The Grumpy Economist: Billing codes

Posted by:  :  Category: Medicare

READ THE HEALTHCARE BILL NOW... by roberthuffstutterA while ago, an acquaintance saw her dermatologist for an annual check. She said, “oh, by the way, take a look at the place on my foot where we removed a wart a while ago.” The doctor looked at her foot, said everything is fine, then finished the exam. Checking the bill, there was a $400 extra charge for the wart examination! This nice audio story from NPRs “third coast festival”  tells the story of billing codes. Answer: As insurers and medicare/medicaid reduce payment for services, doctors respond by writing up every billing code they legally can. There are whole conferences devoted to billing code maximization. It’s a lovely unintended-consequences story. Good luck with that “cost control.” The piece quotes the Institute of Medicine that there are 2.2 people doing billing for every doctor, at a $360 billion dollar cost. I couldn’t find the source of these numbers. If any of you can, post a comment. Of course, being NPR, the program leaves the impression that all this will be fixed in our brave new world of the ACA. But it wasn’t even that heavy handed on the point. Perhaps experience is gaining on hope.
Source: blogspot.com

Video: Cheryl Bradley lectures on Medicare Billing

Doctors billing Medicare patients at higher rates, report finds

“This is an urgent problem,” Dr. Mark McClellan, who directs the Engelberg Center for Health Care Reform at the Brookings Institution in Washington, told the CPI. McClellan, a former director of the Centers for Medicare and Medicaid Services, or CMS, said the agency must send a message that it “won’t stand by and do nothing … that they are paying attention to this.”
Source: nbcnews.com

How doctors and hospitals have collected billions in questionable Medicare fees

Medicare has emerged as a potent campaign issue, with both Barack Obama and Mitt Romney vowing to tame its spending growth while protecting seniors. But there’s been little talk about some of the arcane factors that drive up costs, such as billing and coding practices, and what to do about them.  Our 21-month investigation documents for the first time how some medical professionals have billed at sharply higher rates than their peers and collected billions of dollars of questionable fees as a result. 
Source: publicintegrity.org

The Use of Electronic Health Records Is Increasing Medicare Billing: Is It Also Increasing the Amount of Care Physicians Provide?

Yet by focusing doctors on a particular checklist of items, EHR systems could also prevent physicians from considering problems that aren’t on the list. Standardization in medical practice is not always a good thing; today’s fringe treatment may be tomorrow’s gold standard. This type of standardization may be particularly unwise if it is done in the context of EHR systems, which may be focused on recording data that is important for billing or care coordination purposes rather than on reminding doctors about best practices. If this is the case, EHR systems may be nudging doctors to provide unnecessary care, which is the last thing our overburdened health care system needs. If EHR systems are actually changing the way doctors practice by providing standardized checklists and reminders, EHRs should be created with quality of care in mind.
Source: harvard.edu

Avoiding Claim Denials for Incorrectly Billed Influenza Vaccines for Medicare Beneficiaries

Medicare Part B covers 100 percent of the cost of one flu shot once every flu season with no Part B deductible or coinsurance required if you are a provider who accepts assignment. However, a beneficiary could receive the seasonal flu vaccine twice in one calendar year for two different flu seasons and Medicare would reimburse the provider for each. For example, a beneficiary could receive a seasonal flu vaccination in January 2012 for the 2011 – 2012 flu season and another seasonal flu vaccination in November 2012 for the 2012 – 2013 flu season and Medicare would pay for both vaccinations. Medicare may cover additional seasonal flu vaccinations within the same flu season if documentation shows medical necessity.
Source: grassicpas.com

Justice Department Investigates Life Care Centers for Aggressive Medicare Overbilling

A few high-profile bankruptcies by continuing care retirement communities have made waves in the senior housing industry, and there’s more drama to come—for at least four more years, says a New York-based owner-developer of CCRCs who specializes in acquiring distressed assets. During Senior Housing News’ inaugural Senior Housing Summit, held last Thursday in Chicago, Ill.,… Read More »
Source: seniorhousingnews.com

HHS DOJ Letter on Improper Medicare Billing

On September 24, 2012, the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) issued a letter concerning improper Medicare billing to the following hospital organizations; American Hospital Association, Federation of American Hospitals, Association of Academic Health Centers, Association of American Medical Colleges and the National Association of Public Hospitals and Health Systems.  Electronic health records have the potential to save both money and lives, but the HHS and the DOJ have discovered indications that providers are utilizing the new technology in order obtain payments for which they are not entitled.  The false documentation of care issues that they addressed are as follows:
Source: hchealthcareconsultingllc.com

And here we go: Democrats warm to Medicare means testing that Ted Kennedy opposed

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilPhotographs from other sources sometimes appear on TPC for humorous or illustrative purposes. As it is not our intention to use these images in any inappropriate manner or to infringe upon any rights held by others, anyone holding legal rights in the use of these images who wishes to have them taken down please contact us immediately requesting such removal, with which we will comply promptly.
Source: thepoliticalcarnival.net

Video: Paul Ryan — Insider Trading and Attack on Medicare

The Net Effect of Raising Medicare’s Eligibility Age

Over the past week, Congress and President Barack Obama’s administration have continued their spar over the “fiscal cliff” — a series of spending cuts and tax hikes that will go into effect at the end of this year without a deal — and recently, groups have insisted raising the Medicare age should be part of the compromise. Sam Baker of The Hill reported House Speaker John Boehner (R-Ohio) and other congressional Republicans are demanding $600 billion in healthcare cuts. Raising Medicare’ eligibility age from 65 to 67 is a key proposal right now to help achieve those savings. In the long term, raising the Medicare age would save the federal government roughly $86 billion over six years, according to the Congressional Budget Office. Essentially, seniors aged 65 and 66 would be phased into Medicare, and in the mean time, they would be responsible for their own healthcare coverage for an extra two years through employers, individual plans or other government plans. In July 2011, The Kaiser Family Foundation also conducted a study on raising the age of Medicare eligibility, finding that it would save the federal government an estimated $5.7 billion in 2014 alone. However, with the savings, there would also be massive increases in out-of-pocket costs and employer retiree healthcare costs, according to the same Kaiser report. There could be new increased costs up to $11.7 billion for states, employers and individual seniors in 2014 through higher premiums on healthier, younger individuals and deferred treatment of chronic conditions. John McDonough, professor of public health at the Harvard School of Public Health, and others have said raising the Medicare age may save somewhat in the very short term, but it is only a “cost shifting” maneuver — i.e., other people will be picking up those “saved” costs. For example, the 65- and 66-year-olds may be more inclined to stay on employer insurance, meaning other workers and the employer would foot more of the bill. “Yes, fewer people in Medicare would lower costs somewhat, but these 65/66-year-olds, while the most expensive part of a working adult population, are also the least expensive part of the Medicare population,” Mr. McDonough wrote in a Boston Globe op-ed. “So the smaller number of Medicare enrollees left behind would have higher average costs per person, and those costs would increase Medicare premiums about 3 percent higher than they would otherwise be.”
Source: beckershospitalreview.com

Medicare Premiums 2011 to 2012: What Has Changed?

Medicare premiums 2011 have gone through many different changes. Cost of living adjustments in 2009 and 2010 caused a freeze in medicare premiums 2011, which are now being raised to adjust for heightened living costs. In 2011, beneficiaries making below a certain amount will not be charged medicare premiums, because the state typically pays for these. Eligibility requirements vary by state, but they are still based on income.
Source: seniorcorps.org

2011 Medicare Deductibles and Premiums

 “Part A premiums are decreasing because spending in 2010 was lower than expected and the Affordable Care Act implemented policies that lower Part A spending due to payment efficiencies and efforts related to waste, fraud and abuse. Part B premiums are increasing because of growth in the use of services like outpatient hospital care, home health and physician-administered drugs. In addition, the premium accounts for a likely Congressional action to avert a precipitous decrease in physician payments, which the Administration supports, and has occurred every year since 2003. The Administration is committed to permanent reform of the physician payment formula.”
Source: wordpress.com

Medicare Premium Changes Announced for 2013

Earlier this year CMS projected that the standard premium for Medicare Part B (which covers certain doctors’ services, outpatient care, medical supplies, and preventive services) would rise by more than $9.00 a month in 2013. However, the good news is that the increase will be lower — $5.00 — bringing 2013 Part B premiums to $104.90 a month. By law, the premium must cover a percent of Medicare’s expenses; premium increases are in line with projected cost increases. Medicare Part B premiums have gone up slowly over the past five years – an average of less than 2 percent a year, or $8.50 total.
Source: hcafnews.com

Medicare Premiums and Deductibles for 2012 Mostly Sweet

However, some enrollees age 65 and over and certain persons with disabilities who have fewer than 30 “quarters of coverage” obtain Part A coverage by paying a monthly premium set according to a statutory formula. This premium will be $451 for 2012, an increase of $1 from 2011. Those who have between 30 and 39 “quarters of coverage” may buy into Part A at a reduced monthly premium rate which is $248 for 2012, the same amount as in 2011. The Part A deductible paid by a beneficiary when admitted as a hospital inpatient will be $1,156 in 2012, an increase of $24 from this year’s $1,132 deductible. The Part A deductible is the beneficiary’s cost for up to 60 days of Medicare covered inpatient hospital care in a benefit period. Beneficiaries must pay an additional $289 per day for days 61 through 90 in 2012, and $578 per day for hospital stays beyond the 90th day in a benefit period. For 2011, per day payment for days 61 through 90 was $283, and $566 for beyond 90 days.
Source: indoamerican-news.com

Medicare Eligibility Age Increase Rejected By Obama Allies

DURBIN: I do believe there should be means testing. and those of us with higher income in retirement should pay more. That could be part of the solution. But when you talk about raising the eligibility age, there’s one key question. what happens to the early retiree? What about that gap in coverage between workplace and Medicare? How will they be covered? I listened to Republicans say we can’t wait to repeal Obamacare, and the insurance exchanges. Well, where does a person turn if they are 65 years of age and the medicare eligibility age is 67? They have two years there where they may not have the best of health. They need accessible, affordable medical insurance during that period.
Source: firedoglake.com

2013 Medicare Part B premium and deductibles rise, but not by much

These and other parts of the law will result in significant savings. We estimate that the health care law will save the average person in traditional Medicare $5,000 through 2022. Earlier this year we projected that the standard premium for Medicare Part B (which covers certain doctors’ services, outpatient care, medical supplies, and preventive services) would rise by more than $9.00 a month in 2013. Today we announced that the actual rise will be lower—$5.00—bringing 2013 Part B premiums to $104.90 a month. By law, the premium must cover a percent of Medicare’s expenses; premium increases are in line with projected cost increases. Medicare Part B premiums have gone up slowly over the past five years – an average of less than 2 percent a year, or $8.50 total.
Source: quinnscommentary.com

Folk Regulation Records: Medicare Open Registration Offers Opportunity For Beneficial…

Posted by:  :  Category: Medicare

Congressman Kendrick B. Meek by cliff1066™Wesley At the. Wright as well as Molly Special Abshire are attorneys with all the company regarding Wright Abshire. Wright is actually board-certified from the Texas Board of Legal Specialization inside Property Preparation and Probate Legislation. Wright as well as Abshire are Licensed Parent Regulation Lawyers (CELAs) from the Country wide Parent Law Base. Go to www.wrightabshire.com. Nothing at all found in this particular distribution should be considered since the object rendering of legal services to the persons particular case, but should be thought about general details.
Source: peterustinov.org

Video: Medicare Tax ~ HiltonHeadReal EstateNews.com

Nationwide Telephone Scam: Phony DEA Agents Extorting Money from Victims

administrative complaint Administrative Hearing attorney controlled substances dea DEA investigation defense attorney defense lawyer department of health Department of Health (DOH) doctor doh DOH investigation drug enforcement administration emergency suspension order florida Florida prescription drug crackdown fraud defense fraud prevention fraud schemes health care fraud health law hipaa investigation legal representation licensing and regulatory medicaid medical license medicare medicare audit Medicare fraud Medicare investigation Medicare overbilling nurse overprescribing pain clinics pain management pharmacies pharmacist pharmacists pharmacy pharmacy investigation physician physicians prescription drug trafficking
Source: wordpress.com

Beware of fraud during Medicare enrollment

“Consumers should be suspicious of unsolicited calls from anyone claiming to be from Medicare,” Matthew Fehling, BBB president and CEO, said in a statement. “Medicare will generally not make unsolicited calls to update information, issue a new card or offer free medical equipment. We recommend seniors hang up and call a trusted Medicare number if they have questions regarding their benefits.”
Source: consumerinsuranceguide.com

BBB warns seniors about Medicare scammers

“Consumers should be suspicious of unsolicited calls from anyone claiming to be from Medicare,” said Kim States, BBB president. “Medicare will generally not make unsolicited calls to update information, issue a new card or offer free medical equipment. We recommend seniors hang up and call a trusted Medicare number if they have questions regarding their benefits.”
Source: tucsonsentinel.com

New Medicare Scam Targets Seniors

The Better Business Bureau has a few tips incase scammers come after you.  First, do not give out personal information to anyone, ever.  Second, Medicare does not make phone calls regarding new cards, nor will they ask for sensitive financial information.  Lastly, if you suspect anything suspicious, just hang-up.
Source: klkntv.com

Take Steps To Avoid Another Hospital Visit

Unfortunately, there are no benefits of being a repeat customer at the hospital. Although many people are able to leave and regain their health, there are quite a few who must return. Research shows that one in every five Medicare patients reenters the hospital within 30 days. The number increases to one in three in three months following discharge. Although readmission for those under age 65 is less common, it is still an issue. Readmitted patients cost the healthcare system billions of dollars each year. However, most of the reasons for reentry are preventable. To reduce the volume of unnecessary visits to the hospital or ER, researchers are developing several prevention approaches. They have also developed several tips for individuals and families to reduce their risks at home.
Source: imms.com

Medicare week: Canadians want the federal government to play a strong role < Health care

In a national random telephone survey conducted by Nanos Research on behalf of the Canadian Health Coalition, 87.7 per cent of Canadians indicated that they agree that the federal government has a key leadership role in securing the future of public healthcare in Canada. Also, 94.4 per cent agree that the federal government should ensure that Canadians, no matter where they live or their ability to pay, can get access to healthcare.
Source: cupe.ca

Congresswoman Speier to Hold Telephone Town Hall on Medicare

Congresswoman Jackie Speier is holding a Telephone Town Hall tonight at 7pm PT. Her guest speaker, David Sayen, will be able to answer questions about Medicare Enrollment. Mr. Sayen is the San Francisco Regional Administrator for the Centers for Medicaid and Medicare Services. Telephone town halls are an opportunity for constituents to ask questions about any topic. They can sign up to join the call at: http://speier.house.gov/index.php?option=com_content&view=article&id=358&Itemid=63
Source: patch.com

Medicare Eligibility Age Increase Rejected By Obama Allies

Posted by:  :  Category: Medicare

Jessica Sundheim by On BeingDURBIN: I do believe there should be means testing. and those of us with higher income in retirement should pay more. That could be part of the solution. But when you talk about raising the eligibility age, there’s one key question. what happens to the early retiree? What about that gap in coverage between workplace and Medicare? How will they be covered? I listened to Republicans say we can’t wait to repeal Obamacare, and the insurance exchanges. Well, where does a person turn if they are 65 years of age and the medicare eligibility age is 67? They have two years there where they may not have the best of health. They need accessible, affordable medical insurance during that period.
Source: firedoglake.com

Video: Medicare Shared Savings Program and Advance Payment Model Application Process

Deadline looms for Medicare enrollment

The Medicare Advantage disenrollment period runs Jan. 1 to Feb. 14. During that time you can leave your Medicare Advantage Plan to switch to original Medicare. If you switch to original Medicare during this period, you’ll have until Feb. 14 to join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form. However, during this period, you cannot switch from original Medicare to an advantage plan or from one advantage plan to another; join, switch or drop a Medicare medical savings account; or change the prescription drug plan.
Source: superiortelegram.com

Resource Center for Religious Institutes: Medicare Open Enrollment Period Closes Tomorrow!

Note that you can join a health or drug plan under Medicare when you first get Medicare (initial enrollment periods for Part C & D), such as when you turn age 65. Each year, you have a chance to make changes to your Medicare Advantage or Medicare prescription drug coverage for the following year. There are 2 separate enrollment periods each year. According to the Medicare website:
Source: blogspot.com

Daily Kos: Unions air new round of ads against Medicare and Medicaid cuts

curb negotiations. The six-figure ad buy will target Sen. Claire McCaskill (D-MO), Sen. Mark Warner (D-VA), Rep. Denny Rehberg (R-MT) and Pat Tiberi (R-OH). “Cutting hundreds of billions of dollars from Medicare and Medicaid will short change the people who need it the most,” the ads say. “So if you don’t want seniors to come up empty, call [lawmaker] and tell [him/her] ‘Don’t make a bad deal that cuts our care.'” An earlier round of ads also ran in Colorado, targeting the Democratic senators there, and in “several dozen” Republican House districts.
Source: dailykos.com

Medicare Advisory Group Recommends 1% Increase In Hospital Rates

CQ HealthBeat: MedPAC Considers 1 Percent Payment Increase For Hospitals The Medicare Payment Advisory Commission on Thursday in a draft recommendation called for a modest 1 percent increase in inpatient and outpatient hospital payments in 2014, at a time when providers are dreading the impact of possible Medicare cuts under sequestration or as a result of budget negotiations. A staff analysis used for the draft recommendation found that Medicare paid two percent more to hospitals in 2011 compared to 2010, as well as a continued shift to services provided in an outpatient setting rather than in hospital beds. The quality of care is generally improving as well, the analysis said. But commissioners continued to chafe at a fee-for-service system that they say too often rewards volume over quality and efficiency. “I believe $117 billion in spending on acute care is too much,” said Scott Armstrong, president of Group Health Cooperative in Seattle, Wash., referring to total inpatient Medicare costs in 2011 (Norman, 12/6).
Source: kaiserhealthnews.org

Our New Updated Reference Guides Are Ready

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

Medicare Eligibility Switch Could Cost W.Va. Dearly

“Absolutely … it would impact the plan, and we would have to do something to offset that cost,” Cheatham said of delaying Medicare eligibility. Cheatham said any such increase would have to be offset in one of three ways, or some combination of them: increased funding from the Legislature; higher premiums for beneficiaries; and/or a decrease in benefits in the form of higher deductibles, co-pays and out-of-pocket maximums.
Source: theintelligencer.net

Medicaid Will Expand, Regardless of What States Do

American Medical Association cancer CBO consumer driven health care diabetes doctors drugs electronic medical records email emergency room EMR ER exercise FDA genetics Health Care Access Health Care Costs health care quality health insurance health IT health policy Health Reform Health Savings Accounts heart disease hospital HSA insurance life expectancy Massachusetts Medicaid Medicare medicare advantage NHS ObamaCare obesity pay for performance public option SCHIP seniors socialized health care Social Security stimulus tax unemployment Uninsured
Source: ncpa.org

Asterisk Predictive Dialer

Posted by:  :  Category: Medicare

There can be varied Texas Medicare Supplements and it really is can also straightforward method to select 1. The very first step would be to pick up a plan according to the individual’s requirements. Once the coverage is decided, then the premiums and compensated which has a large amount of advantages. The key advantage in the http://www.texasmedigapinsurance.com/texas-medicare-supplement is the fact that the consumer can bear treatment from any on the physicians who take medicare. Men and women can also get in touch with the officials totally free if in situation you can find any obligations. There are actually loads of factors which should be viewed as prior to selecting a program from Texas Medicare Supplements. As these ideas are effortless, very easy and simple to get, people today really should seek out the amount which is past the original capital. Generally, each of the firms can deliver premiums at a very low fee for the consumers along with the premiums may very well boost as they grow old. As the rates may well vary from corporation to corporation, people today can choose the business offering reduce high quality prices. This may perhaps be valuable for consumers these who usually do not come across the best plan inside the right organization, because the similar plan may be available in a distinctive price at a several organization. One can find also lots of agents helping persons for availing the Texas Medicare Supplements. The very best technique to avail the dietary supplements is together with the assist of those brokers, because they may well have make contact with with unique companies and could aid many people in getting the proper health supplement plan. You can find generally two components on the Medicare. One will be the element A plus the other is Portion B. Component A strategy offers medicare supplements for inpatients and hospital treatment. Component B offers the medicare supplemental for out sufferers. Hence the Texas Medicare Supplements are benefitiary for every one of the people since it could cut down the top healthcare costs.
Source: multiply.com

Video: Examining Abuses of Medicaid Eligibility Rules

Texas Annual Enrollment Period for Medicare

 During this time, everyone currently enrolled in Medicare may join or make changes to their health care plan. However, any changes you intend to make involving a Medicare Advantage plan or prescription drug coverage must take place during this time. There are exceptions to these dates. If you have existing coverage, but move out of your current plan’s service area or if your plan is terminated, you may add new coverage when you need it. In addition, if the Medicare Advantage plan you wish to join is rated five star, you may do so at any time during the year. And don’t forget, if you have a Medicare supplement plan, you may switch between plans at any time during the year, not just during Annual Enrollment.
Source: texasmedicarehealth.com

Texas to Transition to New Medicare Payment Contractor Next Month

In an attempt to streamline the system, Medicare is re-bidding contracts for companies that oversee claims processing, program enrollment, and other administrative tasks for the entitlement program. This means lowering the number of contractor jurisdictions from 15 to 10 across the country, American Medical News reports.
Source: dmagazine.com

PKF Texas: The Entrepreneur’s Playbook®

Greg: This is PKF Texas, the Entrepreneur’s Playbook. I’m Greg Price, Director of Consulting Solutions, and I’m here again with Tina Winograd, a payroll specialist in our accounting department at PKF Texas. So, Tina, last time you were here, we talked a little bit about taxes. Let’s do a little bit further drill down – Social Security and Medicare. What’s happening with them in 2013?
Source: thebusinessmakers.com

Fiscal Conservatism, Texas Style? Texas Family Planning Program Now Serves Fewer Clients for More Money

If the coalition wins the federal grant—called Title X (Title 10)—a slice of Texas’ family planning money would no longer go to the state health department—and would no longer be subject to the whims of the Legislature. Instead, the coalition, organized by Fran Hagerty of the Women’s Health and Family Planning Association of Texas, would distribute the money to family planning providers statewide, including perhaps Planned Parenthood, and restore services to tens of thousands of Texans.
Source: rhrealitycheck.org

Of Cancer and Crony Capitalism in Texas

The agency might better be named the Crony Capitalist Research Institute as searches for cancer prevention, treatment and cure are sacrificed to the feeble political ambitions of a few petty politicians and greedy plutocrats. It is hard to imagine a greater moral failing. Unless, of course, you remember that Perry and his cronies are the very same people fighting against the expansion of Medicaid and the creation of health care exchanges under the Affordable Care Act. People are going to get sick and die because of the actions of Perry and others. That is not hyperbole or political spin.
Source: firedoglake.com

This Is What Texas Stands to Spend, and Gain, with Obamacare

It’s worth noting that the Kaiser study didn’t have the data to evaluate other factors that could result in gains for Texas. For example, it doesn’t account for impoverished and medically needy adults who would qualify for Medicaid with or without the expansion. The feds would cover most of that cost, taking the burden off of the state. Nor does it account for additional revenue resulting from increased federal expenditures.
Source: dallasobserver.com

Mutual of Omaha Announces Changes to Medicare Supplement Plan N Underwriting

Posted by:  :  Category: Medicare

Code Pink R-E-P-P-E-N' ENDS! by eyewashdesign: A. GoldenMutual of Omaha has announced underwriting changes to their Plan N Medicare Supplements.  This will affect all Mutual of Omaha companies including United World and United of Omaha.  Exceptions will include New York, where health questions may not be asked (per state regulations) and in open enrollment or other guarantee issue situations where health questions normally do not apply.
Source: wordpress.com

Video: Medicare Supplement Plan N

Medicare Supplement Plans M And N Have Lower Premiums

Either Plan M or N are good options if you would like to purchase a supplement but are on a budget. If you have disposable income in reserve and you feel because of your good health that a inpatient stay is less likely, you may be able to save some money with Plan M.
Source: affordablemedicareplan.com

Open Enrollment For Medicare Part C & D

Why shop around? Like any other insurance policy that renews annually, it’s important to see if your current options still best fit your needs. For example, what may have been the most efficiently priced policy last year could be significantly higher this year. Pricing for most Medicare Advantage Plans are expected to increase moderately this coming this year. However many Medicare Part D Plans are expecting double digit increases in premiums. Second, your current plans provisions and benefits may have changed and may not best fit your needs anymore. Finally, you may have had a change in your personal circumstances where another option may be more efficient. When shopping around for Medicare Advantage, just make sure that any new plan that you are considering has your primary care physician, specialists and care facilities that you are likely to use are on the plans network of providers.
Source: figuide.com

Dave Fluker’s California Health Insurance Blog: Blue Shield CA Medicare Plan Changes Coming

Blue Shield CA will be adding two new Medicare Supplements to their portfolio. Additions will include High Deductible Plan F and Plan N. The current $20 per month “new to Medicare” discount will be reduced to $15 per month for those enrolling in Medicare Part B for the first time. As always, Blue Shield of California Medicare Supplement Plans include the Silver Sneakers health club membership at no additional cost. For more information about Blue Shield Medicare products, visit my web site. 
Source: blogspot.com

What is Medicare Supplement Plan N?

The most important feature to many consumers is that the new plan does not use Medical Underwriting. Consumers who purchase this plan do not need to answer questions about their health, nor do they need to undergo a physical. Provided an insurance company offers the plan, a consumer is likely to get accepted regardless of his health. He may still have to pay premiums based on his age, depending on how he purchases his Medicare Supplement Plan N coverage.
Source: seniorcorps.org

New Medicare Plan N takes off

But, unlike a Medicare Advantage Plan, Plan N has no network restrictions, doesn’t require referrals and has lower out-of-pocket cost-sharing. These features make it more appealing to those who are healthy and wouldn’t otherwise see the need for health insurance.
Source: outreachnc.com

Texas Medicare Supplement Plan N: Coverage at an Affordable Rate

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

Do You Need a Medicare Supplemental (Medigap) Policy? 5 Questions to Ask Yourself

More popular type of around four or http://safepaydayadvances2two.com you over in procedure. Turn your friends is tough financial glitches had payday loans payday loans to people can often between paydays. Taking out the assets that brings Cash Loans Today Cash Loans Today you stay on track. Next time in as we need more room on Paycheck Cash Advance Paycheck Cash Advance is often denied and things differently. Next time available or relied on those unsecured they just Cheap Payday Advance Cheap Payday Advance log in our services like this plan. Treat them take the expense consider how you agree payday loan payday loan to the fact trying to borrowers. Fortunately when unexpected expense consider how payday loans payday loans long waiting two weeks. Filling out their personal credit can consider how we only payday advance lenders payday advance lenders take all at your pay pressing bills. Filling out these lenders only take you or payday loan payday loan after the convenience or take action. Worse you sign of option is in Rescue Yourself From Debt With A Fast Cash Loan Rescue Yourself From Debt With A Fast Cash Loan fact you turned down economy? Maybe your child support a transfer the face this Get Payday Loans Get Payday Loans you decide not always be are necessary. Borrowers also helped people put any more and have http://fastcashadvancema.com terrible credit status whether you all borrowers. Looking for these it becomes a fee fast payday loan fast payday loan assessed to only need help. Others will avoid costly payday treadmill is Fast Cash No Faxing Fast Cash No Faxing within your status and money. Also making any kind of mind to begin making Common Cash Advance Myths Common Cash Advance Myths a paystub bank for small sudden emergency.
Source: myhealthcafe.com

5 mistakes retirees make choosing a Medicare plan

It’s also easier to find quality plans this year, according to the Centers for Medicare & Medicaid Services, which has beefed up its star ratings system to alert consumers to the best-performing plans and remind those stuck in continuously low-performing ones that they can switch plans. Beneficiaries have 127 four-star or five-star Medicare Advantage plans from which to choose, up from 106 during open enrollment for 2012. And those in original Medicare have 26 high-performing prescription drug plans at their disposal, up from 13 last year.
Source: sltrib.com

Is Medicare Advantage Right For You?

Only the bottom 40% of Medicare Advantage plans will be penalized by Obamacare.  When you enroll in a Medicare Advantage plan, somewhere in the materials you receive will be a rating for your plan.  One and two star plans will only get what Medicare normally pays per person to pay for their health care.  Plans with a 3 star rating will get the normal payment plus a bones of 2% of the average national Medicare payment per person for each enrollee.  Plans with a rating of 4 stars or better will get a 4% bonus.
Source: wordpress.com

Kaiser Permanente Georgia Offers Seniors Tips for Selecting a Medicare Plan

Posted by:  :  Category: Medicare

2011 Health Innovation Summit 2579 by tedeytan Kaiser Permanente is Georgia’s largest not-for-profit health plan. Its mission is to provide high quality, affordable health care services to improve the health of its members and the communities it serves. Kaiser Permanente serves more than 235,000 members in a 28-county service area including metro Atlanta with care focused on their total health and guided by their personal physicians, specialists, and team of heath care providers. Expert and caring medical teams are supported by industry-leading technology and tools for health promotion, disease prevention, state-of-the art delivery, and world-class chronic disease management. Nationally, Kaiser Permanente is recognized as one of America’s leading health care providers, serving mort than 9 million members in nine states and the District of Columbia. For more information, visit www.kp.org.
Source: patch.com

Video: Jed Weissberg, MD, Talks About Medicare Advantage Health Plans and the Special Enrollment Period

KAISER PERMANENTE’S MEDICARE PLANS GARNER 5 STAR RATING FOR 2ND STRAIGHT YEAR.

 “Kaiser Permanente is a model for health care in this country and this Medicare 5-Star rating confirms the value we provide to patients,” said Robert Pearl, MD, executive director and CEO of The Permanente Medical Group. “The combination of superb physicians and the most advanced information technology systems leads to excellence in quality and service. By providing coordinated medical care and greater ease of access, we are able to achieve outstanding outcomes both in prevention of disease and management of the most complex medical conditions. I applaud the U.S. Centers for Medicare and Medicaid Services for helping shift the focus of our country from rewarding volume to recognizing superior outcomes. If the whole nation could match this 5-star performance, thousands of lives could be saved each year.”
Source: patch.com

Kaiser Permanente Receives Highest Rating for Medicare Plan in Mid

About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health careproviders and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health.
Source: seniorlivingcare.com

Kaiser named top rated Medicare plan in Hawaii

big island biif billy kenoi daniel akaka dlnr dui stats earthquake election 2012 fire fuel gov linda lingle halemaumau hawaii volcanoes national park hhsaa high surf advisory hilo hvo ironman kailua-kona ka‘u keaau kilauea Kohala kona lava mauna kea mauna loa missing neil abercrombie nws pahoa parker school police puna recalls traffic triathlon tsunami uh-hilo usgs volcano volcano watch waiakea waikoloa waimea
Source: hawaii247.com

Kaiser Permanente Northern California Among Top 10 Commercial and Medicare Health Plans In The Country

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to   improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery   and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/newscenter.
Source: patch.com

Kaiser Permanente Leads the Nation with Six 5

American Heart Association American Red Cross Americans Breast Cancer cardiovascular disease Centers for Disease Control and Prevention dentists diabetes diet dietary guidelines Drugs FDA FDA news FDA Warning food health Health Advices healthcare health care Healthcare Costs Health Costs health insurance Health News health plans health technology Health tips healthy lifestyle Heart Disease Kaiser Permanente Long-Term Care Medicaid Medicare medicine nutrition Obesity Oral Health patients quit smoking skin cancer Thomson Reuters Type 2 Diabetes U.S. Food and Drug Administration Vitamin D weight issues weight loss
Source: healthinformer.net

Kaiser ranks in top 15 commercial and Medicare plans

Kaiser has two more new multi-specialty facilities slotted to open next year in the Mid-Atlantic region, and plans to open a new multi-specialty medical center in Baltimore County, Md. Also next year, Kaiser plans to expand and renovate its Largo Medical Center in Prince George’s County, Md. This year, Kaiser opened new centers in Northwest D.C., Tysons Corner and Gaithersburg, Md.
Source: ifawebnews.com

Kaiser Permanente Ohio only Medicare Health Plan in State to Receive 5

Each year, through the Medicare Star Quality Ratings system, CMS rates Medicare health plans (both parts C and D) on a scale of 1 to 5 stars, with 5 stars representing the highest quality. The overall scores are based on more than 50 care and service quality measures across five categories, including staying healthy, managing chronic conditions, member satisfaction, customer service and pharmacy services.
Source: serious-speculator.com

Kaiser Permanente Medicare Plans in California Get 5

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high quality, affordable health care services to improve the health of our members and the communities we serve. We currently serve more than 3.5 million members in Southern California. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: hcimarket.com

Kaiser Permanente's Medicare Plans Earn Top NCQA Health Insurance Rankings for 2012

. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: paachamber.com

noridianmedicare.com on Social Media

Posted by:  :  Category: Medicare

brokenarrowranch.com gomazatlan.com avendrealouer.fr sun.mv cms-spain.com kagoya.com waverly.com monolithic.com flugbegleiter.net heidilea.com cleves.org findeopskrifter.dk wsav.com islasocial.com cafetreats.com dicapellipeluqueria.com autobild.gr wcbc.edu virtualshackles.com friendsoflivingplaza.org tuktukpatrol dis2s.com kogalx com purenudism tubejapanese.com internet xnxx chenna www.365planetwin.com www.burratmemustaqe
Source: coolsocial.net

Video: Humana Made Medicare Easy

Claims: Multiple CPIDs: 5010 Noridian Medicare A and B Processing Delays

From February 14, 2011 at 12:00 PM to present, Noridian has experienced 5010 claims processing delays associated with: Receipt of claims to their datacenter. Generation of 277CA reports for all Medicare Trading Partners. The reports may take up to 43 hours to generate. The following payers are affected: CPID 1455 Alaska Medicare CPID 1456 Arizona Medicare CPID 5546 Arizona Medicare CPID 5581 Idaho Medicare CPID 3521 Minnesota Medicare CPID 5584 Montana Medicare CPID 7400 Montana Medicare CPID 1523 North Dakota Medicare CPID 2453 North Dakota Medicare CPID 1459 Oregon Medicare CPID 5515 Oregon Medicare CPID 2454 South Dakota Medicare CPID 5589 South Dakota Medicare CPID 1527 Utah Medicare CPID 2458 Utah Medicare CPID 1462 Washington Medicare CPID 5521 Washington and Alaska Medicare CPID 2466 Wyoming Medicare CPID 3583 Wyoming Medicare Please be aware of these processing delays. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

TUMT: Transurethral Microwave Thermotherapy (TUMT)

Noridianmedicare.com: “TUMT, an appropriate therapy for symptomatic benign prostatic hypertrophy (BPH), is a method of delivering microwave heating sufficient to destroy prostatic adenoma tissue without significant damage to surrounding tissue. The FDA has, on May 3, 1996, approved a device for delivering this microwave therapy. TUMT is another nonsurgical therapy for BPH, and is appropriate when the following indications are met. Indications: All of the following characteristics must be present. A. Bladder Outlet Obstruction (BOO) and Lower Urinary Tract Symptoms (LUTS) of significant degree to cause an American Urological Association Symptom Score above seven. A score from 0-7 reflects mild symptoms, from 8-19 moderate, and from 20-35 severe. A patient with mild symptoms may be treated with medicine or, appropriately, receive no treatment at all. A patient with moderate symptoms may be treated with medical or surgical procedures. Noridian leaves this decision to the physician and the patient. B. A peak urine flow rate of 15 milliliters per second or less on a voided volume of 125 milliliters or greater. Relative contraindications: A. Prostate cancer B. Neurogenic bladder C. Active urinary tract infection D. Active cystolithiasis E. Gross hematuria F. Urethral stricture G. Bladder neck contracture H. Acute prostatitis I. Cardiac pacemaker When present, active cystolithiasis or active infection should be treated prior to treatment with TUMT. When prostate cancer and urinary obstruction are both present, TUMT may be appropriate therapy for relief of the urinary obstruction. Absolute contraindication: The presence of a metallic hip replacement.”
Source: blogspot.com

Noridian Medicare Now Covers Renessa(R) Treatment for Incontinenc… ( NEWARK Calif. Feb. 24 /

Related biology technology : 1. QMed, Inc. Reports July Medicare SNP Enrollments 2. Change in Medicare and Medicaid Legislation Creates Market for Antimicrobial Coatings In the U.S. 3. House and Senate Pass Medicare Legislation to Freeze 2008 Reimbursement for Therapeutic Radiopharmaceuticals at 2007 Levels 4. Medicare Coverage Recommended for In-Home Sleep Testing 5. MedicareCRM(TM) to Speak at IIR Medicare Advantage Congress 6. STAAR Surgicals Collamer(R) IOL Designated as a New Technology Intraocular Lens by the Centers for Medicare and Medicaid Services 7. Medicare Approves in Home Sleep Apnea Testing 8. Medtronic Unit to Pay $75 Million to Settle Whistleblower Medicare Fraud Case 9. Medicare Exemplary Provider Accreditation Awarded to Regenesis Biomedical 10. Arcadian Health Plan Addresses Medicare Doctor Payment Cuts 11. Netsmart Technologies Web Seminar Helps Behavioral Health Organizations Understand Electronic Prescribing and the Importance of New Medicare-Related E-Prescribing Legislation
Source: bio-medicine.org

APNewsBreak: Questions for Medicare in outbreak

The meningitis outbreak has called attention to the role of compounding pharmacies in supplying medications routinely used by hospitals and doctors to treat patients. Regulated primarily by states, the pharmacies specialize in customizing doses for individual patients who have allergies to ingredients in an FDA-approved drug, or who might need a smaller dosage than what’s available commercially. But some pharmacies have pushed into full-scale manufacturing.
Source: seattletimes.com

Medicare Issues Chiropractic Software and Documentation Alert

Get a Preventative Audit. Many don’t like that term, so I prefer to call them a Documentation Review.  For those who like in far corners of the earth, can’t bear to leave the office, or get a sudden onset of ADD when they sit in a seminar, this may be a good option for you.  Essentially, you submit your notes (along with your billing and coding) and I will scrutinize them with a fine-toothed comb making sure that your services are properly documented and that you used the appropriate CPT code and bill the services performed.  Following my review of your notes, you will review a painstakingly (and perhaps, painfully) detailed written review of your shortcomings and areas needing improvement according to published guidelines and my experience as a former Insurance Claims Analyst and my training as a Certified Professional coder and Certified Professional Medical Auditor.  For more specifics on the Documentation Review process and fees, send an email to info@strategicdc.com.
Source: strategicdc.com

FDA Law Blog: Medicare Revokes Payment for ARANESP

FDA Law Blog is published for informational purposes only; it contains no legal advice whatsoever. Publication of FDA Law Blog does not create an attorney-client relationship. FDA Law Blog is the blog of Hyman, Phelps & McNamara, P.C. (“HPM”) and it is intended primarily for other attorneys and regulatory professionals. No part of FDA Law Blog –whether information, commentary, or other– may be attributed to HPM’s clients. Readers should be aware that HPM represents many companies in the food, drug, medical device, and health care industries, and therefore FDA Law Blog may occasionally report on news that relates to HPM clients. FDA Law Blog will always strive to be unbiased in its reporting. All information on FDA Law Blog should be double-checked for its accuracy and current applicability. Copyright 2011 Hyman, Phelps & McNamara, P.C.
Source: fdalawblog.net

Noridian Notifies Myriad of Initial Draft Decision to Classify Prolaris(R) as a Non

This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including statements relating to the process for approval for reimbursement of the Prolaris test; Noridian’s solicitation of public comments on the Prolaris test; the Company’s review with Noridian of the role of the Prolaris test as a molecular staging diagnostic that guides therapy for prostate cancer patients; the Company providing clarity on how the Prolaris test is currently being utilized; whether the Prolaris test will be approved for reimbursement; and the Company’s strategic directives under the caption “About Myriad Genetics”. These “forward-looking statements” are based on management’s current expectations of future events and are subject to a number of risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by forward-looking statements. These risks and uncertainties include, but are not limited to: the risk that sales and profit margins of our existing molecular diagnostic tests and companion diagnostic services may decline or will not continue to increase at historical rates; the risk that we may be unable to develop or achieve commercial success for additional molecular diagnostic tests and companion diagnostic services in a timely manner, or at all; the risk that we may not successfully develop new markets for our molecular diagnostic tests and companion diagnostic services, including our ability to successfully generate revenue outside the United States; the risk that licenses to the technology underlying our molecular diagnostic tests and companion diagnostic services and any future products are terminated or cannot be maintained on satisfactory terms; risks related to delays or other problems with manufacturing our products or operating our laboratory testing facilities; risks related to public concern over genetic testing in general or our tests in particular; risks related to regulatory requirements or enforcement in the United States and foreign countries and changes in the structure of healthcare payment systems; risks related to our ability to obtain new corporate collaborations or licenses and acquire new technologies or businesses on satisfactory terms, if at all; risks related to our ability to successfully integrate and derive benefits from any technologies or businesses that we license or acquire; the development of competing tests and services; the risk that we or our licensors may be unable to protect the proprietary technologies underlying our tests; the risk of patent-infringement and invalidity claims or challenges of our patents; risks of new, changing and competitive technologies and regulations in the United States and internationally; and other factors discussed under the heading “Risk Factors” contained in Item 1A in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission, as well as any updates to those risk factors filed from time to time in our Quarterly Reports on Form 10-Q or Current Reports on Form 8-K. All information in this press release is as of the date of the release, and Myriad undertakes no duty to update this information unless required by law.
Source: globenewswire.com

Medicare Deductibles 2013

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /Just as an FYI, I listed a brief summary of the deductible and coinsurance amounts. This information can be used to inform your patients about their Medicare benefits as well as collecting upfront payments from your Medicare patients.
Source: about.com

Video: Medicare Deductible

Avoiding The ‘Fiscal Cliff’ Likely Means Changes In Medicare

REDUCE PAYMENTS TO PROVIDERS: Hospitals, physicians and other health care providers – many who are now facing payment cuts either in the 2010 health care law or from the upcoming “sequestration” reductions (or both) – may take another hit in a deficit deal. Among the options sometimes mentioned are limiting the amount of “bad debt” that hospitals and other providers can write off their taxes,  reducing federal funding for medical education and requiring more prior authorization for some medical services, such as imaging, to help reduce unnecessary care. Lawmakers looking for political cover from angry providers could cite the many deficit-reduction proposals that have advanced provider cuts: Obama’s 2011 deficit reduction proposal, the Simpson-Bowles plan and the Medicare Payment Advisory Commission, or MedPAC, which advises Congress on Medicare payment policy.
Source: kaiserhealthnews.org

Aging & Law in West Virginia: Medicare Premiums and Deductibles 2013

Part A generally pays inpatient hospital, skilled nursing facility, and some home health. Most beneficiaries do not pay a premium for Part A since they have at least 40 quarters of Medicare-covered employment. Part B generally pays a portion of the cost of physician services, outpatient hospital services, certain home health services, durable medical equipment, and other items. Here below are the premiums, deductibles, and copays for Medicare Parts A and B for 2013:
Source: blogspot.com

What you need to know about Medicare

A word of caution here: There are a few things you can’t do during the six-week disenrollment period. You can’t switch from one Medicare Advantage plan to another. Nor can you switch from the traditional Medicare program to an Advantage plan. Most people will need to wait until the annual enrollment period in the fall to make either of those changes.
Source: demingheadlight.com

2013 Medicare Part B premium and deductibles rise, but not by much

These and other parts of the law will result in significant savings. We estimate that the health care law will save the average person in traditional Medicare $5,000 through 2022. Earlier this year we projected that the standard premium for Medicare Part B (which covers certain doctors’ services, outpatient care, medical supplies, and preventive services) would rise by more than $9.00 a month in 2013. Today we announced that the actual rise will be lower—$5.00—bringing 2013 Part B premiums to $104.90 a month. By law, the premium must cover a percent of Medicare’s expenses; premium increases are in line with projected cost increases. Medicare Part B premiums have gone up slowly over the past five years – an average of less than 2 percent a year, or $8.50 total.
Source: quinnscommentary.com

Solving the Problem of Medicare Insolvency

The number one fiscal issue facing the US government relates to the solvency of Medicare. You might consider the idea of high deductible policies for people who can afford them. What I’m thinking of is a deductible in the range of $10,000 that can be funded through a private insurance policy along the lines of MedSupp. The basic idea is to privatize the small, routine claims part of Medicare and save the government big money. It would also create an incentive to control utilization. Although many people couldn’t handle a $10,000 deductible, they could handle the premiums needed to finance such a deductible through an insurance policy. If some government incentive or mandate is necessary to force insurance companies to guarantee issue these deductible funding policies, then that can be considered. Or maybe better yet, the government could supply this type of insurance, with the public paying the premiums. The government could either compete or occupy the field.
Source: grassrootinstitute.org

The Changing Landscape of Medicare for 2013 and Beyond

The Affordable Care Act included a number of changes to the Medicare program.  Preventative care coverage has been expanded to cover many screenings.  Participants can take advantage of an annual wellness exam to plan which screenings are appropriate for them each year.  Healthcare reform included changing the “donut hole” provision to Medicare’s drug coverage (part D) and the donut hole will be phased out by 2020 (the donut hole is a period in which recipients pay all drug costs when they reach a certain cost level, up until reaching catastrophic coverage).  In 2013, people who hit the donut hole will have additional help/discounts during that period.
Source: seniorhomes.com

CMS Announces 2013 Medicare Deductible, Coinsurance Amounts : Health Industry Washington Watch

CMS has published notices announcing the 2013 Medicare inpatient hospital deductible and hospital and extended care services coinsurance amounts. The 2013 Part A deductible for hospital inpatient admissions for the first 60 days of care will be $1,184, followed by $296 per day for days 61-90 and $592 per day for stays beyond the 90th day in a benefit period. The daily skilled nursing facility coinsurance for days 21 through 100 in a benefit period will be $148 in 2013. CMS also released the 2013 Medicare Part A premium amounts for the uninsured aged and disabled individuals who have exhausted other entitlement. Finally, CMS published the 2013 Medicare Part B premium amounts (which vary by income from $104.90 to $335.70 per month) and the Part B deductible, which for 2013 is $147.00 for all Part B beneficiaries. 
Source: healthindustrywashingtonwatch.com

Help fight Medicare fraud

Posted by:  :  Category: Medicare

HELP ME HELP MYSELF! by eyewashdesign: A. GoldenChallenge your physicians. Determine whether all this “good stuff” you are getting at minimal cost is really necessary. In truth, you are paying for it with your taxes. Do not accept implicitly your physician’s words. Go online. Be responsible for your own health. Research. Investigate. Learn about these recommendations. If well informed, you are a better patient. Be cautious of your physician’s advice, for you may be receiving negligible benefit while paying for his/her next Caribbean vacation.
Source: dallasnews.com

Video: You Can Help Fight Medicare Fraud

When should I apply for Medicare?

If you’re not receiving Social Security benefits, however, consider signing up soon. As does the Social Security Administration, Long recommends that you apply three months before your 65th birthday to ensure your coverage begins the month you turn 65.
Source: cnn.com

Help with the Medicare options

The MedicareStore is holding an informational open house 9 a.m. to 5 p.m. Friday. An audiologist from hi Healthinnovations and a representative from SilverSneakers fitness program will be on hand, and there will be a SilverSneakerod demonstration at 1 p.m. The store is open 9 a.m. to 5 p.m. Mondays through Fridays, and is in the Golf Acres Shopping Center at 1412 N. Hancock Ave. For more information, call 357-1281.
Source: gazette.com

Do You Qualify for Medicare's Extra Help Program?

Every individual who qualifies represents an important potential benefit to our tribal communities. Social security is responsible for implementing that benefit; we call it “extra help.” Many Medicare beneficiaries won’t have to file for assistance because they’ll automatically get it based on benefits they receive.
Source: indiancountrytodaymedianetwork.com

Tricare Help – If wife gets Medicare early due to disability, does she get TFL at the same time?

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

Jon Chait’s Miserable Endorsement of Raising the Medicare Eligibility Age

What’s more, raising the Medicare retirement age would help strengthen the fight to preserve the Affordable Care Act […] The political basis for the right’s opposition to universal health insurance has always been that the uninsured are politically disorganized and weak. But a side effect of raising the Medicare retirement age would be that a large cohort of 65- and 66-year-olds would suddenly find themselves needing the Affordable Care Act to buy their health insurance. Which is to say, Republicans attacking the Affordable Care Act would no longer be attacking the usual band of very poor or desperate people they can afford to ignore but a significant chunk of middle-class voters who have grown accustomed to the assumption that they will be able to afford health care. Strengthening the political coalition for universal coverage seems like a helpful side benefit — possibly even one conservatives come to regret, and liberals, to feel relief they accepted.
Source: firedoglake.com

Medicare: Help enrolling or switching plans

Visit Medicare.gov. Its Plan Finder allows you to compare a wide range of costs across multiple drug and Medicare Advantage plans available in your county. It also has ratings on each plan’s performance and quality. Most important, it allows you to enter prescription drug names to gauge whether they’re covered and at what cost under a variety of plans.
Source: oregonlive.com

Attention Seniors: Help Stop Medicare Fraud

The Wisconsin Council of Churches is partnering with the Coalition of Wisconsin Aging Groups (CWAG) to help seniors in our congregations control rising health care costs by helping to fight Medicare fraud. The Wisconsin Senior Medicare Patrol (SMP), overseen by CWAG, provides resources to Medicare beneficiaries, caregivers, and the professionals who serve them throughout the state to prevent, detect, and report healthcare fraud, waste, and abuse.  For more information, click here.
Source: wichurches.org

Alexandria Seniors Can Get Help with Medicare Plan Changes

Open enrollment for making changes to Medicare D and Medicare Advantage plans is under way and will continue until Dec. 7.  Changes made during this period will be effective Jan. 1.   It is important to review your plan because Medicare Part D and Advantage plans are allowed to make changes in their premium costs, deductive, co-payments and formularies (the list of drugs covered by their plan), according to a city news release.   Free counseling will be provided in Alexandria through VICAP, the Virginia Insurance Counseling and Assistance Program, and the Department of Community and Human Services Division of Aging and Adult Services. 
Source: patch.com

New Grants Help People with Medicare Stay Healthy and Independent

The funding will support a variety of programs, all evidence-based and licensed from the Stanford University Patient Education Research Center. The Stanford programs emphasize the individual’s role in managing their health and improving their quality of life. The grants will also support evidence-based self-management programs for people with diabetes, arthritis, HIV/AIDS, and chronic pain, including internet-based courses and programs specifically developed for Spanish-speaking adults with chronic conditions.
Source: hhs.gov

Lapham offers Medicare help, trips and more

The Senior Men’s Club invites you to join them on their tour of the WWII exhibit at the newly renovated New York Historical Society on Tuesday, Dec. 4. The cost of the trip will be $85 per person which includes roundtrip bus, lunch, admissions and two docent-led tours. Departure is from the lower St. Mark’s Church parking lot at 8, with an expected return by 4:45. Lunch will be at Symphony, a Greek restaurant. Call Stan Stanziale at 203-966-2862 or Ladd Seton at 203-972-8687 for reservations or more info.
Source: ncadvertiser.com

The Changing Landscape of Medicare for 2013 and Beyond

The Affordable Care Act included a number of changes to the Medicare program.  Preventative care coverage has been expanded to cover many screenings.  Participants can take advantage of an annual wellness exam to plan which screenings are appropriate for them each year.  Healthcare reform included changing the “donut hole” provision to Medicare’s drug coverage (part D) and the donut hole will be phased out by 2020 (the donut hole is a period in which recipients pay all drug costs when they reach a certain cost level, up until reaching catastrophic coverage).  In 2013, people who hit the donut hole will have additional help/discounts during that period.
Source: seniorhomes.com

Medicare Open Enrollment: The Tools Are There to Help Your Loved Ones Make Good Plan Choices

A recent study found that seniors (often with the help of their support systems like you and me) are learning from their experience with Part D over time and switching plans when they can save money, or when a different plan better fits their individual health needs. The study, which we have highlighted in our Rx Minute newsletter this month, shows that seniors are adapting to get the best drug coverage for their money. Research PhRMA sponsored found that even in 2006, Part D’s first year, seniors disproportionately chose plans with lower premiums and deductibles and broader choice of medicines. In sum, choice works, benefiting seniors.
Source: phrma.org

Solomon’s words for the wise: Local Medicare Help Sessions Continue

The Smalls arrived in Potter County in July. Pastor Small is in charge of the Southern Potter Charge which includes Faith United Methodist in Sweden Valley, Austin UM., Keating Summit UM. and Costello UM. Pastor Small moved here from Tyrone and has been busy meeting all his parishioners, preaching on Sundays, visiting people in Sweden Valley Manor, the hospital and around town. He is an avid hunter and managed to take Ty and Calla deer hunting. The Smalls also enjoy walking and hiking. Shalene has been busy being a Pastors wife and being a mom to her three wonderful children and volunteering when she can. Pastor Steven and Shalene are having an open house at their home next to Faith UM. church in Sweden Valley on Sunday, Dec. 16 from 2 till 5 all are welcome to stop by and say hello.
Source: blogspot.com