs with this particular insurance policies. Once you have decided to order that insurance policies, you may sooner or later begin admiring a person’s provider’s customer satisfaction and how this promises are generally paid out. Maybe you have minor complaints about the increase in prices. Nevertheless this problem can be easily managed considering that the market is booming. Once you have obtained good information about all these insurance coverages, you will notice for your self these programs are generally consistent for all the firms. So, it’s easy to find Medigap Rates affordable. You have to take into account that there is no sign up phase for Supplemental programs. You should buy all these insurance coverages each time of year. We might recommend someone to purchase these programs through wide open sign up phase. Make contact with your Medicare health insurance specialist to learn a little more about that time-period. Advantages programs as well as Part D pharmaceutical drug drug insurance coverage strategy have a very preset time-span in which the plan is going to be obtained. A lot of insurance agencies could possibly ask you to undergo your health care examine as a way to switch to some alternative strategy. It is then important to weigh up your choices before hand and choose the best accessible health and fitness strategy. love quotes You never know what could take place the next second. As a result, it is really advisable to be secure instead of possibly be my apologies in the coming future. You must make without doubt a person’s Medicare health insurance Plan is accessible after you would desire this. Something different you must remember is the price tag you happen to be finding cash for a person’s insurance policies.
Source: blogspot.com

Covering the Gaps: Medicare Supplement Insurance

Medicare insurance provides insurance and coverage for a large number of people across the country. It is actually one of the most popular types of insurance coverage. But, like all insurance plans, there are things that do not get covered. To cover everything that a person needs to stay healthy would be a huge expense to the insurance company, and for liability reasons, they only offer certain plans, none of which cover every possible scenario. Most plans cover the basics, and others go a little more in depth when it comes to coverage, but there is no plan that covers everything. That is why Medicare has what are known as supplement insurance policies, commonly known as Medigap plans.
Source: 3steps.com

Comparing Medical Insurance Quotes

When it comes to your well-being it is best to plan for the future as much as practicable. Although you could be in good shape right now, you never can tell what will happen in the future. Healthcare insurance is a way to help pay for hospital expenses, from preventative care to emergency room benefits. Medicare is one of the most popular programs, run by the US government for subjects over the age of Sixty five. Though the most basic kind of Medicare covers general outpatient and inpatient services, there may be other areas this does not cover.
Source: cuplessjoe.com

Find Medicare Supplemental Insurance in Your Area With the Senior Advisor Group

The Senior Advisor Group is an independent insurance advisory group specializing in Medicare insurance and other insurance options for those on Medicare. Their role is to assists seniors in finding with the best Medicare Supplemental Insurance, including advice on Supplemental Plans, Advantage Plans, Medicare Part D insurance and other related supplemental insurance. By partnering with over 40 different insurance companies, the Senior Advisor Group works on the side of the client’s with no obligation to any one insurance company. For the individual client they will search from all of the top insurers to find the best products at the best price – as well as provide ongoing professional, personalized service to each Medicare beneficiary year after year. The Senior Advisors also provides clients on Medicare with dental, hearing, and vision coverage, as well as Rx discount cards at no cost to customers. As a national advisory group, Senior Advisor Group represents all of the top rated and the largest Medicare supplemental insurance providers available. Their objective is to provide unbiased advice on Medicare Supplemental Insurance from highly trained, Medicare insurance specialists. Each specialist is trained on the various Medicare Insurance options, and will assist each individual with a plan selection, and provide continual advice year after year on Medicare supplement plans and Medicare Part D coverage. As Medicare insurance specialist, Medicare Insurance is not just a part of their business it is their business. The Senior Advisor Group was established to deliver what insurance companies can’t – unbiased and objective advice. They will assist and complete enrollment in the best available plan for the client, not the best available plan for the provider. For those new to Medicare or just looking to compare coverage options simply submit a request and one of their specialist will call within 24 hours.
Source: sbwire.com

Arizona Attorney General, Tom Horne

PHOENIX (Monday, July 30, 2012) — Attorney General Tom Horne today announced that 30-year old Tucson resident Megan Monroe Racz has been indicted by the State Grand Jury on charges related to insurance fraud involving senior citizens. All 37 of Racz’s alleged victims are aged 65 or older. “Insurance fraud, especially when it involves the most vulnerable in society is a terrible crime,” Horne said. “The state Department of Insurance is to be commended for its investigation of these alleged offenses, and my office will work very hard to vigorously prosecute this case.” The State alleges that Racz, acting in her capacity as an insurance agent, during the Medicare open enrollment period from November 2011 through December 2011 transferred the Health Net Medicare supplemental policies of 37 people, four who were deceased at the time, to United Health Care supplemental polices without the consent of the policyholders. These unauthorized transfers were brought to the attention of the Arizona Department of Insurance by United Health Care, Health Net, and policyholders, who were notified their Health Net Medicare supplemental policies were being cancelled or who received information about new United Health Care policies that they never requested. United Health Care and Health Net worked together to see that none of the policyholders’ Medicare coverage lapsed. The State alleges Racz received over $25,000.00 in commissions for transferring the Medicare supplemental policies. Racz was formally indicted on one count of Fraudulent Schemes and Artifices, a class 2 felony; one count of Theft, a class 2 felony; six counts of Aggravated Identity Theft, class 3 felonies; two counts of Identity Theft, class 4 felonies; and four counts of Forgery, class 4 felonies. These charges are merely allegations, and the defendant is presumed innocent until and unless proven guilty. This matter was handled by Assistant Attorney General Beverly Rudnick. The case was investigated by the Arizona Department of Insurance Fraud Unit.
Source: azag.gov

Basics You Should Know About Medicare Health Insurance

Health insurance is a maze. It is often hard to maneuver and completely understand the ins and outs. With Medicare and available supplemental plans there are many online comparisons available to help individuals select a plan that will work with their situation. Many times people want information on paper and then seek out assistance from an advisor who is able to help them compare the plans and rates with real life examples and situations. These advisors have one sole purpose and that is to match the right Medicare supplement policy at the right price with Medicare eligible participants. To them the company that the individual purchase the policy from is not as big of an issue and they can help you see through the glitz of private insurance companies and keep the focus on coverage and rates.
Source: internet-revenue-guide.com

Best places to Look for Medicare Supplement Rates?

Before a person find Medicare Supplement prices, the person must ensure actually witout a doubt signed up for Medicare Piece Your and Piece M. Folks, who will be going to switch by Medicare benefit prefer to unique Medicare, must make application for Medicare supplemental health insurance before the finish in the coverage. Plans Electronic, K, I and M are usually not marketed any further, although individuals will keep these if they are witout a doubt signed up for them. One human being may be insured within a Medicare supplemental health insurance insurance policy, thus in the instance of married couple the husband and wife ought to acquire independent insurance policy. A great insured person is essential to pay back different prices intended for Medicare Piece M and Medicare supplemental health insurance insurance policy. Medigap high grade goes to the non-public corporation you might be signed up together with. Ideal time for you to seek out Medicare Supplement Rates:
Source: quilertone.info

Central States Indemnity Medicare Insurance

Berkshire Hathaway is of course the large investment conglomerate run by none other than Warren Buffett.  In 1992, Berkshire acquired Central States and due to the immense resources behind such a well respect holding company, CSI is afforded an extremely high rating for a midsize Medicare supplement provider.
Source: ohioinsureplan.com