Next Steps for Some Beneficiaries In Medicare Special Needs Plans 

Posted by:  :  Category: Medicare

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Series on Special Needs Plans and Medicaid Programs:  Issue Brief No. 1 “Federal Authority for Medicare Special Needs Plans and their Relationship to State Medicaid Programs.”  June 2009 at http://www.communityplans.net/Portals/0/Events/2009%20CEO%20Summit/ASPE%20Federal%20Authority%20for%20SNPs.pdf (site visited Sept. 13, 2011).  This description of disproportionate share was codified at 42 C.F.R. § 422.4(a)(1)(iv) but that section has been amended since the law changed. [5] Marsha Gold, Gretchen Jacobson, Anthony Damico and Tricia Neuman, “Special Needs Plans:  Availability and Enrollment,” Kaiser Family Foundation Program on Medicare Policy, September 2011 available at http://www.kff.org/medicare/upload/8229.pdf (site visited Sept. 13, 2011) [6] Sec. 164 of Pub. L. 110-275 (July 15, 2008) [7] Sec. 3205, Pub. L.111-148 (Mar. 23, 2010) [8] Memorandum of June 17, 2011 to All Medicare Advantage (MA) Organizations, from Anthony Culotta, Director, Medicare Enrollment and Appeals Group, Subject:  Transition Guidance for Non-Special Needs Enrollees in MA Special Needs Plans Under the “Disproportionate Share” Policy, available at  http://www.medicareadvocacy.org/wp-content/uploads/2011/09/SNP_Transition_Guidance_6-16-11-FINAL-2.pdf (site visited Sept. 15, 2011). [9] Assistance with selecting supplemental Medicare policies, known as Medigap policies, is usually offered by State Health Insurance Assistance Programs (SHIPs).  Not all SHIPs operate out of State Health Insurance offices.  For information about your state’s SHIP, go to www.shiptalk.org (site visited Sept. 15, 2011) [10] Medicare Managed Care Manual, Ch. 2 § 50.2.5, available at  http://www.cms.gov/MedicareMangCareEligEnrol/Downloads/FINALMAEnrollmentandDisenrollmentGuidanceUpdateforCY2012August192011.pdf  (site visited Sept. 15, 2011).
Source: medicareadvocacy.org

Video: Stage 2 Requirements for the Medicare and Medicaid EHR Incentive Programs

Seven Choices Medicare Plans Will Need To Make In Order To Survive

Sales channels are a good example of this. Given the recent proliferation of channels, it is critical that MA plans optimize their mix by focusing on the needs of their customers, instead of looking at what has helped sell various Medicare products in the past. Traditional channel options include direct sales, brokers, groups, and the web; emerging channels include retail stores, payor partnerships, and private exchanges. Each avenue provides a unique experience for the customer, and the right match can determine the eventual buying decision. The range of channels increases complexity, but it also allows leading plans to tailor their engagement strategy by segmenting the customers and personalizing interactions on the basis of segment needs for sales and enrollment, as well as ongoing interactions with the member to improve experience and manage health outcomes.
Source: healthaffairs.org

Medicare Advantage Fact Sheet

Since 2006, Medicare has paid plans under a bidding process.  Plans submit “bids” based on estimated costs per enrollee for services covered under Medicare Parts A and B; all bids that meet the necessary requirements are accepted.  The bids are compared to benchmark amounts that are set by a formula established in statute and vary by county (or region in the case of regional PPOs).  The benchmarks are the maximum amount Medicare will pay a plan in a given area. If a plan's bid is higher than the benchmark, enrollees pay the difference between the benchmark and the bid in the form of a monthly premium, in addition to the Medicare Part B premium.  If the bid is lower than the benchmark, the plan and Medicare split the difference between the bid and the benchmark; the plan's share is known as a “rebate,” which must be used to provide supplemental benefits to enrollees.  Medicare payments to plans are then adjusted based on enrollees' risk profiles.
Source: kff.org

Health Affairs articles on Medicare reform options

We describe a new option we call Medicare Essential, which would combine Medicare's hospital, physician, and prescription drug coverage into an integrated benefit with an annual limit on out-of-pocket expenses for covered benefits. Cost sharing would be reduced for enrollees who seek care from high-quality low-cost providers. Out-of-pocket savings from lower premiums and health care costs for a Medicare Essential enrollee could be $173 per month, compared to what an enrollee would pay with traditional Medicare, prescription drug and private supplemental coverage. Financed by a budget-neutral premium, we estimate that this new plan choice could reduce total health spending relative to current projections by $180 billion and reduce employer retiree spending by $90 billion during 2014–23. Given its potential, such an alternative should be a part of the debate over the future of Medicare.
Source: pnhp.org

Libertyville Tax Expert Guides You Through The New World of Medicare Decisions

Medicare Ratings System To assist consumers, Medicare now rates Medicare Advantage programs using a star system. Using member satisfaction surveys and plan evaluations, plans are rated between one and five stars. In fact, at any time, you can switch into a five-star Medicare Advantage plan, but only if one is available in your region (only a few states have a five-star plan). Even if your area does not offer a top-rated plan, every state offers at least a four-star plan.
Source: accountantlibertyville.com

Privately Run Medicare Plans are Really Expensive

Austin Frakt draws my attention today to a new article about the administrative costs of Medicare. Exciting stuff! Long story short, Kip Sullivan of the Minnesota chapter of Physicians for a National Health Program wants everyone to understand just what's involved in figuring out the true administrative costs of Medicare. The cost of collecting payroll taxes is one frequently overlooked element, for example. More interestingly, though, there's a large and growing gap between the overhead calculations of the Medicare Trustees and those of the National Health Expenditure Accounts. Why is that?
Source: motherjones.com

Medicare Kills a Program, David Henderson

First, the incentives: If you go into the hospital for heart surgery and you end up getting a central-line infection, you'd hope that the hospital would be penalized for it. The opposite, in fact, is true. According to a new study in the Journal of the American Medical Association, surgical complications increase the margin the hospital makes on the patient by 330 percent for the privately insured and 190 percent for Medicare patients. Second, the public choice: To Health Quality Partners and its defenders, Medicare's decision is ludicrous. "We're spending tens of billions of dollars now on Medicare innovation where Medicare already discovered something amazing and now they're forgetting what they discovered?" Brenner says. "It's an amazing government moment." It's not that amazing.
Source: econlib.org

Obama’s Shakedown of Medicare

The Congressional Budget Office (CBO) predicts that at least 7 million people will be dropped from their employer health plan because of Obamacare, but the CBO also said that the figure could well rise to 20 million. Of course employers will take advantage of Obamacare to shift the cost of health care onto individuals, in the same way that employers shifted away from defined pension plans and onto the 401(k) scheme. Several employer surveys have reported that companies plan to dump their employee health care plans by the millions.
Source: workerscompass.org

Medicare Plan Will Be Central To Ryan GOP Budget

Politico: GOP On Budget: Bitten, But Not Shy For the second year running, Republicans are betting big on the budget. Despite getting hammered by Democrats last year, the GOP is gambling that going big and bold on their fiscal blueprint — think major changes to Medicare and Medicaid — will convince voters the GOP is the nation’s responsible party, comprised of lawmakers attuned to the nation’s fiscal woes. But it’s a gambit fraught with political peril, especially in an election year. Rep. Paul Ryan’s budget last year gave Democrats an opening to paint Republicans as willing to end Medicare as voters know it and batter Medicaid — while cutting taxes for the wealthy (Sherman, 3/18).
Source: kaiserhealthnews.org

Nationalized health care would have saved Medicare an extra $34.1 billion in 2012, say advocates

"We've long known that Medicare has been paying private insurers more than if their enrollees had stayed in traditional fee-for-service Medicare, but no one had added up the total extra cost to the taxpayer since contracting with private insurers began 27 years ago," said Hellander, lead author of the study. "Nor has anyone systematically examined the many ways that private insurers have gamed the system to maximize their bottom line at taxpayers' expense. In 2012 alone, private insurers are being overpaid $34.1 billion, or $2,526 per Medicare Advantage enrollee."
Source: sciencecodex.com

AHIP Testimony: Value Offered by Health Plans Participating in the Medicare Advantage Program

  Medicare Advantage plans also protect beneficiaries from catastrophic health care costs.  In 2012, all Medicare Advantage plans offer an out-of-pocket maximum limit for beneficiary costs, and about 78 percent of Medicare Advantage enrollees are in plans that have annual out-of-pocket maximums of $5,000 or less.  These out-of-pocket maximums – which are not offered by the Medicare FFS program – help protect Medicare beneficiaries from catastrophic health care expenses that otherwise might pose a serious threat to their financial security.  Medicare Advantage plans also help reduce out-of-pocket costs for enrollees by reducing premiums for Part B and Part D, and by limiting cost-sharing for Medicare-covered services, including primary care physician visits and inpatient hospital stays.
Source: ahipcoverage.com

Q and A: Medicare and Medicaid EHR Incentive Programs (Post 1 of 5)

Because most CMAs (AAMA) work under the direct supervision of “eligible professionals” (as defined in the rules of the Centers for Medicare and Medicaid Services [CMS]), this is the first of five upcoming posts focusing on some common questions surrounding the provisions of the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program that are applicable to eligible professionals, not those provisions that are applicable to “eligible hospitals” and “critical access hospitals.”
Source: wordpress.com

On The Topic Of Medicare And Medicare Supplement Plans

Posted by:  :  Category: Medicare

medigap plans are the optimum health care products that provide specific amount of serenity to seniors in addition , disabled people to protect your life all over health care plans. This specific type of supplemental health insurance programs covers the gaps between original Medicare payments and has comfortable planning to find providing interesting help and advice to Medicare supplemental plans. May very challenging time period taking health really do care thrillingly, which creates the process of applying health maintenance plans very easy and simple. Moreover, you will take advice from expert insurance agents, who provide smart guidance for safeguarding your life thankfully.
Source: isn-buenosaires-2012.org

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

Blended Medicare Plan Could Save $180B Over 10 Years, Study Finds

Both studies — the Commonwealth Fund Medicare reform proposal and the Rand analysis of others’ Medicare reform proposals — are seriously flawed and illustrate no real-world understanding of Medicare. It is good that the Commonwealth Fund includes the catastrophic coverage and annual OOP limits that are not included in Original Medicare. All Part C plans and a few Medigap plans include such protection today. In fact, the Commonwealth Fund looks like a Part C health plan — except that it costs more than the average Part C plan and does not have as many other benefits (other than the OOP limits). The one-size-fits-all drug plan proposed by Commonwealth Fund will lead many low-income seniors back to the two-tier VA-like prescription drug coverage that pre-dated Part D (one inferior tier for low-income seniors, one better plan for the rest of us seniors). Because I cannot take Essential without taking this inferior two-tier drug plan is bad news for we middle-income seniors also
Source: californiahealthline.org

3 Facts About Medicare Supplemental Insurance

It always seems that Medicare Supplement Insurance is a big topic that has been floating around. The hard part is that not everyone is getting the correct information about this coverage. With so much information being thrown left and right about it, the false can get mixed up with the truth very easily. Here are three facts about Medicare Supplement Insurance.Lets talk about the first fact which is that medicare insurance will stay the same no matter who,what,where,when, and how you bought it and who you bought it for. This insurance coverage was made to help fill any gaps that were in the coverage previously. With that in your mind, they also made about twelve different levels worth of benefits. Making sure that it could fit everywhere. While there are many different levels the coverage will always stay the same no matter who you buy it from. If you are told otherwise, they are just trying to mislead you with a purpose.
Source: wastedenergy.net

Things that ought to be there in the best Medicare Supplement Policies

Those who have already enrolled themselves in Medicare can also get enrolled in supplemental insurance. These are marketed and sold by private firms. Traditional Medicare takes care of most of the expenses but not each and every service associated to medical supplies and health. Traditional Medicare includes hospital insurance and medical insurance which falls under Part A and Part B respectively. The ideal plan of Medicare supplement insurance should be able to provide coverage for “gaps” that are not taken care of by traditional Medicare. These includes copayments, coinsurance and deductibles, which can add up, especially for individuals who need trained nursing home services and are hospitalized. This plan can also pay for the medical services sought by an individual outside his own country along with preventive services that do not receive approval from Medicare. Those who are enrolled in both the parts of Medicare (Part A and Part B) besides best Medicare supplement insurance policy, Medicare furnishes its share of medical services approved by it. Following this, Medigap takes care of its share of the expenses.
Source: fusionswim.com

Who Needs Medicare Supplement Plans?

Medicare supplement plans are designed to work with your current Medicare plan. These policies are not for everyone. In some instances supplement policies may actually be a waste of money. Supplement plans beef up the original Medicare and extend its coverage. There are 12 policies to choose from. Each plan acts like the original Medicare plan. They all cover basic services, but may focus on some more than others. All supplement plans are available in all 50 states, but not all supplement options can be bought by every insurance company. Be sure to check the coverage as some companies will only sell a few select Medigap plans.
Source: goodarticle.net

Stephen L Morgan’s Personal Blog: Some Useful Information For Selecting Medicare Insurance

Insurance coverage is necessary. There is neo way around it then. If you perform not provide ourselves with enough insurance policy coverage you will possible find that you are facing huge doctor bills. Breastfeeding bills are a single the fastest exciting financial difficulties suffered by people thrity nine and over. The cost linked to medical care is expected to stay to increase, pushing many seniors within the long term family facilities before ought to to go. Now, some may to be honest believe that through process of obtaining further insurance, these are putting on their own and their futures more to the entire hands of folks rather then safeguarding command. Nonetheless, this can be just not the situation. Northern La visit is guaranteed to assist as well as , guard your financial situation. Who understands simply could happen? You possibly can potentially undergo from great enormous coronary heart assault and call for a wonderful deal more than the medicare will pay out. By acquiring supplemental insurance, happen to be able to lower the stress the payments will placement on both and also your your friends and in addition family. Concentrate on understand that Medicare supplemental insurance policies are traded by private corporations. The policy itself is similar no matter what individuals sells it however the cost to participants might change. When you actually buy Medigap Plan Delaware at one insurance company is the exact same coverage you get through another insurance agency. The difference being premium you reimburse them to offer the insurance. This is one of pushed it is essential to do background work before settling on the Medigap plan while provider. Expertise. There are many, many broker agents and brokers that a lot of sell insurance. Most of options are a jack most trades, masters within none. Medicare health insurance and Medicare option is quite unique. Work with someone who specializes in Treatment Supplemental and Medicare insurance Advantage plans also knows this area of expertise inside and to choose from. Feeling a best service that offers Medicare Supplemental Plan P can be little a challenging work, but if you have touch with a major national insurance forex broker that contain every and every insurance company and provides all Medicare plans, you will can save a considerable amount of time. Your agent or broker in order to be very knowledgeable on behalf of you regarding Medicare health insurance Supplemental Insurance and you’ll feel cool with his suggestion and consider he is producing honest deal. It is very necessary to discover the perfect plan from a insurance company gives great hospitality. One particular thing to end up cautioned about is without a doubt paying for currently the Medicare premiums along with credit cards. This is a hazardous practice to commenced in. Making payments on the premiums with a bank card raises the run you pay by bringing interest and expenses. It is better to make premiums withdrawn since your account in the market to pay the set you back of the Medicare health insurance supplemental plan at the time information technology is due and then withdrawn from all your checking account. About many it in many cases can be due to positively concerns they gain had their full lifestyle, but to receive others it would be just a some other sign of rising. No matter what the situation, without the need of dentist professionist insurance coverage the discomfort of common procedures can damage not only your very own teeth, but furthermore , your wallet together with. It will for this good reason that that the Blue Cross Blue Guard Dental of California system tends up to make so essentially sense. But also know that complex activities insurance company offer all 12 Medicare supplemental insurance plans. Service repair shop that carries the following policies is forced to have Plan A. Beyond that, the plans they offer are up to company, based at their own success and the sales of each policy or which of them they feel most comfortable offering. Hence, if you’ve selected Plan D, you’ll need search not exclusively for private companies that provide Medicare supplements, just companies that offer this specific program so that find the right protection for your requests. Upcoding of septicemia is apparently so rampant the fact according to this 1999 inspector general’s report in anyone sample of clinic billings investigators studied, 20 percent related with septicemia cases are upcoded.
Source: blogspot.com

BETTER SAFE THAN SORRY: NEED

4. Where Can I Find Resources to Help Choose the Best Medicare Supplement Plan? There are a variety of government as well as private resources, the main one being Medicare.gov. The pros and cons of checking out Medicare.gov is that there is so much information on the site that the answer to your specific question is probably buried under tons of other information and could take forever to find. An easier method may be one of the local or national groups like the Senior Advisors Group where Medicare insurance specialists are standing by to assist you with specific questions regarding anything having to do with Medicare enrollment, choosing the best Medicare supplement plan, Medicare Advantage, and Medicare Part D (prescription) plans.
Source: blog4safety.com

Do You Need Medicare Supplement Plans? ~ Naija’s Passion

Supplement options are specifically created to work in relation with your original Medicare plan. These plans are not for everyone. In some instances supplement plans may actually be a waste of money. The plans are used to pay for coverage that isn’t available through the original Medicare plan. There are 12 options to choose from. Every single of the plan corresponds to each of the Medicare options. They all cover basic services, but may focus on some more than others. All supplement policies are offered in all 50 states, but not all supplement plans are sold by every insurance company. Each company may only sell a select variety of Medigap plans.
Source: blogspot.com

Compare Medicare Supplement Plans Supplemental Medicare Insurance

As consumers, we generally nurture many misconceptions about medical insurance. For example, people think that coverage is directly related to premiums and the more they pay, the more coverage they are likely to get. Actually premiums can vary, be more or less; but coverage is the same. It is possible for a consumer to save money, by avoiding out-of-pocket payment, just by getting proper information. http://www.medigapplansguide.com, can empower a consumer by giving proper insights into all aspects of Medicare supplement insurance through a comprehensive comparison and analysis of the choices offered by different companies like AARP. Pay less, get same benefits.
Source: wordpress.com

Zumbathon in Palmetto to raise funds for homeless kids

Posted by:  :  Category: Medicare

SARASOTA — Physical therapist Dave Ochsendorf will give a free presentation from 5 to 7 p.m. May 14 at Siesta Key Sports and Physical Therapy on how to reduce pain and avoid surgery for achy shoulders, knees and hips.
Source: bradenton.com

Video: Medicare Palmetto absolutely no help

Countdown to Proposed Cuts to Medicare Advantage

Palmetto Insurance of Anderson, South Carolina, would like to help you through the hard times that come when accidents happen! Please contact us for more information by calling us at 800-753-2487 or you can Email Us anytime, day or night and we will have one of our representatives contact you as soon as possible! dont forget to check us out on Facebook, LinkedIn and Twitter!
Source: imms.com

RRB awards Palmetto GBA new Medicare contract

“While Palmetto GBA has held the Railroad Medicare contract for more than 10 years, many of the staff here at our Augusta office have processed claims and answered inquiries for Railroad Medicare beneficiaries for more than 35 years,” Jenkins said. “We look forward to being here for you and providing the highest levels of customer service that you have come to expect, and most certainly, deserve.”
Source: utu.org

Palmetto, Medicare’s Biggest Carrier, Proposes to End Code Stacking for Molecular Clinical Laboratory Tests

Palmetto GBA is a Medicare Authorized Contractor (MAC) that serves Jurisdiction 1 (J1) and Jurisdiction 11 (J11). Two draft proposed local coverage determinations (one on molecular diagnostic tests (MDTs) and one on lab-developed tests (LDTs), and a molecular diagnostics pPalmetto GBA is a Medicare Authorized Contractor (MAC) that serves Jurisdiction 1 (J1) and Jurisdiction 11 (J11). Two draft proposed local coverage determinations (one on molecular diagnostic tests (MDTs) and one on lab-developed tests (LDTs), and a molecular diagnostics program (MolDx) have been proposed only for J1. If implemented, they would affect labs serving Medicare patients in California, Nevada, and Hawaii.
Source: darkdaily.com

2013 DEDUCTIONS PHASE OUT

Posted by:  :  Category: Medicare

Who is the engineer Tarek Rabaa? The political prisoner in Lebanon! by sherihaneA deductible reimbursement or zero deductible plan functions because a supplemental coverage to the main car, boat or homeowners policy plus can reimburse the insured the whole deductible amount just in case of the paid claim. A deductible reimbursement or zero deductible plan is a wise thing to have because many insurance claims are tiny or partial losses as well as the deductible limit has been submit area by the insurance providers to avoid the insured from filing these kind of claims. The insurance provider saves money by without to administer plus pay claims which otherwise might have been covered beneath the insured’s main insurance. The premium for a deductible reimbursement plan is generally a lot less than struggling to receive the same coverage with main insurer. Check with the insurance agent for details.  
Source: 2013m.org

Video: Hospital Indemnity Plans Are HOT

What do you need to know about medical indemnity insurance?

Medical indemnity policies that provide actual charge plans will only pay you the exact amount of medical process. This is not bound to limitation regarding the expenses that costs you in the medical plan. However, the insurance company will require the insured person to show receipts for the service charge as well as the services performed by the company. Then, the said business will reimburse the exact amount of the insurance process.
Source: buminsurance.com

Key Information On Indemnity Insurance

These days, indemnity insurance policies are gaining more and more popularity worldwide. Indemnity health insurance policies are regarded to be as one of the most famous ones among companies and individual. There are a popular kind of health care insurance plan that permits you to select your own hospitals and doctors. This insurance plan comes with plenty of positives and negatives and you need to consider both of them in order to generate some fine results on the go. Read on to know more about indemnity insurance.
Source: strengthofthestorm.org

Just Approved in NJ: Hospital Indemnity Plan for as little as $25.54/month*

About GarityAdvantage Agencies We are specialists in the Senior Market with over 75 years combined experience helping independent brokers grow their business and client base. As a national field marketing organization (FMO) specializing in the Medicare/Senior Market, we offer independant insurance agents outstanding service, competitive products and top commissions across a wide range of senior products including Medicare Advantage, Medicare Supplement, Final Expense, Funeral Trust, Hospital Indemnity and more.
Source: wordpress.com

Indemnity Insurance Definition

Errors and omissions insurance is commonly sought (and often required) in financial industries, while deferred compensation indemnity insurance has become popular as a way for company executives to protect future money owed to them, even if the company has filed for bankruptcy. Health indemnity insurance is sometimes used when a person is in between health plans, and will cover some (but not all) expenses.
Source: investopedia.com

Coventry Medicare Advantages In A Nutshell

Posted by:  :  Category: Medicare

The last two remaining programs in the Coventry Medicare Plans are the Coventry Advantra-POS and the Coventry Advantra Freedom. The Advantra POS is still basically the same as HMO and PPO plans; they have the same coverage of benefits and a set of network providers.  But, they are given the privilege to see health care providers outside their network.  Of course, this comes with much higher premiums.  For a little more cost, enrollees can have the freedom to choose their own physicians with the Advantra Freedom plan.  CAF is a private-fee-for-service (PFFS) which also includes Part A and B benefits.  Enrollees may consult any physician or specialist they prefer without the need for any referrals, given that the provider accepts the guidelines and resolutions within the PFFS agreement.
Source: medicarebase.com

Video: Ultra Support Back Brace – Covered by Medicare

Advantra Rx NOT Renewing Their Medicare Contract

one of my customer’s sent me a copy of the letter from AdvantraRX dates October 2. Here is what it says (sorry about typos, i type fast): Dear Mr. Smith, AdvantraRx Preimer by Coventry Life and Health Insurance Company, a stand-alone prescription drug plan with a Medicare Contract, will no longer operate as of January 1, 2011 so your Medicare Prescription drug coverage through AdvantraRx Premiuer will end December 31, 2010. If you want Medicare prescription drug coverage starting January 1, you need to join a new Medicare drug plan by December 31, 2010. Take Action by December 31 to avoid losing drug coverage. If you want Medicare Rx drug coverage after December 31, you need to join another Plan or medicare advantage plan that offers drug coverage. You can join a new medicare drug plan anytime between October 1 and January 31, 2011. However your AdvantraRx Premier coverage ends December 31, so you should join a new medicare drug plan by december 31 to make sure you have drug coverage january 1. If you join a new plan AFTER december 31, your new coverage won’t start until the month after you join. What happens if you don’t join another medicare drug plan? if you don’t join another medicare drug plan by January 31, your next chance to join will be from october 15 through december 7, 2011. You may also have a pay a late-enrollment penalty to join later. The the letter gives a list of a bunch of companies and the 1-800 Medicare number and website. It doesn’t state anything anywhere about automatically enrolling them into another plan if they do nothing. In fact, it states the opposite.
Source: insurance-forums.net

Do You Have An Advantra Freedom Medicare Plan??

[…] You can blame this on your congressmen, senators, and yes even the president. The funding for medicare and Medicare has been drastically cut causing  some companies to raise rates and lower benefits. Other companies have simply decided to drop out of the market (which produces less competition). I would suggest writing a letter to your congressman or senator.Source: wordpress.com […]
Source: wordpress.com

Coventry Health Care Adds Cornerstone Health Care (P.A.) to their Advantra Medicare Advantage Provider Network in North Carolina.

Cornerstone Health Care has nearly 300 providers (including primary care and specialty physicians, and mid-level professionals) in more than 70 locations in High Point, Winston-Salem, Greensboro, Summerfield, Thomasville, Archdale, Trinity, Jamestown, Kernersville, Lexington, Asheboro, and Advance.
Source: wordpress.com

Altius Health Plans Altius Advantra Medicare Review

Altius Health Plans offers Medicare health insurance programs for residence of Utah and a county in Wyoming.  Altius Advantra and Altius Advantra Preference are Medicare Advantage HMO plans available in Box Elder, Cache, Daggett, Davis, Duchesne, Morgan, Rich, Salt Lake, Summitt, Tooele, Wasatch, and Weber counties in Utah as well as Uintah county in Wyoming.  Altius Advantra is an HMO-POS plan, and Altius Advantra Preference is a plain HMO only available in Davis, Salt Lake, and Tooele counties.  The coverage does include Part D drug coverage as well as health benefits.  Below is a review of the benefits they offer:
Source: medicare-plans.net

Medicare Targets Health Plans With Low Ratings

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Coventry.Health.Care.Deleware / .Advantra.Silver.Coventry.Health.Care

coventry health care incorporated laws state delaware december 17 1997 successor coventry corporation coventry health care insurance map offers health insurance states coventry health care iowa coventry advantra gold advantra xp gold silv ppo pltn ma coventry health care iowa coventry advantra silver advantra 22 medicare insurance plan options offered new market ia 2010 coventry of advantra platinum ppo sw ppo health drugs coventry health care 46 highest-paid chief information officers list 21 pay packages worth 1 million dealing rising price medical services health insurance Ny source fox news 16 30 1 jun 2010 provinding health care north kivu
Source: bonafidelive.com

Pennsylvania Health Insurance

HealthAmerica’s Commercial and Medicare Advantage Plans Among Tops in Nation for Quality and Service on U.S.News & World Report/NCQA “America’s Best Health Plans 2008-09″ List Harrisburg and Pittsburgh, Pa. – November 10, 2008 — HealthAmerica’s HMO, POS, and Medicare Advantage plans were ranked among the nation’s top 20 best commercial and Medicare health plans according to a joint ranking by U.S.News & World Report and the National Committee for Quality Assurance (NCQA). Nationally, HealthAmerica was ranked 12th among 287 commercial plans; HealthAmerica’s Medicare Advantage plan, Advantra, ranked 18th among 216 plans nationally. HealthAmerica and HealthAmerica Advantra have ranked as one of the top 50 best health plans in the U.S. News/NCQA “Americaýs Best Health Plans” list* every year since 2005. “We are honored to be recognized among the best health plans in the nation,” said Kirk E. Rothrock, president and chief executive officer of HealthAmerica. “We are dedicated to providing the best possible quality and service, so we are pleased to see our efforts recognized by NCQA, U.S. News and World Report, and, most importantly, by our members and our customers.” The National Committee for Quality Assurance and U.S.News and World Report collaborated to rank the nationýs best commercial, Medicare, and Medicaid health plans. The ranking appears in the November 17 issue of U.S.News and on its website www.usnews .com/healthplans HealthAmerica”s and Advantra”s rankings are based on their Healthcare Effectiveness Data and Information Set (HEDISý)** 2008 scores and the results of a Consumer Assessment of Healthcare and Provider Systems (CAHPS) survey of members. HEDIS is a set of standardized performance measures covering effectiveness of care, preventive care, treatment, and customer satisfaction. CAHPS is a standardized survey in which members rate the quality of care and service that they receive from doctors, specialists, office staffs, and insurers. In these ratings, HealthAmerica’s commercial health plans were rated higher than the national average in all 15 key measures of medical services and member satisfaction and higher than the Pennsylvania state average in 12 of the 15 key measures***. HealthAmerica’s HMO, POS, and Medicare Advantage plans’ status of “Excellent” from NCQA was also a factor in determining the U.S. News/NCQA “America’s Best Health Plans 2008″ ranking**** The U.S.News/NCQA “Americaýs Best Health Plans 2008″ list is drawn from measures of prevention, treatment, and customer experience. These measures are compiled in NCQA”s Quality Compass 2008*****, which publicly reports comparative results of more than 400 commercial health plans covering 85 million Americans. Health plans throughout the country were evaluated on issues such as access to care, prevention efforts, treatment of diseases such as diabetes and heart disease, and members were surveyed on their satisfaction to calculate an overall quality score. * “America’s Best Health Plans” is a trademark of U.S. News & World Report. **HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). ***The source for this data is Quality Compass 2008 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass is a registered trademark of NCQA. NCQA is a private, non-profit organization dedicated to improving health care quality. The 12 measures are: Child immunization (combo II), well child visits 3 to 6 years, colorectal cancer screening, prenatal care, first-trimester postpartum care, cervical cancer screening, breast cancer screening, diabetes-lipid profile (screen), controlling hypertension, cholesterol screening for patients with cardiovascular conditions, rating of all health care, rating of health plan. ****National Committee for Quality Assurance accreditation outcomes are: Excellent, Commendable, Accredited, and Denied. Applies to HMO and POS plans. *****Quality Compass is a registered trademark of NCQA. NCQA is a private, non-profit organization dedicated to improving health care quality. About HealthAmerica For over 33 years, HealthAmerica has provided health benefit solutions to employers across Pennsylvania. HealthAmerica offers a broad range of traditional and consumer-directed health insurance products, including managed care, HSAs, self-funded, Medicare, indemnity, nongroup and pharmacy plans. Serving 12,000 businesses and over 660,000 members as of December 31, 2007, in Pennsylvania and Ohio, HealthAmerica offers progressive medical management, innovative wellness programs, and statewide and national provider networks. HealthAmerica is ranked as one of “Americaýs Best Health Plans, 2006″ by U.S. News & World Report; its HMO and POS products have an “Excellent” accreditation by the National Committee for Quality Assurance. HealthAmerica has corporate offices in Pittsburgh and Harrisburg, Pennsylvania, and employs over 2,200 people in the commonwealth.
Source: blogspot.com

Health America www.EasyToInsureME.com

This entry was posted on July 29, 2008 at 7:13 pm and is filed under a, america, blue cross pa, coventry, coventry health america, cvty, harrisburg, healh insurance pennsylvania, health, health america, health america one, health insurance, health insurance pa, healthamerica, healthamerica com, healthamerica cvty, healthamerica cvty com, insurance, lancaster, low cost health insurance pa, low cost pa health insurance, ohio, pa, pa health insurance, phila, philadelphia, pittsburgh, ppo, scranton, www healthamerica com, www healthamerica cvty. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
Source: wordpress.com

Supplemental Insurance VS Medicare Advantage Plans Phoenix AZ Residents Can Choose

Posted by:  :  Category: Medicare

AZ: Richard Carmona v. Jeff Flake on Social Security and Medicare by IBEW_IOMy father was soon to be 65 years old, therefore we started looking into medicare and its coverage. We discovered that upon getting medicare which is offered by the government, he would also need to get a supplemental insurance. This would help cover the medical costs that medicare would not cover. This supplemental insurance, however seemed rather expensive for him. We started looking around and found medicare advantage plans phoenix az residents could take advantage of. This would be his medicare plan, however it would be offered by private companies. This would cost a lot less then having supplemental insurance.
Source: cluckandtweet.com

Video: AZ Retirees Celebrate 47 Years of Medicare Statewide

Learn About Medicare Advantage Plans Phoenix AZ Seniors Can Obtain

My father wanted to plan early for medicare, so he started inquiring about it. He wanted to make sure he would be covered for medical costs. He learned that although this government plan covers a lot of stuff, he could still be left paying a lot of the medical bills. In order to avoid this he could get a supplemental insurance, however this was too much. This is why he decided instead of seeking a government medicare plan, he would seek a private medicare plan which can be known as medicare advantage plans phoenix az seniors can obtain.
Source: albertfs.com

How to Choose a Medicare Part D Plan in Arizona

A lot has been written about the changes to Medicare, and proposed changes yet to come, so it’s no surprise that so many Arizona seniors are confused about their choices. One of the most common questions in this state is, “How do I choose a Part D plan?” According to a recent article from the Tucson Citizen, “Medicare Part D: So many choices!” (October 16, 2012), a study by Health Affairs revealed that seniors overspend on prescription drug plans by more than $368 per year. The reason for this is that they pay for more coverage than they need. In fact, only 5.2 percent of seniors chose the most economical Medicare Part D plan available for them.
Source: swhealthinsurance.com

Controlling Medicare Costs is Now Un

Of course, as a number of people have pointed out, this move doesn’t prevent IPAB from working. If the Senate doesn’t confirm anyone to the board, it just means that the HHS secretary has to make cost-cutting proposals on her own if Medicare grows faster than allowed. So what’s the point? Pretty obviously, it’s to make sure that if Medicare is cut in any way, Republicans can blame it solely and completely on Democrats.
Source: motherjones.com

Jane is Interested in Medicare Supplements Phoenix AZ

My best friend Jane is getting ready to retire in a couple of years or so. Right now, in order to prepare for the time when she retires, Jane has been starting to gather up all of the needed information that she can find so that she will be well prepared when her retirement day arrives. Jane and I enjoyed a nice lunch together this afternoon. While we were enjoying our meal, Jane mentioned that she is interested in medicare supplements phoenix az.
Source: pdcoaching.com

Using Medicare in Arizona

Medicare Arizona can help you cover your medical bills as you transition into older age. Medicare was created in 1965 to provide health insurance for people 65 and older, whatever their income or medical history. Since then the program has expanded to offer multiple forms of coverage for people in different circumstances. Traditional Medicare in arizona and elsewhere is a single payer health plan, but the program has been expanded to include a network plan wherein the government handles the expenses of private coverage. This range of Arizona medicare plans includes Medicare A, B, and C.
Source: good-website.com

In Arizona, Poorest, Sickest Patients Get Coordinated Care

Joseph Ford sits in his well-worn easy chair in the living room of his suburban Phoenix home. He’s 42 years old and disabled from a car accident. His attendant has just arrived and makes her way into the kitchen to prepare dinner. Later, she’ll change the sheets on Ford’s hospital bed. It’s pushed against the wall in the entry way where he sleeps every night, since Ford can’t make it up the stairs. His house is busy today: the case manager from his health insurance company, Dave Oxford, is here too.
Source: kaiserhealthnews.org

GPM Life Medicare Supplements

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

MaineHealth, Anthem BCBS Form ACO

Posted by:  :  Category: Medicare

Portland-based MaineHealth and Anthem Blue Cross and Blue Shield have launched Maine’s first comprehensive commercial accountable care organization. As part of the ACO, MaineHealth and Anthem will collect and analyze data on quality of care, utilization and cost to better identify and implement improvements to the system. MaineHealth already has a Medicare ACO, and the new commercial ACO will operate with the same group of physicians as the system’s current ACO, according to a MedCity News report. “This agreement with Anthem will enable our ACO to expand its focus on increasing value to patients through improved quality and slowing the rate of healthcare cost increases, which over time will result in more affordable healthcare for Mainers,” Frank McGinty, executive vice president of MaineHealth, said in the news release. The ACO program will be rolled out throughout the year, according to the release.
Source: beckershospitalreview.com

Video: Excellus BCBS Medicare What does Medicare cover

CareFirst BCBS’s Medicare plan gets high ranking from CMS

The ranking is for Medi-CareFirst’s BlueRx standard and enhanced prescription drug plans (Part D), and is an improvement over last year’s 4-star ranking. The CMS Medicare program each year rates all health and prescription drug plans in four categories, with ratings of up to five stars.
Source: ifawebnews.com

auto club of southern california: A Medicare Advantage Plan is a type of Medicare bcbs of texas health plan, and this is available bcb

all of your healthcare needs. bcbs of texas As such, if you have to receive care from a specialist, your primary care physician will provide you with a referral. As opposed to HMO plans, you can obtain your health care from any doctor, other healthcare providers or facilities if you enrolled in a PPO plan. In this type of plan, you pay less if receive care from physicians, clinics, and hospitals which are members of the plan s network, and you pay more if you get out-of-network services. You will not be required to choose a primary care doctor, and you don t need to get a referral to see a specialist. In most cases, these plans also provide prescription drug coverage. It all depends on your preferences. If having one primary care provider is more convenient and straightforward for you, then HMO plans such as Keystone 65 Select is a better choice, but if you find this limiting,
Source: blogspot.com

Excellus BCBS holding free Medicare planning meetings for Kodak retirees

Kodak retirees who will lose their health care benefits by the end of this year can ask questions and get answers from Excellus BlueCross Blue Shield Wednesday. Excellus is offering free Medicare planning seminars. The first one is at 9:30 a.m. at the Wishing Well on Chili Avenue in Chili. Click here for dates of additional seminars.
Source: whec.com

Blue Cross Blue Shield of Texas Medicare Supplement Plan

Medicare Supplement Insurance in Texas, like all other traditional forms of coverage does have rate increases and I dislike them as much as you do. BCBS seems to have some of the most stable rates in the industry, where some carriers have pounded the rates some 10 and 12% these guys have not exhibited that type of behavior. They actually experienced a rate decrease this last October which was a pleasant surprise to most seniors. Of course there is no way of knowing what may or may not happen from one year to the next so yes, they could raise rates soon, but so far so good.
Source: medicareinsurancetexas.com

Medcare Ambulances Reach Out to Athens Community

Posted by:  :  Category: Medicare

Ambulance Flyby by Just Us 3Athens Athens city council Barack Obama Budget City city council Congress education election featured fracking Governor House John Kasich Kasich Kyle Triplett LGBT Matthew Wallace Mayor McDavis Middle East Mitt Romney Obama Ohio Ohio University OU OU Student Senate Paul Wiehl President protests republican Roderick McDavis romney RSVP SB-5 SB5 Senate Senate Bill 5 state student Student Senate Student Senate elections unions university Wiehl
Source: thenewpolitical.com

Video: MedCare COMPETENCIA ESTATAL QUERETARO 2012

MedCare Cares!: MedCare’s Upcoming Marketing Events!

The following is a list of upcoming events where MedCare will be present!  Feel free to stop by, say hello and get valuable information about the services we provide as well as current job openings with our company!
Source: blogspot.com

Some tips to keep your eyes healthy

Many people suffer from Computer Vision Syndrome, which is a temporary condition caused by frequent and prolong use of computer. Some of the symptoms are eyestrain, headaches, blurred vision, fatigue, dry eyes, difficulty focusing at a distance, neck, back, and shoulder pain, etc. So while using your computer, ensure proper lighting conditions to avoid glare on your computer or use an anti-glare screen if needed. Drink lots of water and blink often to prevent dry eyes. Take a short break after every two hours and look away from the computer for 20 seconds every 20 minutes. Make sure that your eyes are level with the top of the monitor to allow you to look slightly down at the screen.
Source: wordpress.com

NDIS levy: Medicare levy increase to fund National Disability Insurance Scheme

Posted by:  :  Category: Medicare

I am more than happy to support the NDIS. The Productivity Commission report regarding disability in 2011 found that the current state of disability support within Australia is underfunded, ineffective, and is restrictive towards individual’s choice with their own care. The overarching message from Prime Minster Gillard and Tony Abbot is that the NDIS is important legislation and needs to be implemented. I feel we need to acknowledge that disability support needs to be changed within this country as one in four people with disabilities within this country live below the poverty line. The amount of people with disabilities that are within the Australian workforce has dropped to 2.9 percent. The NDIS propose not only vital and consistent funding towards to these individuals but also a focus on social and economic participation which include making employment more accessible. Allowing this excluded group to engage with the workforce will be good for the country as a whole.
Source: com.au

Video: Marco in Australia – 03 – lunedì 17 dicembre 2012 – Casa e famiglia

Phase out GP consultation fees for a better Medicare

A voluntary scheme that gives GPs the option to enrol some patients and receive (initially small) capitation payments alongside their Medicare rebates, would be a good place to start. The fee-for-service system could be slowly phased out by freezing rebate levels so they become less valuable in real terms over time. Concurrently, capitation payments could be gradually increased to make them more attractive.
Source: com.au

Cut back Medicare, think tank says

Dr Sammut also called for the reintroduction of compulsory co-payments for GP visits and for a means test on Medicare entitlements, so the government wasn’t paying for the health needs of the well-off.
Source: com.au

Myer exec concerned about Medicare levy

The Motley Fool’s purpose is to help the world invest, better. Click here now for your free subscription to Take Stock, The Motley Fool’s free investing newsletter. Packed with stock ideas and investing advice, it is essential reading for anyone looking to build and grow their wealth in the years ahead.  This article contains general investment advice only (under AFSL 400691). Authorised by Bruce Jackson. Motley Fool contributor Ryan Newman does not own shares in any of the companies mentioned in this article.
Source: com.au

gerber medicare supplement

Medicare Supplement Plans, also referred to as Medigap Insurance policies, are strategies that are sold by private insurance companies to address health costs that are not covered by Medicare in Original Medicare Plans. People are qualified to receive Medicare healthcare protection if they are at.
Source: com.au

Additional Medicare charge to fund NDIS | disabilitydirectory.net.audisabilitydirectory.net.au

• Someone earning $30,000 a year will pay an extra 41 cents a day in Medicare levy, but still be paying $903 less income tax per year than they were in 2007; • Someone earning $70,000 a year will pay an extra 96 cents a day in Medicare levy, but still be paying $953 less income tax per year than they were in 2007; • Someone earning $110,000 a year will pay an extra $1.51 a day in Medicare levy, but still be paying $1903 less income tax per year than they were in 2007.
Source: net.au

Facilitating Medicare Local meeting

Every conference and seminar can benefit from the services of a professional conference MC. Leaving the job to members of your committee is a poor second option and can make the difference between the success and failure of your event.
Source: com.au

Making complaints less complex

Posted by:  :  Category: Medicare

The PARTY Is OVER ...item 4.. Today, Mitt Romney Lost the Election (Sep 17, 2012 6:02 PM ET) ...item 5.. James Brown - Get On The Good Foot, Soul Power, Make It Funky Soul Train 1973 ... by marsmet471Each plan has specific rules you’ll need to know and follow when filing a complaint.  If, after filing a complaint, your plan doesn’t address the issue, call 1-800-MEDICARE for assistance. You can also call your State Health Insurance Assistance Program (SHIP) for free, personalized help filing a complaint.
Source: medicare.gov

Video: Filing Medicare Insurance Claims – Where Do I Begin?

How To File A Medicare Appeal

Beneficiaries in Medicare Advantage plans follow similar appeals procedures, except the initial appeal must be made within 60 days of the denial. Information can be found at http://www.medicare.gov/claims-and-appeals/file-an-appeal/medicare-health-plan/medicare-health-plan-appeals.html. If a service or treatment has been denied, an expedited appeal can be requested from the plan if waiting for a regular appeal decision could jeopardize the member’s health. Expedited appeals are not permitted solely for payment denials. For more details about expedited Medicare Advantage appeals, see section 50 of the Medicare Managed Care Manual at http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/mc86c13.pdf .
Source: kaiserhealthnews.org

DOJ Accuses Hospice Giant Chemed Of Medicare Fraud, Shares Plunge

“Vitas billed three straight days of crisis care for a patient, even though the patient’s medical records do not indicate that the patient required crisis care and, indeed, reflect that the patient was playing bingo part of the time,” DOJ said in a press release.
Source: investors.com

NC Couple Sentenced for Medicare Fraud

According to their indictment, John Alspaugh and his wife jointly owned as well as operated a home healthcare business, known as "Basic Home HealthCare," for providing living assistance service like bathing and supplying of drugs to patients who are at their homes. Between 2006 and 2007, the health care business employed more than 130 employees, but did not pay the needed employment tax to the IRS (Internal Revenue Service). The amount the business failed to pay has been estimated as more than $458000 for the above-mentioned period alone.
Source: dandell.com

Proposed Rule Increases Incentive for Medicare Fraud Whistleblowers

In fact, “[i]n the June 8, 1998 Federal Register (63 FR 31123), we [HHS] published a final rule with comment period titled, ‘Medicare Program; Incentive Programs-Fraud and Abuse.’ This final rule with comment period implemented section 203(b) of HIPAA by establishing a reward program to encourage individuals to report potential fraud and abuse to Medicare and by adding a new section, 42 CFR 420.405, to the regulations. Section 420.405(a) specifies a collection threshold of at least $100 (consistent with section 203(b) (2) of HIPAA).” Since that time, the Incentive Reward Program and certain provider enrollment provisions changed from “10 percent of the overpayments recovered in the case or $1,000, whichever is less, to 15 percent of the final amount collected applied to the first $66,000,000.” This was released in the Federal Register on April 29, 2013.
Source: physicianspractice.com

Tax Tips for Seniors, Retirees, & Medicare Beneficiaries in 2013

As an increasing number of baby boomers retire and age into Medicare, more and more individuals are becoming dependent on other sources of income, including Social Security benefits, which are typically nontaxable. Although many older individuals assume that they do not need to file taxes in 2013, this is not true in all cases; it is important for seniors, retirees, and Medicare beneficiaries to understand how their age and various sources of income may impact their federal tax return.
Source: planprescriber.com

Ambulance Billing Services: Proposed Rule Tightens the Screw for Ambulance

What this means is ambulance companies, especially new ones, are going to need to plan ahead. New ambulance suppliers will probably elect to file the application, wait on the approval from the MAC (probably a minimum or 90-days processing for the best-prepared application for most MACs) and then begin operating. That might be okay when the service has the luxury of waiting. But, what about those scenarios where the ambulance service is stuck between a rock and a hard place? For example, many States are encouraging local non-profit, sometimes volunteer-based ambulance services to merge. Given the shrinking volunteer pool, fire-based EMS are increasingly looking to merge companies together to make the best use of both manpower and equipment resources, while also saving on duplicated costs for increasingly expensive supply purchases. So ABC Fire Department, which provides ambulance service to the community, decides to merge with the neighboring XYZ Fire Department, which also has an EMS division. Previously, each department billed Medicare under two provider agreements. The day that the new fire department is formed into one, it is licensed under the new name by the State and is incorporated with a brand new unified Federal Tax ID number. Those departments now must cease to submit claims for Medicare services under their former individual identities. However, if CMS enacts this proposed rule, these two departments would never be compensated for the ambulance services they provided to Medicare beneficiaries from the point that the new joint department was officially recognized until the MAC issues Medicare billing privileges.  For a relatively small to medium-sized company who has partial-career or all-career staff, this could spell financial disaster.
Source: ambulancebillingservices.com

From the Contributor’s Corner: CMS Proposes Increasing Rewards for Whistleblowers

The proposed rule would strengthen the Medicare provider enrollment process by authorizing enrollment denials under certain situations. Additional provisions would allow for Medicare enrollment denial or revocation if the provider or supplier has been convicted of any federal or state felony in the previous 10 years that CMS considers harmful to the program or engaged in Medicare billing patterns that did not meet Medicare standards.  It would also reduce the ability of ambulance providers to bill Medicare for services provided before they enrolled with Medicare and require providers and suppliers who have their Medicare enrollment revoked to submit any remaining claims within 60 days of the revocation. 
Source: wolterskluwerlb.com