The Affordable Care Act assumes deep reductions in payments to doctors, hospitals, nursing homes, and Medicare Advantage program, totaling $716 billion over ten years. By paying providers less, the trust fund may last a bit longer, but it means seniors will have a harder and harder time finding a doctor to see them as they drop out of the program or stop taking new Medicare patients. The law may not explicitly cut benefits, but it certainly will impact access to care. What good is a Medicare card if you can’t find a doctor? That is precisely the problem that patients on Medicaid — the program for lower-income Americans — face today, forcing them to go to hospital emergency rooms for even routine care. Do seniors want that?
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State Roundup: Ga. Considers Medicaid Managed Care ‘Light’ Touch
Modern Healthcare: AMA Joins Friend-Of-The-Court Brief In Fla. ‘Docs And Glocks’ Case The American Medical Association and nine other medical specialty societies have filed a friend-of-the-court brief opposing a Florida statute that prohibits physicians from asking patients and families about guns in their home and from noting a patient’s gun ownership in his or her medical record. “Not only do physicians lose the right to express themselves freely, but their patients are deprived of the full range of medical care and professionalism that they could expect from their physicians,” the brief stated. In July, a U.S. District judge in Miami blocked enforcement of the law. The state of Florida appealed this decision. The brief filed by the medical societies is in opposition to Florida’s appeal (Robeznieks, 11/5).
Medicare to pay more often for therapies
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Effective November 1, 2012 on new business & in force business for Family Life Insurance Company 1990 and 2010 Modernized Medicare Supplement plans in Georgia. The Rate Adjustment will affect ALL Plans.
Georgia voters oppose Romney
Georgians are sour on the direction of both the country and the state. Self-identified independent voters are especially skeptical of our national and state progress. Only 24 percent of independents believe Georgia is headed in the right direction while 66 percent say things have gotten off on the wrong track. Their views on the country mirror these numbers with only 21 percent saying the country is headed in the right direction and 77 percent believing things have gotten off on the wrong track.
Georgia Cancer Specialists Settles with Feds over Medicare Billing
The civil settlement resolves the United States’ investigation into Georgia Cancer Specialists’ practices relating to billing for evaluation and management (E&M) services on the same day as a related procedure. Generally, providers are not permitted to bill both E&M services and a related procedure on the same day under the Medicare program’s regulations. In specific circumstances, providers can avoid this prohibition by submitting their claims marked with modifier -25, which tells Medicare to pay both the procedure and the E&M service. Here, the U.S. Attorney’s Office alleged that Georgia Cancer Specialists applied modifier -25 to claims that did not qualify for its use, leading to overpayments by Medicare.
Man pleads guilty to Medicare fraud in Georgia
Individuals convicted of Medicare fraud in Georgia face serious penalties, making it important for those accused of such offenses to seek qualified legal representation immediately. The man in this case is currently in prison in a different state for a guilty plea in another health care fraud case, but faces a fine of up to $250,000 and up to five years of jail time once he is released if he is convicted in Georgia. Because he is not an American citizen and was living in the United States on an expired Visa at the time of the alleged fraud, he will likely face deportation as well. Those proceedings would not occur until he has completed any applicable prison sentences.
Georgia: Medicare In Georgia
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Georgia Medicare Supplement Plans made easy by GAMedicarePlans.com
GAMedicarePlans.com makes shopping for Medicare plans easy and simple by giving you all of the information you need. Their skilled agents will stay with you through the entire process. Your confidence level will go up after requesting a quote from them. Georgia Medicare Supplement Plans were designed to fill in the gaps left by traditional Medicare coverage, and GAMedicarePlans.com has made finding your ideal plan that much more simple for you.