When Working Medicare Supplement Leads, Be Sure Customers Are Aware of Medicare Scams

Posted by:  :  Category: Medicare

Medical Drugs for Pharmacy Health Shop of Medicine by epSos.deTo help clients and potential clients, keep on top of the latest fraud information out there. Check the U.S. Department of Health & Human Services Centers for Medicaid & Medicare Services to find out how to report Medicare fraud, visit the U.S. Senate Special Committee on Aging and read the Elder Fraud and Abuse section, or check out the National Consumer Protection Resource Centre and read about their Senior Medicare Patrols, fraud prevention and health care fraud videos. “Arm you clients with the best information on scams you can find. They will thank you for it,” Green says.
Source: benepath.net

Video: FREE MEDICARE LEADS/ MEDICARE SUPPLEMENT LEADS/ INSURANCE SALES LEADS

Free Insurance Agent Websites And Medicare Quote Engine For Professionals

A new alliance dedicated to insurance agents is all set to revolutionize the insurance industry, by offering a first of its kind networking website solely dedicated to insurance agents where they will have access to a free Medicare supplement quote engine, along with real leads. In essence, a platform where they can build their consumer network socially.
Source: trailer-trash.tv

Free annual enrollment leads, limited time

Are you looking to expand your business this annual enrollment season, but want to make sure you purchase only the highest quality leads to assure your success? If you like our leads all that we ask is that you buy more. The cost is only $15 per lead. You can try us out FREE by getting 5 FREE leads, to ensure you like our quality and service. Our leads are from seniors looking for information on their 2013 Medicare Supplement Health Plan Options. Seniors are called back after responding to a quick telephone survey where they let us know they are interested in being contacted by an agent in their area to talk about their 2013 Medicare Supplement Health Plan Options. Each person is called back by one of our reps and verified that the senior would like a call back from an agent in their area. Each call is recorded and you will be sent the lead in REAL TIME including the clients contact information along with the actual call recording of the client agreeing to a call back from you. Our leads are Exclusive to you! Unlike other companies we do not re-sell your lead to anyone else! We are so confident that you will be fully satisfied with our service that we offer a 100% Satisfaction money back guarantee. Our system is easy to use as you can access your leads from an application in your smart phone, i-pad, or computer at any time, 24 hours a day 7 days a week. We can only generate a limited number of leads so be sure to sign up today. Again space is limited so to assure your spot be sure to sign up immediately! Please visit our website: www.seniorleadmarketing.com or Email us seniorleadmarketing@mail.com
Source: leadbuyernetwork.com

A way to remain tension free – medicare supplement leads

All the above types have their own sets of limitations that can get exhausted anytime. And hence can not be fully relied upon. In this regard, you need the help of Medicare supplement leads. They will help you cover those areas that Medicare couldn’t. All the extra funds needed by you would be kept ready by these supplement needs. So having these supplement leads along with the general insurance cover will assure you that you will never fall short of any funds during your stay in the hospital and during your entire treatment days. These leads can be your perfect gift to your parents or grand parents so as to enable them to spend their last years peacefully and not worry unnecessary about the mounting medical expenses. It is thus very important to have them irrespective of your age group and your present condition. These leads can render your life stress free and you can relax and spend quality time with your near and dear ones.
Source: women-article.com

Poll: Romney pulls even with Obama on Medicare

If Obama loses this election, you can blame/thank the Right for bamboozling him. How is it ethical that an entire news network questions the President’s citizenship for four years to create doubt in voters while a fringe element of the far right demonizes and degrades him? Most of this is financed by the rich who want to keep their stranglehold on the flow of wealth in our country. Watch the white hands apply the Blackface to our first African-American President at http://dregstudiosart.blogspot.com/2012/10/bamboozling-obama.html
Source: unitedliberty.org

Florida Exclusive Medicare Supplement Leads Now Available from Benepath

With a business boost using Florida Medicare supplement leads, an insurance agent helps seniors stay healthy. “These days, Florida Medicare supplement leads are hot items. The nation is graying, and baby boomers have come to a transition point in their lives where they now qualify for Medicare, and also need Medicare supplements to fill in the gaps. It’s a captive market, in that health insurance protects a senior’s most precious asset – their health,” indicated Clelland Green, RHU, CEO, and president of benepath.net, Pennsylvania. Insurance agents working this niche, and buying Florida Medicare supplement leads, are aware that many, but not all, seniors have reached a point in their lives where they are more financially comfortable; a result of saving all their lives. Provided they are not spending their cash reserves on nursing home care, they are relatively well off. In reality, they likely also paid relatively little for their house, compared to today’s market. Many seniors still own their own homes, fully paid for and mortgage free. “While they are still paying property taxes, gone are the days of handing out cash to pay off their mortgage. What was once a $45,000 home may now be worth $450,000, and although their money is tied up in the house, they may have fewer expenses, which simply means they may have more on hand to buy Medicare supplements,” suggested Green. The beauty of using Florida Medicare supplement leads is the opportunity it provides for insurance agents to sell a worthwhile product that helps their customers. Most seniors want to protect their assets, particularly after a lifetime of working for them. “Protecting their health is a vital consideration for them, and if you have the right Medicare supplement products, you will be able to sell them. One distinct benefit is Medicare supplements take care of co-payments; a significant issue for seniors, should they become ill,” Green added. Choose a lead generation company with a sterling reputation, and order exclusive Florida Medicare supplement leads for the best return on the investment of business dollars. Even though running an insurance agency is a business, many agents are in this line of work because they genuinely want to help others and see them stay healthy. To that end, many agents also offer seniors long-term care insurance, final expense insurance and a variety of financial planning options. Insurance these days is pro-active and aimed at bettering the lives of clients. To learn more, visit http://www.benepath.net
Source: sbwire.com

Senior Benefit Services, Inc.

We’ve all heard the saying: “There is no such thing as a Free Lunch”. So, why do we as brokers believe that there is such a thing as getting Free Leads without any work being involved?  That’s why Senior Benefit Services has released their Key Producers Marketing Program.  Simply sell Medicare Supplements with some of our most competitive carriers, and Senior Benefit Services will cover the cost of one of our trusted 1,000 piece Medicare Supplement lead drops in your area.  Get Hard Working Leads – NOT Free Leads that Hardly Work. 
Source: srbenefit.com

How to Get Network Marketing Leads Entirely Free

U.S. law makes it a felony if you fail to declare the income from foreign investments on your U.S. tax return and makes it illegal to not disclose the existence of the foreign account. So what is a person to do? Taxpayers can do nothing and hope they don’t lose the “audit lottery” (there are no winners with the IRS). Or taxpayers can come into compliance, report the account and pay the government ¼ of the highest dollar amount that was in the account. That’s right, if you had an account with $200,000 in it, get out the checkbook and write a check to the IRS for $50,000.
Source: scoop.it

Subsidies for Electronic Medical Records Leads to Higher Medicare Bills

Some experts blame a substantial share of the higher payments on the increasingly widespread use of electronic health record systems. Some of these programs can automatically generate detailed patient histories, or allow doctors to cut and paste the same examination findings for multiple patients — a practice called cloning — with the click of a button or the swipe of a finger on an iPad, making it appear that the physicians conducted more thorough exams than, perhaps, they did.
Source: tenthamendmentcenter.com

Subsidies for Electronic Medical Records Leads to Higher Medicare Bills

Some experts blame a substantial share of the higher payments on the increasingly widespread use of electronic health record systems. Some of these programs can automatically generate detailed patient histories, or allow doctors to cut and paste the same examination findings for multiple patients — a practice called cloning — with the click of a button or the swipe of a finger on an iPad, making it appear that the physicians conducted more thorough exams than, perhaps, they did.
Source: cato-at-liberty.org

Medicare Incontinence Supplies

Posted by:  :  Category: Medicare

Urinary incontinence and unexpected bowel problems are no longer whispered about subjects among medical professionals, patients and caregivers. However, these conditions are still private matters for many people. Increasing life span averages and progressive medical advances allow patients to use simple solutions such as Diapers for Adults, disposable garments such as Depends Adults Diapers and Adult Cloth Diaper products rather than complicated, expensive and embarrassing waste bags and catheter tubing. The demand for convenience, and the increased medical necessity for these products has dramatically increased the market for privately purchased disposable protection and billed Medicare incontinence supplies requested by hospitals, nursing homes and assisted living facilities. Individual consumers and facility purchasing managers will not only find product use to be easier, but purchase and delivery methods are streamlined when buying online.
Source: forincontinence.com

Video: About Shield Healthcare – Medical Supplies for Care at Home

Cheap Catheters and Urological Supplies, Find Medicare Covered Leg Drain Bags, Foley and External Catheter Suppliers Online

Many seniors have incontinence problems or conditions which make require the use of incontinence supplies. If you are searching for a way to find cheap indwelling silicone foley catheters, you might consider any number of online suppliers. However, it will be important to make certain that these suppliers are authorized to bill Medicare Part B, to help keep the price affordable for you, whatever french size foley catheter you need. Generally, Medicare will only cover the use of foley catheters and urinary leg or night bags if you have been diagnosed with condition of permanent incontinence or permanent problems of urinary retention. Once a senior has this diagnosis, their doctor can write a prescription for the need incontinence supplies.  Present this presciption to the authorized supplier for the foley catheter or leg bag, then expect to pay 20% of the approved Medicare amount. Medicare will pay the final 80 percent of the approved amount for the urological supplies.
Source: seniornewscoverage.com

Former Medical Equipment Firm Operator Guilty of Health Care Fraud In Case Investigated by State and Federal Officials

Odoemena admitted that from May 2007 through March 2012, he ran a scheme to defraud Medicare and Medicaid by submitting fraudulent claims that falsely represented that legitimate and qualifying supplies were provided and that falsely represented the medical necessity of the supplies. In one instance, for example, he billed Medicaid $870 for tube feeding supplies for a Medicaid client, when, in fact, he merely provided that client an oral nutritional supplement. Medicaid paid Kingsway $826 for that claim — funds that Odoemena used for his own personal benefit.
Source: wordpress.com

CPT code 43235, 43236, 43237, 43238, 43239 and covered DX

Posted by:  :  Category: Medicare

LCD for Diagnostic and Therapeutic Esophagogastroduodenoscopy (L29167) Coding Information for CPT/HCPCS Codes Bill Type Codes: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service.Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims. Revenue Codes: Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes. 99999 Not Applicable 43235 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) 43236 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE 43237 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE ESOPHAGUS 43238 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S), ESOPHAGUS (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE ESOPHAGUS) 43239 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH BIOPSY, SINGLE OR MULTIPLE 43241 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH TRANSENDOSCOPIC INTRALUMINAL TUBE OR CATHETER PLACEMENT 43243 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH INJECTION SCLEROSIS OF ESOPHAGEAL AND/OR GASTRIC VARICES 43244 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH BAND LIGATION OF ESOPHAGEAL AND/OR GASTRIC VARICES 43245 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH DILATION OF GASTRIC OUTLET FOR OBSTRUCTION (EG, BALLOON, GUIDE WIRE, BOUGIE) 43246 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH DIRECTED PLACEMENT OF PERCUTANEOUS GASTROSTOMY TUBE 43247 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH REMOVAL OF FOREIGN BODY 43248 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH INSERTION OF GUIDE WIRE FOLLOWED BY DILATION OF ESOPHAGUS OVER GUIDE WIRE 43249 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER) 43250 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY 43251 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE 43255 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH CONTROL OF BLEEDING, ANY METHOD 43258 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE ICD-9 Codes that Support Medical Necessity 040.2 WHIPPLE’S DISEASE 112.84 CANDIDAL ESOPHAGITIS 150.0 – 152.9 opens in new window MALIGNANT NEOPLASM OF CERVICAL ESOPHAGUS – MALIGNANT NEOPLASM OF SMALL INTESTINE UNSPECIFIED SITE 155.0 MALIGNANT NEOPLASM OF LIVER PRIMARY 156.0 – 156.9 opens in new window MALIGNANT NEOPLASM OF GALLBLADDER – MALIGNANT NEOPLASM OF BILIARY TRACT PART UNSPECIFIED SITE 157.0 – 157.9 opens in new window MALIGNANT NEOPLASM OF HEAD OF PANCREAS – MALIGNANT NEOPLASM OF PANCREAS PART UNSPECIFIED 159.8 MALIGNANT NEOPLASM OF OTHER SITES OF DIGESTIVE SYSTEM AND INTRA-ABDOMINAL ORGANS 176.3 KAPOSI’S SARCOMA GASTROINTESTINAL SITES 197.4 SECONDARY MALIGNANT NEOPLASM OF SMALL INTESTINE INCLUDING DUODENUM 197.6 SECONDARY MALIGNANT NEOPLASM OF RETROPERITONEUM AND PERITONEUM 198.89 SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES 202.80 OTHER MALIGNANT LYMPHOMAS UNSPECIFIED SITE 211.0 – 211.9 opens in new window BENIGN NEOPLASM OF ESOPHAGUS – BENIGN NEOPLASM OF OTHER AND UNSPECIFIED SITE IN THE DIGESTIVE SYSTEM 214.3 LIPOMA OF INTRA-ABDOMINAL ORGANS 214.9 LIPOMA UNSPECIFIED SITE 215.9 OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE SITE UNSPECIFIED 228.04 HEMANGIOMA OF INTRA-ABDOMINAL STRUCTURES 230.1 – 230.8 opens in new window CARCINOMA IN SITU OF ESOPHAGUS – CARCINOMA IN SITU OF LIVER AND BILIARY SYSTEM 235.2 – 235.4 opens in new window NEOPLASM OF UNCERTAIN BEHAVIOR OF STOMACH INTESTINES AND RECTUM – NEOPLASM OF UNCERTAIN BEHAVIOR OF RETROPERITONEUM AND PERITONEUM 239.0 NEOPLASM OF UNSPECIFIED NATURE OF DIGESTIVE SYSTEM 251.5 ABNORMALITY OF SECRETION OF GASTRIN 261 NUTRITIONAL MARASMUS 263.0 – 263.9 opens in new window MALNUTRITION OF MODERATE DEGREE – UNSPECIFIED PROTEIN-CALORIE MALNUTRITION 280.0 – 280.9 opens in new window IRON DEFICIENCY ANEMIA SECONDARY TO BLOOD LOSS (CHRONIC) – IRON DEFICIENCY ANEMIA UNSPECIFIED 285.1 ACUTE POSTHEMORRHAGIC ANEMIA 300.11 CONVERSION DISORDER 306.4 GASTROINTESTINAL MALFUNCTION ARISING FROM MENTAL FACTORS 307.1 ANOREXIA NERVOSA 307.50 EATING DISORDER UNSPECIFIED 307.51 BULIMIA NERVOSA 307.52 PICA 307.53 RUMINATION DISORDER 307.54 PSYCHOGENIC VOMITING 438.82 DYSPHAGIA CEREBROVASCULAR DISEASE 447.2 RUPTURE OF ARTERY 448.0 HEREDITARY HEMORRHAGIC TELANGIECTASIA 456.0 ESOPHAGEAL VARICES WITH BLEEDING 456.1 ESOPHAGEAL VARICES WITHOUT BLEEDING 456.20 – 456.21 opens in new window ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITH BLEEDING – ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITHOUT BLEEDING 507.0 PNEUMONITIS DUE TO INHALATION OF FOOD OR VOMITUS 530.0 – 530.89 opens in new window ACHALASIA AND CARDIOSPASM – OTHER DISEASES OF ESOPHAGUS 531.00 – 531.91 opens in new window ACUTE GASTRIC ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION – GASTRIC ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION 532.00 – 532.91 opens in new window ACUTE DUODENAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION – DUODENAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION 533.00 – 533.91 opens in new window ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE WITHOUT OBSTRUCTION – PEPTIC ULCER OF UNSPECIFIED SITE UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION 534.00 – 534.91 opens in new window ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION – GASTROJEJUNAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION 535.00 – 535.71 opens in new window ACUTE GASTRITIS (WITHOUT HEMORRHAGE) – EOSINOPHILIC GASTRITIS, WITH HEMORRHAGE 536.1 ACUTE DILATATION OF STOMACH 536.2 PERSISTENT VOMITING 536.3 GASTROPARESIS 536.40 – 536.49 opens in new window GASTROSTOMY COMPLICATION UNSPECIFIED – OTHER GASTROSTOMY COMPLICATIONS 536.8 DYSPEPSIA AND OTHER SPECIFIED DISORDERS OF FUNCTION OF STOMACH 537.0 – 537.89 opens in new window ACQUIRED HYPERTROPHIC PYLORIC STENOSIS – OTHER SPECIFIED DISORDERS OF STOMACH AND DUODENUM 538 GASTROINTESTINAL MUCOSITIS (ULCERATIVE) 551.3 DIAPHRAGMATIC HERNIA WITH GANGRENE 552.3 – 552.8 opens in new window DIAPHRAGMATIC HERNIA WITH OBSTRUCTION – HERNIA OF OTHER SPECIFIED SITES WITH OBSTRUCTION 553.3 DIAPHRAGMATIC HERNIA WITHOUT OBSTRUCTION OR GANGRENE 555.0 – 555.9 opens in new window REGIONAL ENTERITIS OF SMALL INTESTINE – REGIONAL ENTERITIS OF UNSPECIFIED SITE 560.9 UNSPECIFIED INTESTINAL OBSTRUCTION 562.01 DIVERTICULITIS OF SMALL INTESTINE (WITHOUT HEMORRHAGE) 562.02 DIVERTICULOSIS OF SMALL INTESTINE WITH HEMORRHAGE 562.03 DIVERTICULITIS OF SMALL INTESTINE WITH HEMORRHAGE 569.62 MECHANICAL COMPLICATION OF COLOSTOMY AND ENTEROSTOMY 569.71 – 569.79 opens in new window POUCHITIS – OTHER COMPLICATIONS OF INTESTINAL POUCH 569.82 ULCERATION OF INTESTINE 569.87 VOMITING OF FECAL MATTER 571.1 ACUTE ALCOHOLIC HEPATITIS 571.2 ALCOHOLIC CIRRHOSIS OF LIVER 571.3 ALCOHOLIC LIVER DAMAGE UNSPECIFIED 571.40 CHRONIC HEPATITIS UNSPECIFIED 571.41 CHRONIC PERSISTENT HEPATITIS 571.42 AUTOIMMUNE HEPATITIS 571.49 OTHER CHRONIC HEPATITIS 571.5 CIRRHOSIS OF LIVER WITHOUT ALCOHOL 571.6 BILIARY CIRRHOSIS 572.3 PORTAL HYPERTENSION 574.00 – 574.01 opens in new window CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS WITHOUT OBSTRUCTION – CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS WITH OBSTRUCTION 574.10 – 574.11 opens in new window CALCULUS OF GALLBLADDER WITH OTHER CHOLECYSTITIS WITHOUT OBSTRUCTION – CALCULUS OF GALLBLADDER WITH OTHER CHOLECYSTITIS WITH OBSTRUCTION 574.20 – 574.21 opens in new window CALCULUS OF GALLBLADDER WITHOUT CHOLECYSTITIS WITHOUT OBSTRUCTION – CALCULUS OF GALLBLADDER WITHOUT CHOLECYSTITIS WITH OBSTRUCTION 574.30 – 574.31 opens in new window CALCULUS OF BILE DUCT WITH ACUTE CHOLECYSTITIS WITHOUT OBSTRUCTION – CALCULUS OF BILE DUCT WITH ACUTE CHOLECYSTITIS WITH OBSTRUCTION 574.40 – 574.41 opens in new window CALCULUS OF BILE DUCT WITH OTHER CHOLECYSTITIS WITHOUT OBSTRUCTION – CALCULUS OF BILE DUCT WITH OTHER CHOLECYSTITIS WITH OBSTRUCTION 575.0 ACUTE CHOLECYSTITIS 575.5 FISTULA OF GALLBLADDER 576.0 POSTCHOLECYSTECTOMY SYNDROME 576.4 FISTULA OF BILE DUCT 577.0 ACUTE PANCREATITIS 577.1 CHRONIC PANCREATITIS 577.2 CYST AND PSEUDOCYST OF PANCREAS 578.0 – 578.9 opens in new window HEMATEMESIS – HEMORRHAGE OF GASTROINTESTINAL TRACT UNSPECIFIED 579.0 – 579.9 opens in new window CELIAC DISEASE – UNSPECIFIED INTESTINAL MALABSORPTION 694.0 DERMATITIS HERPETIFORMIS 710.1 SYSTEMIC SCLEROSIS 747.61 GASTROINTESTINAL VESSEL ANOMALY 750.3 CONGENITAL TRACHEOESOPHAGEAL FISTULA ESOPHAGEAL ATRESIA AND STENOSIS 750.4 OTHER SPECIFIED CONGENITAL ANOMALIES OF ESOPHAGUS 750.5 CONGENITAL HYPERTROPHIC PYLORIC STENOSIS 750.6 CONGENITAL HIATUS HERNIA 750.7 OTHER SPECIFIED CONGENITAL ANOMALIES OF STOMACH 783.0 ANOREXIA 783.21 – 783.3 opens in new window LOSS OF WEIGHT – FEEDING DIFFICULTIES AND MISMANAGEMENT 784.42 DYSPHONIA 784.43 HYPERNASALITY 784.44 HYPONASALITY 784.49 OTHER VOICE AND RESONANCE DISORDERS 784.52 FLUENCY DISORDER IN CONDITIONS CLASSIFIED ELSEWHERE 784.91 – 784.99 opens in new window POSTNASAL DRIP – OTHER SYMPTOMS INVOLVING HEAD AND NECK 786.2 COUGH 786.50 – 786.59 opens in new window UNSPECIFIED CHEST PAIN – OTHER CHEST PAIN 786.6 SWELLING MASS OR LUMP IN CHEST 787.01 – 787.91 opens in new window NAUSEA WITH VOMITING – DIARRHEA 789.00 – 789.09 opens in new window ABDOMINAL PAIN UNSPECIFIED SITE – ABDOMINAL PAIN OTHER SPECIFIED SITE 789.30 – 789.39 opens in new window ABDOMINAL OR PELVIC SWELLING MASS OR LUMP UNSPECIFIED SITE – ABDOMINAL OR PELVIC SWELLING MASS OR LUMP OTHER SPECIFIED SITE 789.51 – 789.59 opens in new window MALIGNANT ASCITES – OTHER ASCITES 789.60 – 789.69 opens in new window ABDOMINAL TENDERNESS UNSPECIFIED SITE – ABDOMINAL TENDERNESS OTHER SPECIFIED SITE 790.5 OTHER NONSPECIFIC ABNORMAL SERUM ENZYME LEVELS 790.99 OTHER ABNORMAL FINDINGS ON EXAMINATION OF BLOOD 792.1 NONSPECIFIC ABNORMAL FINDINGS IN STOOL CONTENTS 793.4 NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF GASTROINTESTINAL TRACT 793.6 NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF ABDOMINAL AREA, INCLUDING RETROPERITONEUM 799.4 CACHEXIA 862.22 INJURY TO ESOPHAGUS WITHOUT OPEN WOUND INTO CAVITY 874.4 – 874.5 opens in new window OPEN WOUND OF PHARYNX WITHOUT COMPLICATION – OPEN WOUND OF PHARYNX COMPLICATED 935.1 – 935.2 opens in new window FOREIGN BODY IN ESOPHAGUS – FOREIGN BODY IN STOMACH 936 FOREIGN BODY IN INTESTINE AND COLON 938 FOREIGN BODY IN DIGESTIVE SYSTEM UNSPECIFIED 947.0 BURN OF MOUTH AND PHARYNX 947.2 – Diagnoses that Support Medical Necessity N/A ICD-9 Codes that DO NOT Support Medical Necessity ICD-9 Codes that DO NOT Support Medical Necessity Asterisk Explanation * According to the ICD-9-CM book, diagnosis codes E864.1, E864.2, E864.3, E864.4 and E961 are secondary diagnosis codes and should not be billed as the primary diagnosis. 947.3 opens in new window BURN OF ESOPHAGUS – BURN OF GASTROINTESTINAL TRACT 959.01 – 959.09 opens in new window OTHER AND UNSPECIFIED INJURY TO HEAD – OTHER AND UNSPECIFIED INJURY TO FACE AND NECK 983.2 – 983.9 opens in new window TOXIC EFFECT OF CAUSTIC ALKALIS – TOXIC EFFECT OF CAUSTIC UNSPECIFIED 990 EFFECTS OF RADIATION UNSPECIFIED 996.82 COMPLICATIONS OF TRANSPLANTED LIVER 997.4 DIGESTIVE SYSTEM COMPLICATIONS NOT ELSEWHERE CLASSIFIED E864.1* ACCIDENTAL POISONING BY ACIDS NOT ELSEWHERE CLASSIFIED E864.2* ACCIDENTAL POISONING BY CAUSTIC ALKALIS NOT ELSEWHERE CLASSIFIED E864.3* ACCIDENTAL POISONING BY OTHER SPECIFIED CORROSIVES AND CAUSTICS NOT ELSEWHERE CLASSIFIED E864.4* ACCIDENTAL POISONING BY UNSPECIFIED CORROSIVES AND CAUSTICS NOT ELSEWHERE CLASSIFIED E961* ASSAULT BY CORROSIVE OR CAUSTIC SUBSTANCE EXCEPT POISONING V10.00 PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED SITE IN GASTROINTESTINAL TRACT V10.03 – V10.04 opens in new window PERSONAL HISTORY OF MALIGNANT NEOPLASM OF ESOPHAGUS – PERSONAL HISTORY OF MALIGNANT NEOPLASM OF STOMACH V10.09 PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER SITES IN GASTROINTESTINAL TRACT V12.71 PERSONAL HISTORY OF PEPTIC ULCER DISEASE V12.72 PERSONAL HISTORY OF COLONIC POLYPS V12.79 PERSONAL HISTORY OF OTHER SPECIFIED DIGESTIVE SYSTEM DISEASES V18.51 – V18.59 opens in new window FAMILY HISTORY, COLONIC POLYPS – FAMILY HISTORY, OTHER DIGESTIVE DISORDERS V55.1 ATTENTION TO GASTROSTOMY V58.61 LONG-TERM (CURRENT) USE OF ANTICOAGULANTS V58.64 LONG-TERM (CURRENT) USE OF NONSTEROIDAL ANTIINFLAMMATORIES V58.69 LONG-TERM (CURRENT) USE OF OTHER MEDICATIONS V69.1 INAPPROPRIATE DIET AND EATING HABITS N/A XX000 Not Applicable Diagnoses that DO NOT Support Medical Necessity N/A Back
Source: medicalbillingcptmodifiers.com

Video: NPIDS eDirectory – NPI Lookup (PDF Directory of US Healthcare Providers from NPI Data Services)

FREE Website NPINumber.org Enables NPI lookup

USA(SANEPR.com) October 9, 2007 — ICS Software Ltd. has recently published a website that allows anyone to look up the NPI number of health care professionals at no charge. The information on this website also includes mailing address, practice location, credential information, UPIN number, taxonomy number, and provider number. The information retrieved from this website is provided by NPPES. NPINumber.org allows the user to receive automatic updates when Doctors in your state update their information. The user is encouraged to create an account in order to save their individual user preferences to expedite the searching process. The account user will also receive information and special offers from ICS Software, Ltd. periodically if requested. Currently, creating an account on NPINumber.org provides the user with 25 free clicks on CheckMedicare.com whether they are a current subscriber or not. Checkmedicare.com is a website that allows providers to look up Medicare eligibility and benefit status. This website will even tell the provider how much of the deductible is left so it can be collected at the time of the visit. If the patient opted out of Medicare and is now with an HMO this website will give that information as well. More benefits of creating an account on NPINumber.org will be revealed in the coming weeks. ICS Software is the developer of checkmedicare.com and the practice management software, The Sammy Systems. For CheckMedicare.com users, their username and password for CheckMedicare.com will work for NPINumber.org. All user information entered when the CheckMedicare.com account was created will automatically be linked to NPINumber.org.
Source: sanepr.com

Pharmacy Technician Schools

Pharmacists are assisted by pharmacy technicians who enable them to perform their duties thoroughly as well as efficiently. Pharmacy technicians ensure smooth handling of a pharmacy. Apart from attending to the medical needs of the customers, pharmacy technicians count tablets and bottle prescriptions. Some certified pharmacy technicians work under the supervision of pharmacists for a couple of years and then head back to school to become pharmacists. These pharmacy technician-turned-pharmacists have more career opportunities.
Source: techpharmtraining.info

Random Ramblings: National Certification test today

It is also a major pain. I haven’t been in school for over 5 years, an this test is entirely on “what the book says to do” rather than on “what actually works in real life.” I’ve been in practice long enough that the later is what I actually use. I’ve also worked in ortho for 5 years – I’ve had to really study to be able to remember what serology test turns positive first in hepatitis B infection (Hep B surface antigen), or that acute myelogenous leukemia (AML) is the most common leukemia in adults. I deal with bones and joints. Not primary care. Wish me luck.
Source: blogspot.com

When it’s Time to Drop Your Medicare Advantage Plan

Posted by:  :  Category: Medicare

THE LITTLE MAN KILLED MEDICARE FOR EVERYBONE by SS&SS. The ads don’t say much but give enough clues to tip you off that you must ask lots of questions and dig deep to find out what you’re getting. A solicitation I received from UnitedHealthcare touted the plan’s zero monthly premium, zero copay for a primary care doctor’s visit, zero medical deductible and zero prescription drug deductible. A closer look revealed that the copays for expensive drugs were steep—$95 for non-preferred brand drugs and 33 percent of the cost for a specialty drug. Then came the fine print warning: “Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co/insurance may change on January 1 of each year.”
Source: preparedpatientforum.org

Video: Medicare Supplement vs. Medicare Advantage Plans – A Doctor’s Perspective

Medicare coverage and its supporting products are so difficult to understand?

each year.  Some insurance agencies hold informational meetings to help outline the differences in each plan.  Your health needs could change from year to year.  One year, you may find that you need only basic coverage.  Throughout the next year, your healthcare requirements increase and you see that adding additional coverage is necessary.  An insurance professional can work with you, looking up the tiers your medication falls in on the drug formularies published by insurance carriers or help you find participating providers in a Medicare Advantage HMO or PPO.
Source: foglegroup.com

Medicare Special Needs Plans for Dual Eligibles: Recommended Improvements to D

In the later, Mike Fox and Kip Piper of Sellers Dorsey provide a 90-minute briefing for health plan executives on the new demonstrations to integrate Medicare and Medicaid financing and care delivery for dual eligibles. Mike and Kip describe the current $350 billion dual eligibles marketplace, state plans to contract with health plans, steps health plans should take in assessing the business opportunities and risks of serving this market, and key considerations for entering the integrated Medicare-Medicaid health plan business.  Watch the briefing online for free here on Vimeo.
Source: piperreport.com

Obama administration hides Medicare Advantage cuts in demonstration project

“Over the next few years the Affordable Care Act cuts about $156 billion worth of subsidies from Medicare Advantage plans,” Herrick said. “Nearly one in four seniors are enrolled in a Medicare Advantage plan. Half of these may lose their plans, as plans that are no longer profitable close due to the budget cuts. However, millions of seniors being thrown off their private Medicare plans in an election year is not something that’s welcome by the Administration.
Source: consumerinsuranceguide.com

Dispelling Some Rumors About Medicare And The Health Law Limiting Care

Medicare Part D prescription drug plans vary widely, both in terms of which drugs are covered and in how much beneficiaries must pay out of pocket for them. But Medicare drug plans must cover at least two drugs in each drug class or category, such as cardiovascular agents, which would include cholesterol-lowering medications, and blood- glucose regulators such as oral anti-diabetes drugs. In addition, the plans must cover nearly all the drugs in six protected classes, including cancer drugs, HIV/AIDS drugs, antidepressants, antipsychotics, anticonvulsants and immunosuppressant drugs.
Source: kaiserhealthnews.org

Medicare fees rise for 2013

After putting in some of my hard earned wages and our goverment “at work” borrowing it, Social Security should not be cut. Our president and congress continue getting their same salary for life while some of us are barely keeping our heads above water. These politicians should only be paid when they are in office and limited to the time they are working for us. They miss votes, get paid for public appearances, write books, campaign, travel all over, appear on TV shows and we are paying those costs plus their salary. Even with my 401K, it is a struggle. I was a casualty of the crash. Too young to afford to retire and too old to find another job in a difficult market. I had to go on Social Security as soon as I was eligible. My $950 a month doesn’t cover my expenses but I can’t do without it. Gas, groceries, taxes, have all gone up but my benefit keeps shrinking. Being a woman and being paid less than my male counterparts hurts me more now than it did when I was working. Change was for the worst and I’m certainly not moving forward!
Source: bankrate.com

NEW TO MEDICARE!! WHAT IS MY BEST OPTION? » Toni Says

**There is an important disclaimer at the bottom of page 57 of the handbook and it states:  ‘If you join a Medicare Advantage plan, you don’t need a Medigap/Medicare supplement policy and if you already have a Medigap/Medicare supplement, you can’t use it to pay the out of pocket or co pays for the Medicare Advantage plan’.  It also states that “if you already have a Medicare Advantage plan, you can’t be sold a Medigap/Medicare supplement policy.”** 
Source: tonisays.com

More Time to Enroll in Medicare If You Live in Storm Areas

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Kramer Chiropractic & Massage: Medicare Replacement Policies

Here are the most common plans that have replaced Medicare policies: Health Partners Freedom- these plans DO need to be prior auth. Medica-Prime Solutions -PA as req by Medica U-Care- Medicare Advantage Blue Cross Blue Shield-Medicare Advantage All these plans require medicare diagnosis and follow medicare guidelines (only adjustments covered/ no exams, therapies or x-rays) . These patients should still sign the ABN for these services. Also, regarding the new fee slips: please make sure Patient name is ledgible and that a date is being put on the top- if not by the patient, then by whoever is checking them in- this is our only signed record by the patient that they were in the office that day. Thanks :) Kathy S.
Source: blogspot.com

Providers File The Bulk Of Medicare Appeals

Medicare beneficiaries and providers can challenge the denial of a claim in several appeals stages, but the first two are decided by contractors working for Medicare who base their opinions on case files.  In the third step, which is the focus of the report, appellants have a hearing before a judge, testimony can be provided, witnesses can be cross-examined, and new evidence can be introduced.  The judges are lawyers in the Office of Medicare Hearings and Appeals, an independent agency within HHS.
Source: kaiserhealthnews.org

Daily Kos: A chastened AARP fights Social Security, Medicare, Medicaid cuts

Posted by:  :  Category: Medicare

Alumbrados, Sylv, RF, Ray Radlein, filkertom, slinkerwink, glitterscale, abarefootboy, Gooserock, NYmom, saraswati, mimi, emal, Bob Love, tommurphy, Sherri in TX, Vico, mslat27, akeitz, Matilda, exNYinTX, RubDMC, Zinman, missLotus, boadicea, themank, farmerhunt, antirove, fight2bfree, Eyesbright, duncanidaho, i dont get it, Steveningen, Bluehawk, defluxion10, lcrp, MagentaMN, Brian82, Diana in NoVa, FlyingToaster, zerelda, KayCeSF, Sassy, sebastianguy99, Gowrie Gal, lavaughn, maybeeso in michigan, marina, ichibon, citizenx, MT Spaces, Brooke In Seattle, Ice Blue, Jim R, splashoil, Jim P, begone, barbybuddy, Born in NOLA, martini, Shirl In Idaho, irishwitch, Patriot Daily News Clearinghouse, myboo, vigilant meerkat, profundo, Russgirl, HoundDog, Gorette, KenBee, Wary, blueoasis, DarkestHour, OMwordTHRUdaFOG, means are the ends, sea note, Palmetto Progressive, Aaa T Tudeattack, ammasdarling, One Pissed Off Liberal, john07801, Cronesense, Habitat Vic, Loudoun County Dem, gloriana, yoduuuh do or do not, DvCM, Mary Mike, dclawyer06, MI Sooner, millwood, carpunder, uciguy30, GeorgeXVIII, leonard145b, TomP, W T F, JDWolverton, TruthFreedomKindness, wayoutinthestix, OleHippieChick, Sixty Something, Aureas2, Involuntary Exile, elwior, Its any one guess, Lujane, rssrai, RandomNonviolence, Gemina13, Parthenia, Karl Rover, greengemini, divineorder, ewmorr, jennylind, zaka1, jomi, papahaha, sfarkash, Larsstephens, Johnnythebandit, secret38b, biggiefries, Crabby Abbey, Progressive Pen, Egalitare, stevenaxelrod, cany, Wisdumb, allenjo, I love OCD, allisoneisall, freesia, BlueJessamine, ardyess, FarWestGirl, KelleyRN2, PedalingPete, PorridgeGun, IllanoyGal, merrily1000, CherryTheTart, createpeace, corvaire, peregrine kate, whaddaya, cjo30080, Vatexia, jolux, ratcityreprobate, just another vortex, stlsophos, PrometheusUnbound, quill, StonyB, cwsmoke, Williston Barrett, pistolSO, IndieGuy, Jakkalbessie, a2nite, JGibson, This old man, Mr Robert, lunachickie, arizonablue, wasatch, onceasgt, AppleCider, gypsytoo, mtnlvr1946, Icicle68, rigcath, Fairlithe, shinobi9
Source: dailykos.com

Video: Medicare Coverage In South Dakota by 1 800 MEDIGAP®

Medicare scam targets seniors

The most recent scam involves callers posing as a telemarketing company hired by Medicare to contact all South Dakota Medicare recipients to alert them that new Medicare identification cards will be mailed soon. The caller continues by trying to verify account information to assure that funds will go into the appropriate account. The callers are relentless, making numerous calls to the same individuals. They threaten that if the information is not provided coverage will be lost including prescription drug coverage.
Source: kotatv.com

South Dakota Medicare Part D Plans

If all your medications are included in a basic formulary, an you enroll in an enhanced plan, you could be wasting some money. In this case you may be better off finding a basic plan with a low or $0 deductible. There are many things to consider when choosing a Part D plan. Be sure you are not paying too much for what you really need.
Source: partdplanfinder.com

At AARP summit, campaigns joust over Ryan Medicare plan

Afghanistan Ahead Apos S Barack Obama Campaign Trail Congress Debate Democrats Economy Election Day Election Year Fox News Gop Iran Jobs Lawmakers Libya Marriage Massachusetts Governor Mitt Romney Money Nasdaq New Hampshire Newt Gingrich Obama Paul Ryan Pentagon Polls Presidential Campaign Presidential Race Prnewswire Republican Republican Presidential Candidate Republicans Rick Santorum Sioux Falls South Carolina Supreme Court Syria United States Vice President Violence Vote White House Wins
Source: southdakotanewswire.org

South Dakota Politics: Mendacity, Medicare, & Social Security

Given the trillion dollar plus deficits the United States is currently piling up each year, I am less confident than they are. But let us assume, arguendo, that they are right. Privately managed savings always involved a tradeoff between risk and returns. The savings are always invested in something that is expected to hold or increase its value. Someone hoping for a high return on his or her savings will have to accept a greater degree of risk. Someone wanting security will generally accept much lower returns. Privately managed accounts can pay returns because the money invested in a way that creates wealth, enough wealth to cover both the returns and to allow the managers to make a profit.
Source: blogs.com

Medicare fees rise for 2013

After putting in some of my hard earned wages and our goverment “at work” borrowing it, Social Security should not be cut. Our president and congress continue getting their same salary for life while some of us are barely keeping our heads above water. These politicians should only be paid when they are in office and limited to the time they are working for us. They miss votes, get paid for public appearances, write books, campaign, travel all over, appear on TV shows and we are paying those costs plus their salary. Even with my 401K, it is a struggle. I was a casualty of the crash. Too young to afford to retire and too old to find another job in a difficult market. I had to go on Social Security as soon as I was eligible. My $950 a month doesn’t cover my expenses but I can’t do without it. Gas, groceries, taxes, have all gone up but my benefit keeps shrinking. Being a woman and being paid less than my male counterparts hurts me more now than it did when I was working. Change was for the worst and I’m certainly not moving forward!
Source: bankrate.com

Medicare Supplement Insurance Approved for South Dakota Seniors

We are pleased to announce the availability of lower cost Medicare Supplement Insurance in South Dakota. The South Dakota Department of Insurance approved Medicare Supplement Insurance plans from State Mutual Insurance Company and made it possible for us to offer extremely competitive Medicare Supplement Insurance rates for qualifying South Dakota seniors.
Source: statemutualinsurance.com

Are Medicare Supplemental Insurance Costs The Same Throughout The U.S.?

Medicare supplemental insurance costs are based on a number of factors that vary from state to state. The amount of care required by a population can make a difference, as states with an older average population, for example, are charged more as the elderly generally require more care than a younger population. Some states offer better care, such as easier access to cutting-edge technology, better pharmaceutical care, and more outpatient therapy options; however, as these cost more, Medicare must also charge more just like other insurance carriers to make up the difference. For example, in 1996, those first purchasing a BC/BS Plan F in South Dakota would $778, as opposed to $1531 for Floridians.
Source: seniorcorps.org

Is a high deductible health plan right for me?

Posted by:  :  Category: Medicare

Maryland Health Insurance Plan Federal Press Announcement by MDGovpicsWell, the fact is that there’s no one health insurance plan that’s best for everyone. For example, some people value preventive medical care more than anything; others only want coverage that’s there for them in an emergency. Young people might need a different kind of protection than older people. Finding the right match for your needs isn’t easy.
Source: ehealthinsurance.com

Video: Health Insurance Information : Types of Insurance Policies for a Business

How’s That Obamacare Waiver Workin’ Out for Ya?

“There’s no such thing as a free lunch” is a race-neutral truth. But economically illiterate Obama supporters have now called for boycotts of these businesses and accused them of vengeful “racism” against the president. Instead of sympathy and gratitude for private businesses trying to do right by their workers, customers and shareholders, the corporate-bashers inundated Twitter this week with profanity-laced condemnations of the restaurant service industry. One protester tweeted: “@Applebees Your CEO is a racist piece of (redacted), he not hiring because Obama was elected…U WILL LOSE CUSTOMERS.”
Source: townhall.com

States get more time for health exchange plans

ozzie not much actually… it can be digitally run for extremely cheap.. Thats how you do it with federal employees. Its actually amazingly cheap. And the insurance company choices and all the plans within those companies are available to you. You know those awesome plans everyone complains about federal employees having and not them? Well guess what, now you get them too. And you get the buying power of your entire state or even nation depending on the particular plan you get. Not just the buying power of your company. Youll save a buttload, plus have amazing healthcare for once. For a single individual, its about 30 bucks every 2 weeks to 60 bucks every 2 weeks depending on what plan you want. Family youll pay about 300 a month for the top, or for the savings account types, 100-200 depending, and its deducted from your taxed part of your income, so youll barely see any of that come from the actual take home pay part of your paycheck. Its actually really fancy, and really cheap, and on top of that even tax deductable from there.
Source: nbcnews.com

Elisabete Jacinto finishes the Moroccan Rally on the podium

On reaching Zagora, the Portuguese race driver made a general survey of the competition: “Fortunately everything went on well, and we are very happy. Of course this good classification is due to my team’s excellent work. With expertise and imagination, the assistance solved all the problems which we had to face, and José Marques, though having suffered some moments of anxiety, did an excellent navigation. A word also about Marco Cochinho, who has been doing a brilliant maintenance work, which has enabled us to finish all the races. Now we are heading home with an enormous list of tasks to complete before Africa Eco Race. This is also a rally which is supposed to have a high competitive level, and we want to be well prepared”, she concluded.
Source: rallyraid.net

Taking a Closer Look at the Presidential Candidates’ Health Care Plans

The U.S. health care system is primarily employer-based. According to the U.S. Census Bureau, in 2007, about 84.7% of Americans had some form of health insurance, with 59.3% through their employer or the employer of their spouse or parent, 8.9% through individually-purchased plans, and 27.8% through government plans. Employer-based insurance plans are generally preferred since almost all government health care plans have restricted eligibility and are only valid in certain medical facilities (this is also true for individually-purchased insurance plans). The disadvantage of such a system is the inextricable link between employment and access to health care insurance. Many Americans who are not provided health insurance through an employer and do not meet the requirements for government-provided health care insurance remain uninsured due to the high cost of individually-purchased plans. According to a Kaiser Family Foundation survey in 2009, almost one in four Americans say they or someone in their family delayed medical treatment last year due to cost (This rate becomes almost one in half among the 18 million uninsured people).
Source: globemed.org

Administration Releases New Health Law Rules For Insurers, Employers

Karen Ignagni, the head of the industry’s trade group, said the proposed rules need to insure that health coverage remains affordable.  While welcoming the state flexibility, she said, “We remain concerned that many families and small businesses will be required to purchase coverage that is more costly than they have today.  It also is important to recognize that the new EHB requirements will coincide with the new restrictions in age rating rules that also go into effect on January 1, 2014.  Both of these provisions may incentivize young, healthy people to wait to purchase insurance until they are sick or injured, driving up costs for everyone with insurance.”
Source: kaiserhealthnews.org

Insurance Commissioner Mike Chaney Sends Health Insurance Plan To Feds

Sam is the community engagement editor at The Clarion-Ledger, where he also leads a team of reporters covering the big stories of the day in Mississippi and the metro area. He has served as editor and publisher of several Mississippi and Alabama newspapers. Sam lives in Florence with his wife, three kids, a cat and a goldfish. During football season, he’s ringing cowbells on Saturdays and watching the Pats on Sundays. During baseball, he’s hoping for one more miraculous season led by Big Papi’s bat. And during basketball season, he catches up on TV. 
Source: clarionledger.com

Florida Health Insurance Exchange: What You Should Know

Florida, Texas and California contribute around 40 percent of over four million children who are uninsured and their lack of coverage hurts the elders or adults in these states. A health insurance exchange can provide the public with a good chance to obtain health plans they can afford to have. However, some health insurance professionals are expecting that healthy people will opt out from the exchange if it is not well planned, leaving insurance providers insuring sick individuals, which usually drive up Florida plan premiums.
Source: wordpress.com

Choosing a Health Insurance Plan?

You should take advantage of a new consumer benefit to help you compare health insurance plans. Beginning September 23, 2012, all private insurers must describe their health policies in a same way. Here’s an example of the first page of this description, so you know what to look for.
Source: consumersunion.org

Medicare Part D and Medicare Advantage Changes for 2013

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSThe Affordable Care Act includes provisions that, over time, are reducing the cost of prescription drugs for people who fall into the coverage gap, or “donut hole.” In 2011 and 2012, the discount for brand name drugs was 50%; in 2013 and 2014, it will increase to 52.5%, and will grow after that until it reaches 75% in 2020.
Source: wordpress.com

Video: Medicare Advantage Plans Ratings | Medicare Part C

Early Evidence Suggests Medicare Advantage Pay For Performance May Be Getting Results

The ACA phases out higher payments previously given to all MA plans. Instead, Medicare in 2012 began paying bonuses only to plans with strong performance on clinical quality, service measures and patient experience of care measures. Medicare bases the 2012 bonus payments on 2011 plan performance, as rated by a five-star system. This system incorporates Health Effectiveness Data Information Set (HEDIS®) and other quality measures, Consumer Assessment of Health Plans (CAHPS®) patient experience results (See Note 1 below.), and results of the Health Outcomes Survey (HOS) that tracks patient-reported outcomes over time. It also includes metrics such as complaints Medicare received about the plan, customer service for drug benefit plans, and beneficiary access and performance problems identified in audits by Medicare.
Source: healthaffairs.org

2011 Medicare Advantage and Mediare Part D Star Ratings

The 5-star rating system is used by CMS to monitor plans to ensure that they meet Medicare’s quality standards.  The ratings provide Medicare beneficiaries with a tool to compare the quality of care and customer service that Medicare health and drug plans offer. In addition, a “low performer” icon is to be placed next to the names of plans that have received less than three stars for the past three years.  CMS’ star rating system considers 53 quality measures, such as success in providing preventive services, managing chronic illness, and keeping consumer complaints to a minimum. 
Source: wordpress.com

The impact of Obamacare cuts on Medicare Advantage Plans

The PPACA, as amended, also introduces MA bonuses and rebate levels that are tied to the plans’ quality ratings. Beginning in 2012, benchmarks will be increased for plans that receive a 4-star or higher rating on a 5-star quality rating system. The bonuses will be 1.5 percent in 2012, 3.0 percent in 2013, and 5.0 percent in 2014 and later. An additional county bonus, which is equal to the plan bonus, will be provided on behalf of beneficiaries residing in specified counties. The percentage of the “benchmark minus bid” savings provided as a rebate, which historically has been 75 percent, will also be tied to a plan’s quality rating. In 2014, when the provision is fully phased in, the rebate share will be 50 percent for plans with a quality rating of less than 3.5 stars; 65 percent for a quality rating of 3.5 to 4.49; and 70 percent for a quality rating of 4.5 or greater.
Source: quinnscommentary.com

Obamacare Results in Improved Medicare Advantage Plans

Bruce Japsen writes in Forbes about a beneficial provision of the health care reform law: the quality ratings system for Medicare Advantage plans (and Part D prescription drug plans.) Health insurance companies that contract with Medicare to offer comprehensive Medicare Advantage plans, which seniors can opt into instead of traditional Medicare, are rated by a quality rating system designed to guide seniors to better medical care choices and service.
Source: wordpress.com

Elisabete Jacinto finishes the Moroccan Rally on the podium

On reaching Zagora, the Portuguese race driver made a general survey of the competition: “Fortunately everything went on well, and we are very happy. Of course this good classification is due to my team’s excellent work. With expertise and imagination, the assistance solved all the problems which we had to face, and José Marques, though having suffered some moments of anxiety, did an excellent navigation. A word also about Marco Cochinho, who has been doing a brilliant maintenance work, which has enabled us to finish all the races. Now we are heading home with an enormous list of tasks to complete before Africa Eco Race. This is also a rally which is supposed to have a high competitive level, and we want to be well prepared”, she concluded.
Source: rallyraid.net

Blue Care Network expands Medicare Advantage service area, Blue Cross and Blue Care Network add plan options

In addition, BCN Advantage members will now be able to “buy up” to more comprehensive dental and vision benefits for a modest additional premium. Members will receive partial coverage on restorative services such as fillings, root canals, crowns and crown repairs. They’ll also get an allowance for frames and lenses to improve their vision health.
Source: hcwreview.com

Supplemental Health Insurance

Posted by:  :  Category: Medicare

HHS-DSC_0104 by USDAgovMom came through the surgery just fine and spent a few weeks in a skilled nursing facility learning how to move again. The costs associated with her operation and recovery were huge. When the medical bills started rolling in, it was such a relief to see that the insurance she had, including the Medicare supplemental insurance, covered the cost.
Source: aegypten.mobi

Video: Supplemental Insurance Explained

Medicare Supplemental Insurance Comparison Website Adds 250,000 Insurance Companies to Their Database

The website “Medicare Supplemental Insurance Comparison” announced today that it has added over 250,000 insurance companies to their database. According to a website spokesperson this makes them one of the most thorough Medicare supplemental insurance comparison websites on the Internet today. The website can be found at http://medicaresupplementalinsurancecomparison.net/ The launch of the website came at the heels of an eagerly anticipated two-month walk up to launch date. As Medicare supplemental insurance comparison websites become more popular, a website which boasts one of the largest databases of reputable insurance companies was in high demand. “We knew that we had to provide our clients with something that they never have seen before,” said Kristin Humphreys, director of marketing. “In the past, when visiting these types of websites, visitors had to provide sensitive information such as their name or address. We knew that the latest in technology could do area specific searches with only a zip code. This not only protected the privacy of our clients but it also made our software about 50% faster than the most popular websites on the market. So far the reception for our new website has been overwhelmingly positive.” Indeed, the sheer demand for these types of websites has created a rush to implement the latest in technology and search software. With the addition of the 250,000 insurance companies to their database, Medicare Supplemental Insurance Comparison is expected to take the lead in the market. “Analysts project our website to be one of the most popular on the web as we enter the first quarter of 2013,” said Michael Montgomery, CEO of Medicare Supplemental Insurance Comparison. “The simple reason for this is because of the monetary and time investment we put into our search software and extensive database. Our clients are provided with side-by-side comparisons of all the most reputable Medicare supplemental insurance companies in their area, and they can source them without ever having to give over their personal information. This is a first in the industry, and it will soon become the standard.” To learn more about Medicare Supplemental Insurance Comparison, or to get a free anonymous side-by-side comparison of all the best Medicare supplemental insurance companies in a given area, please visit: http://medicaresupplementalinsurancecomparison.net/ About Medicaresupplementalinsurancecomparison.net Medicaresupplementalinsurancecomparison.net was created in September of 2012 to help shoppers get the best rates for Medicare supplemental insurance. The website utilizes the absolute latest in price quote technology, and has recently added 250,000 insurance comparison companies to their database.
Source: sbwire.com

Supplemental Health Insurance Resources

When looking into health insurance of any kind the rules, regulations and stipulations often make it so that every word on the policy seems foreign and a bit sketchy. The policy is never laid on it terms that one without industry knowledge would completely understand. Words such as co-payment, deductible, family allowance, preventative vs. routine care often times add confusion in really understanding what is being offered. Health Insurance in general is difficult to understand and often leads us to believe we are being manipulated let alone getting into the next generation of health insurance, Medicare. How is one to determine exactly what is being offered and to finally settle upon a policy that best fits the need with Medicare and Medigap supplemental insurance policies?
Source: pedalin.org

Medicare Supplemental Insurance

Let’s face it; America’s health care system has been in ruin for the past decade. If someone has serious medical problems and are not on a private expensive insurance plan they often end up in debt for the rest of their lives. The current Medicare and Medicaid programs try their best to help people, but just do too little for too few people and as a result is ineffective. President Obama has made various efforts to revamp this broken system through the National Healthcare Act commonly referred to as Obamacare, but his valiant efforts have largely been slowed down and nullified by the Republican party. But expanding coverage and giving more people their right to health insurance through Medicare supplemental insurance is a step in the right direction for a better future for America.
Source: novairis.com

Navigating Through The Challenging Maze Of Medicare Supplemental Insurance Policies

Choosing a Medicare Supplemental Insurance plan is one of the many decisions that need to be made upon turning sixty-five or qualifying for Medicare.  The problem is that without ever having Medicare coverage before you probably are having a difficult time determining where the gap will be for your needs.  Medicare Part A and Part B cover only basic physician and hospital coverage.  The rest is up to you to obtain at a premium from individual insurance companies. The best option is to shop around and research the options available to you within Medicare Supplement Insurance plans.
Source: seniorhealthdirect.com

How To Know If You Need Medicare Supplemental Insurance

If you require a lot of medical attention, getting the most coverage you can afford makes sense. Whether you have cancer, chronic illnesses, a major health condition, or regular visits to hospitals and specialists, supplemental insurance will help ensure that everything you need is covered and affordable. Getting Medicare supplemental insurance is also a good idea if your regular Medicare policy does not cover something specific that you need, such as a prescription medication, a certain type of service, or additional medical care that you need. Talk to your doctors and healthcare providers about your current health and the steps you will need to take in order to stay healthy. This will give you a good idea of what you need, and whether Medicare will cover it. If not, seek out a supplemental insurance plan.
Source: dzida.org

Tricare Help – Do I need supplemental insurance for nursing home?

20/20/20 age appeal catastrophic cap child born out of wedlock claims continued care cost share death DEERS dental dependent disabled divorce doctor doctors FEHBP handbook health care reform hospital ID card marriage maternity care Medicare military treatment facilities other health insurance outside the U.S. parents Part A Part B pharmacy pre-existing condition pregnancy reserves secondary insurance social security spouse supplements surgery Tricare For Life Tricare Prime Tricare Standard Tricare Young Adult Program VA widow
Source: militarytimes.com

Do You Need Medicare Supplemental Insurance?

One huge benefit of a Medicare supplemental insurance plan is that it will not be nearly as expensive as a traditional plan. After all, the supplemental insurance will not have to cover all of your bills. This reduces the risk by reducing the total amount of money that you will need. Even though you will feel like you are getting a high level of coverage, the insurance company will not feel the same pressure. For example, perhaps you have $10,000 worth of bills and Medicare will only pay for $8,000. The insurance plan merely has to pick up the extra $2,000. Therefore, you can pay as much as you would for low level coverage, but you will get a much better service.
Source: loneframe.com

United American Medicare Supplement Insurance Quotes

Posted by:  :  Category: Medicare

Fortunately, United American is one of those companies.  At present, they offer some of the lowest priced High Deductible F Plans across the state.  That is great for seniors who want a low priced Medicare insurance plan with a reasonable deductible.  (As of 2012, the HD Plan F deductible is $2,070 yearly.)
Source: ohioinsureplan.com

Video: Florida Medicare Supplements

Medigap Insurance FLorida

And, if you think you may need hospital care, a Medicare Supplement Plan could be worth its weight in gold. Medicare doesn’t cover hospital bills until you’ve spent $1,156 for each benefit period, but you can get a Medigap plan that will reimburse you for the whole amount.
Source: floridahealthinsurancebroker.com

medicare supplements florida : A Jetpak created by sonia5xx : Jeteye

Summary: With competitive pricing, outstanding personal service and attention to detail, Harpaz & Co. can help you manage your business’ benefit program more efficiently. Our personal, expert guidance helps you make more informed decisions about your group benefits as your business grows.
Source: jeteye.com

Health First Medicare Supplements Address Coverage Gaps

Plus, as an added service not covered by Medicare, all policy holders are entitled to a free fitness membership at the Health First Pro-Health & Fitness Centers in Melbourne, Merritt Island, Palm Bay and Viera, and Parrish Health & Fitness Center in Titusville.
Source: spacecoastmedicine.com

Anthem Blue Cross Blue Shield Medicare Supplement Plans Are Affordable…

Based in beautiful Jackson Hole, Wyoming, we currently market health insurance in 18 different states from our website IndividualHealth.com. I have worked in the domestic and international markets for most of my adult life. Recently we launched a newly revamped website www.tetonmarketing.com which has a primary focus on music and Native American Flutes and hand crafted items made in Wyoming. Check it out! I want the Insurance Simplified Blog to be a place you can visit from time to time and read about real world issues that individuals and families face daily. Our parent website IndividualHealth.com we like to think of as a virtual brochure. But with the blog I want to talk about the topics behind the brochure. Also check out our blog www.JacksonHoleTim.com which is “All Things Wyoming, Everything Jackson Hole” . If you love the Yellowstone basin this is blog for you! Then when you are ready check out our new Social Network site Jacksonholetim.ning.com – this is a place you can connect with other who visit and live in Wyoming. And finally we have just launched another new blog. Jackson Hole Tim (www.jacksonholetim.com) is a new place to visit that talks about “All things Wyoming, Everything Jackson Hole”. I hope you find these blog helpful.
Source: wordpress.com

Florida Health Insurance Plans – PPO vs. HMO

Also, try to shop around for the best Florida health insurance plans. Do not just go for the first health plan that you have come across with. See to it that a health insurance plan covers everything you need. You may consider consulting a qualified and reputable health insurance agent to help you decide which of the plans that are currently being offered at competitive rates could be right for your situation.
Source: wordpress.com

The Cheapest and Trusted Florida Medicare supplement rates

Medicare insurance might also cost less than what you have expected. There is a reason for that, Florida Medicare supplement rates are controlled by the U.S. government particularly the state of Florida. For that reason, you can be sure enough that all Medicare insurance companies have included the value of honesty in their pricing. Nonetheless, it is still very smart to get Medigap insurance policies pricing quotes from many Medicare supplemental insurance companies online to find the lowest possible rates available. Compare Medicare supplement, Medicare Plan D options and Medicare Advantage in Florida and look for the perfect plan for your daily needs. Enjoy the plan premiums that are offered that suits your budget and more benefits that provide help for you to stay active and healthy
Source: gomedigap.com

Tricare Help – When do I need to sign up for Medicare?

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSEligibility for Medicare begins at age 65, even for those who are still working or, like you, are already retired but delaying Social Security. The big difference between those who are still working and those who are fully retired when they hit age 65 is that people who are still working usually may delay Medicare Part B enrollment without penalty, but those who are fully retired (your group) may not. As such, you need to enroll in Medicare Parts A and B sometime in the three months before or three months after your 65th birthday.
Source: militarytimes.com

Video: Medicare Enrollment | Medicare Sign Up | Apply for Medicare

Good News for SSDI Recipients with Medicare Premium Penalty

Most people who are receiving SSDI cannot wait to sign up for Medicare because it is comprehensive, affordable health coverage which does not deny coverage due to pre-existing health conditions.  However, if your employer provided coverage which went past your Initial Enrollment Period (IEP) or if your COBRA coverage was affordable and lasted past your IEP, you might not have signed up for Medicare at the appropriate time.   Then when you tried to sign up, you found out that you had to wait until the General or Open Enrollment Periods which might have left you with a gap in coverage and a penalty.
Source: retirementeducationplus.com

Eight mistakes to avoid during Medicare enrollment

5) Ignoring long-term care needs. According to an Opinion Research survey sponsored by PlanPrescriber.com, paying for long-term care is a top concern for baby boomers. Original Medicare will only pay for care in a skilled nursing facility for up to 100 days, and beneficiaries typically have to pay for a portion of those costs out-of-pocket. And, in most cases, Medigap plans will only cover out-of-pocket costs for services that are also covered by Medicare. So, once Medicare stops paying, your Medigap plan will stop filling in the gaps. But, long-term care insurance is available to help fill in the gaps.
Source: benefitspro.com

Medicare Part B Premiums Up $5 Per Month Next Year

CQ HealthBeat: Medicare Part B Premium Increase Modest For 2013 With health care inflation relatively stable, officials at the Centers for Medicare and Medicaid Services released rules Friday that include a $5-per-month increase in Medicare Part B premiums and a $28 hike in the hospital inpatient deductible. The Part B premium will reach a milestone, however, topping $100 a month. The monthly payment for Part B, which covers doctor visits, outpatient hospital services, home health care and other items, will be $104.90 next year, compared to the current $99.90. And the deductible for inpatient hospital stays will go to $1,184 in 2013 from $1,156 this year. One item will be decreasing: the Part A monthly premium, which pays for inpatient hospital stays, skilled nursing facilities and some home care for about 1 percent of Medicare beneficiaries who do not automatically qualify for the program. That premium will be $441 a month, down $10 a month from this year (11/16).
Source: kaiserhealthnews.org

What Are Medicare Wellness Exams?

When you sign up for Medicare, however, you get what’s known as one of the Medicare wellness exams. These exams are dubbed as such because they are required when you sign up for Medicare Part B, sort of like an entrance exam. This exam is utilized by your doctor as a baseline for your current state of health at the time that you sign up for Medicare. The thing to remember about Medicare wellness exams is that once you get one, you cannot get another annual exam like it for 12 months. This means that if you want to get a Medicare wellness exam, you cannot try to schedule an annual appointment just a few months later. This can be worrisome to those that specifically want those thorough annual exams.
Source: fpsaz.com

Medicare Open Enrollment Ends Soon

One question seniors need to start thinking about is whether this is the year to drop their Part C Medicare Advantage health plan and go to Medigap/Part D because of the coming changes to Part C Medicare Advantage caused by Obamacare. Or whether to wait a few more years, put the likely savings in your pocket, and see how bad the Obamacare-related changes are. The Medicare actuary projects either or both major premium increases and major benefit reductions to Part C Medicare Advantage because of Obamacare over the next five years.
Source: patch.com

Medicare Drugs Should Cost A Little Less Next Year – The Consumerist

According to Reuters, the Department of Health and Human Services projects the average monthly premium for Medicare Part D should slide to $30 from $30.76. The drop is thanks in part to more generic drugs on the market.
Source: consumerist.com

Ask The Experts: Retirement

A. There is a seven-month initial enrollment period for Medicare Part B. It begins three months before you turn 65 and ends three months after that month. It’s up to you to decide when to enroll. Whether you need to alter your level of coverage under the FEHB is something you’ll have to decide for yourself after reviewing the benefits each provides. There is no single answer that fits everyone.
Source: federaltimes.com

Don’t Let Obama Cut Medicare, Medicaid, and Social Security

This is before the Tea Party swept into Congress, so there was no pressure on Obama to appease the right. By adopting Tea Party talking points on spending and comparing government to a family – what family do you know that has 8,100 tons of gold reserves, a space program and embassies in some 200 countries? – Obama legitimized debt as a major concern going into the 2010 election.

A little more history. Obama ran in 2008 on repealing the Bush tax cuts. But he reneged on his promise just one month into his presidency even though he was gushing with political capital, the right was in disarray and the Democratic-controlled Congress was ready to pass it. (After campaigning in 2012 on abolishing tax cuts for households earning more than $250,000, Obama indicated he was willing to renege once more days after being re-elected.)
Source: progressive.org