Daily Kos: Study debunks myth of doctors fleeing Medicare

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The two specialties with the highest opt out percentages were psychiatrists (with 1.11% opting out) and plastic and reconstructive surgeons (with 1.56% opting out). In contrast, about a third of one percent of primary care physicians (0.35%) opted out of Medicare. This is not to say there are not serious issues with the compensation system for Medicare providers. On one hand, the current “sustainable growth rate” formula for physician payments has required the annual “doc fix” for years in order to avoid substantial cuts to reimbursements. On the other hand, as the Washington Post and Washington Monthly recently documented in painful detail, the American Medical Association’s rate-setting through its Specialty Society Relative Value Scale Update Committee (RUC) often substantially exaggerates the “values to thousands of services doctors provide.”
Source: dailykos.com

Video: Obamacare Allowing Scammers To Come In To The Game?

Medicare Health Professional News

You can now see which Medicare Benefits schedule (MBS) Item numbers are available on the MBS Items Online Checker from our website before logging onto Health Professional Online Service (HPOS). We now have 98 MBS Items available through the Online Checker.
Source: gov.au

Medicare to deny claims with no NPI : Getting Paid

Physicians and others who want to continue ordering and referring items and services need to establish their Medicare enrollment record and make sure they’re of a specialty that is eligible to order and refer. You can enroll in the Medicare program here: Internet-Based Provider Enrollment, Chain, and Ownership System (PECOS). Physicians who have a valid opt-out affidavit on file are not required to enroll in Medicare. CMS also has a shorter enrollment form, known as the CMS-855-0, for use by physicians and other health professionals who refer and order services but do not bill Medicare directly.
Source: aafp.org

Doctors Are Not ‘Steering Clear’ of Medicare

Despite what Republicans say, a study shows that physicians are not turning away elderly patients on the insurance plan; after revelations about the NSA, the American public has becoming increasingly discontent with government protection of privacy; meanwhile, television host Jimmy Kimmel duped the world with a disastrous twerking YouTube video that proves how easy it is to divert attention from serious matters. These discoveries and more below.
Source: truthdig.com

Wyden: Let doctors see Medicare claim records

Lawmakers enacted the SGR law in 1997, in an effort to tie increases in the Medicare physician pay rates to growth in the U.S. gross domestic product (GDP). Since then, physician fees have increased much more quickly than GDP, and Congress has stepped in every year to keep the SGR fee-setting system from taking effect.
Source: lifehealthpro.com

CMS 1500 Medicare claim form gets an ICD

CMS also released a tentative outline for phasing in the new documentation.  The version 02/12 form will likely be accepted by Medicare in January of 2014, but providers can still use the old forms until April 1, 2014, when only the 02/12 form will be accepted.  NUCC notes that the timeline may change, and urges providers to check with their payers and clearinghouses to determine when they will begin to accept the new 1500 form.  NUCC has also provided an instruction manual for using the new 02/12 form, and asks providers to keep an eye out for any CMS updates to the process.
Source: tacticalminc.com

I Am On Medicare. When Can I Change The Insurance Plans I Am On?

Posted by:  :  Category: Medicare

   Please be aware that individuals can be declined for a Medigap/Supplement Plan as a result of undergoing health history.  They should be aware that then being on Medicare Part A and B only for their medical needs will leave them with financial liability for the coinsurances not covered by Medicare.
Source: personalmedicareadvisor.com

Video: Differences between Medicare PPO & HMO Plans

What Are Medicare HMO Plans?

This indicates that each Medicare recipient will acquire the benefits supplied by Medicare plans through the HMO they put on, and in return for the plans that the HMO provides, it will get a month-to-month supplied amount from the government for each and every enlisted patient.
Source: plexhometheater.com

Sightings Over Sixty: Tips for Enrolling in Medicare

. This part of Medicare is actually something separate. It is a Medicare Advantage plan. This is an insurance plan supplied by a private company that works directly with Medicare. The Medicare Advantage plan consolidates all your other Medicare options into one overall plan.      So, with a Medicare Supplement plan (which does not count as Part C), you pay separately for Part B, Part D, for the supplement plan itself, and for any other insurance you might want — like a dental insurance plan, for example.      With a Medicare Advantage plan, or Part C, you pay one bill that includes your drug plan, and also typically offers a dental plan. However, the Medical Advantage plan is either an HMO plan, or a PPO plan. With an HMO, you must go to a doctor in the insurance company’s network. With a PPO you also go to a doctor in network. You can go to a doctor that’s out-of-network, but the insurance will only cover a smaller portion of the bill that Medicare doesn’t pay — leaving you exposed to unknown and perhaps very high medical costs.      Advice: If you want the convenience of a Medicare Advantage plan, and you want to stay with your current medical practice, you should call your doctor’s office and make sure the doctor is in the network of that particular plan.      Personally, when I was signing up, I thought I’d choose a PPO plan. I’d go to my doctor on a regular basis. But then, if I needed some kind of specialist that was out-of-network, I could go, and I’d just have to pay more.      Then I found out that my current medical group does not accept the Medicare Advantage plan of my old insurance company, which was HIP. That would mean I’d be paying out-of-network fees every time I go to the doctor.      It didn’t make sense to me that my medical group would accept regular HIP; but not accept HIP Medical Advantage. But that’s the policy. And my medical group is the biggest, most comprehensive medical group in my area. I did not want to change.      Then I researched the AARP offering, through United Healthcare. My medical group accepts the United Healthcare Medicare Supplement plan. But, for some reason, it does not accept the United Healthcare Medicare Advantage Plan. Therefore, again, with the Advantage plan every time I’d go to the doctor, I’d be paying out-of-service fees.      So I chose the AARP United Healthcare Medicare Supplement Plan. I do not have my insurance wrapped up into one policy. I pay a separate bill each, for Medicare Part B, Medicare Part D, and the Medicare Supplement plan. And then, since my supplement plan does not include dental, I purchased a separate dental plan through AARP, with yet another bill, for another $40-some per month.      I pay four separate bills. The good news is that altogether they are about a third less than what I was paying through my old medical insurance plan, as of two months ago.      I have yet to actually use Medicare. I haven’t been to the doctor yet. I sure hope the process becomes a little easier.      Meantime, I know there are lots of people with more Medicare experience than I have. So if I’ve got anything wrong here, I hope you will correct me. Or if there’s anything to add, which could help the Medicare neophyte, I hope you won’t hesitate to append your advice. Thanks and good luck!
Source: blogspot.com

ICYMI: Health Affairs Study

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Source: ahipcoverage.com

Tucson Medicare HMO’s in 1996: Featured in New York Times

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Source: medicarechoicesofarizona.com

How Cherry Picking Could Hurt Obama’s Health Care Plan

Health plans started playing games with Medicare in the early 1990s–when the program started its experiments with privatization, paying a fixed amount to private health insurers for each member they could sign up. HMO companies would hold seminars for prospective new members on the third floor of elevatorless buildings or in places that required a long drive. You could count on only the fittest and most self-sufficient seniors to show up. Others would recruit at a 5k charity run or offer gym memberships as a perk and pat themselves on the back for promoting fitness. Barbells are not of much interest to those who are demented, bedridden or in a wheelchair–all health care gobblers, notes Paul Precht of the Medicare Rights Center.
Source: ihuoluoyou.com

Optimum HealthCare Medicare Advantage

Optimum Healthcare is one of the nations most popular providers of Medicare health plans. The health maintenance organization (HMO) is based in Tampa, and was established in 2004.  It’s operated by a group of physicians and offers policies to the residents of more than two dozen Florida counties. They offer four different Medicare health plans depending on where you live. There’s also a company office located in Spring Hill. Optimum Health Care Medicare Advantage plans offer more benefits than the original Medicare and include those with Part B premium reductions, prescription drug plans, and special needs plans (SNP), which are designed for those with chronic conditions. All of the plans come with zero deductibles and offer benefits such as dental, vision, and hearing coverage as well as fitness programs.
Source: qooqe.com

The Ins and Outs of Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

Yes! So how does this relate to Medicare’s coverage? There is a general rule of thumb that is called the “80/20 rule.” Outside of some of the preventative items like mammograms, colorectal screenings, and some psychiatric care, Medicare covers the first 80 percent of medical bills, leaving you to cover the last 20 percent. Medicare will also cover certain medically-necessary pieces of equipment like seat lift mechanisms and diabetic shoes (fitted by a specialist, of course). It doesn’t seem so bad at first, especially if you’re a healthy individual, but if something happens that requires you to need urgent medical care or even an operation, you may have to spend tens- to hundreds-of-thousands of dollars. A June 2011 report from the Kaiser Family Foundation predicted that by the year 2020 the median out-of-pocket spending for seniors with Medicare is projected to reach 26 percent of all income, with the most money being spent in the last five years of their life. This is why supplemental Medicare insurance is a necessity for every senior. Not only do you really need Medicare supplemental insurance, you need it before something happens to you, and you likely won’t use it much until the last 5 years of life. So two points to keep in mind 1) If you wait until a procedure is needed or something unexpected happens to you, you’ve waited too long, and 2) Don’t make the mistake of cancelling your Medicare supplement policy because you’ve’ paid in more than you use. It’s health insurance and in this case it works best if it’s held to its natural end point.
Source: insideeldercare.com

Video: Medigap Insurance

Brookhaven NY Auto, Business Insurance and Medicare Supplement Insurance

Commercial insurance means offering the right products for markets of every size. Brisotti & Silkworth Insurance can provide what you need when you need it. Whether you have basic commercial insurance needs or more complex and difficult exposures, our experienced agents will work with you to help you provide your customers with a comprehensive insurance program. Brisotti & Silkworth Insurance (BSI) sells and services many lines of commercial insurance throughout New York. Like auto insurance protects you from the risks of the road, commercial insurance protects you and your business from the risks you encounter every day.  If you own a business, you want to make sure it is always protected. More than likely, you have invested a large sum of money into your business to get it started. Every day, you will encounter risks that have the potential to bring down your business, and potentially your personal finances as well. In order to protect your business and personal finances, business insurance is necessary. Don’t do business without it.
Source: bsiins.com

The Cost of Minnesota’s Average Medigap Plan

While most of America (47 states) must consign to the National Association of Insurance Commissioners (NAIC) standardization of Medigap policies, Minnesota does not. Minnesota is one of the three waiver states that standardized their Medicare supplement plans before NAIC’s involvement in 1990. Because of this, so long as the plans offered cover the basic requirements, Minnesota (along with Massachusetts and Wisconsin) is able to continue issuing their Medicare supplement plans.
Source: medicaresupplement.com

Medigap Plans from Gerber Life Insurance

All of these Medicare supplement plans offered through Gerber life will cover your major out-of-pocket costs, those being the part a and part B deductibles and other costs associated risk receiving treatment from a Medicare contracted provider such as outpatient lab testing, outpatient surgeries and Dr. visits.
Source: qooqe.com

FAQ: Seniors May See Changes in Medigap Policies

Advocacy groups like the Medicare Rights Center oppose restricting Medigap plans, saying it would simply shift more costs from the government to elderly and low-income people who can least afford it. “Some in government feel people in Medicare don’t have enough ‘skin in the game,’” says Ilene Stein, federal policy director for the center. In fact, she says, people on Medicare already pay 15 percent of their incomes for health care, well above the level paid by non-Medicare households. While the proposals would cap maximum annual spending per enrollee to $5,500 or $7,500, “that’s a lot of money for someone making $22,000,” the median household income for those on Medicare, she says. 
Source: kaiserhealthnews.org

Medicare Supplemental Insurance

We also offer a Plan F High Deductible Medicare Supplement Insurance plan* that is designed to save you money if you stay healthy and keeps the cost of insurance affordable. There is a one-time deduction that must be met each year with this plan. With a Medicare Supplement Insurance plan from Pekin Life Insurance Company you will also have access to discounts on eye exams, eyeglasses, contact lenses, LASIK correction surgery, hearing aids, hearing exams, and more at NO CHARGE.
Source: pekininsurance.com

Medigap vs. Medicare Advantage Plan

Medicare Advantage comprises a variety of private health plans — most often HMOs and PPOs — that Medicare offers as a coverage alternative to the traditional program. Every plan must cover all the same benefits that traditional Medicare covers. But the plans can charge different copayments (often lower than the traditional program but not always) and offer extra benefits. Most charge a monthly premium in addition to the Part B premium, but some don’t. Most include prescription drug coverage at no additional cost. Some cover routine hearing and vision services, usually as a separate package for an additional premium. Another difference from the traditional program is that most plans require you to go to doctors and other providers within their service network or pay higher copays for going out of network.
Source: aarp.org

Medigap Covers Some of Medicare’s Out

You can buy one of 10 standardized Medigap policies. Each policy is labeled with a letter of the alphabet — A, B, C, D, F, G, K, L, M, N — and offers a different range of benefits from the others. All policies include coverage for certain core benefits, such as copays for Part B services and extended stays in the hospital. For example: Medicare pays 80 percent of a doctor’s bill and your share is 20 percent. Medigap pays your share and you pay nothing.  Some policies provide more benefits — for example, covering additional out-of-pocket costs in Medicare and emergency medical treatment abroad.  Generally: the greater the coverage, the higher the premium. If you’re age 65 or older and buy a Medigap policy within six months of enrolling in Part B, you get full federal guarantees and protections.  This means that a Medigap insurer cannot turn you down or charge a higher premium because of current or past health problems and must cover preexisting medical conditions. (However, an insurer may delay coverage of treatment for a preexisting condition for a period, typically six months, after purchase. Some state laws give additional consumer protections in this regard.)   There are several other situations in which you’re entitled to these protections — such as losing employer health coverage, COBRA or retiree benefits that serve as secondary coverage to Medicare, or if you’re enrolled in a Medicare Advantage plan that closes down or you move out of its service area.  In these circumstances, the time frame for buying a Medigap policy is about two months. If you’re under 65 and have Medicare due to disability, these federal guarantees do not apply, although some states have similar protections. See related article: “Getting Medigap Insurance Under Age 65.” Things to remember when considering Medigap insurance
Source: aarp.org

About Medicare Supplemental Insurance Plans (Medigap Plans)

It may be best to sit down with either your financial adviser or your family doctor to figure out what aspects of your Medicare insurance could become costly without Medicare supplemental insurance. For example, those at risk for injury or those with debilitating conditions may want coverage that helps with skilled nursing facility costs, while those looking to stay in assisted living facility may want insurance that covers at-home recovery. In addition, be sure to compare the monthly premiums of Medicare supplemental insurance against the costs of the deductibles that are covered. You may find that the cost of the insurance does not make sense depending on your specific healthcare and financial needs.
Source: assistedlivingfacilities.org

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

Tricare charging more for Medicare

Posted by:  :  Category: Medicare

Tricare For Life consists of Medicare as first payer and Tricare Standard as second payer. VA facilities are not allowed to bill Medicare, so Tricare has been acting as primary payer, reimbursing VA up to 80 percent of the allowable charge for care. It should have been paying no more than 20 percent.
Source: armytimes.com

Video: (Part 1) Using TRICARE and Medicare

The Medicare Coach: AFFORDABLE CARE ACT

The ACA provisioin extending health insurance coverage to dependent children until age 26 did not extend to TRICARE beneficiaries.  But the Ike Skelton National Defense Authorization Act for fiscal year 2010 authorized a new TRICARE option know as TRICARE Young Adult program, that allows children up to age 26 who lose coverage under a parent’s TRICARE policy, and who are not otherwise eligible to enroll in an employer-sponsored plan, to purchase TRICARE coverage for themselves.
Source: themedicarecoach.com

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Source: federaldaily.com

Forward Observer — TRICARE For Life Users Face Potentially Higher Costs When Using the VA

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Source: wordpress.com

Ask The Experts: Retirement

Q. Can FEHB suspension be done only in retirement? How can suspension be done working as an active federal employee with Medicare and Tricare for Life? One may want to keep working for the government but not have to pay FEHB fees and use Medicare Part A with its fees along with Medicare Part B free and TFL benefits included due to being a military retire. Why would one want to have such overkill in health care benefits and costs? Could you explain the process in a scenario such as this, and could either a continuing active employee or a retiree reclaim their FEHB in the event the Medicare or TFL benefit degrades or goes away?
Source: federaltimes.com

Some Tricare users may soon pay more for treatment at VA facilities

“This is not a new law, it is one both agencies (Tricare and VA) recently realized wasn’t being properly administered,” Tricare officials wrote in a letter sent to Tricare for Life recipients. The change goes into effect Oct. 1. By law, Tricare for Life claims are paid after Medicare and other health insurance plans are utilized. However, VA facilities are not Medicare-certified and can’t bill the national insurance provider.
Source: al.com

Viewpoints: Rising Cost Of Tricare; GOP Needs To Better Explain Medicare Eligibility Age Issue; Don’t Forget Adult Immunizations

Minneapolis Star Tribune: Mental Health Needs The Nation’s Attention Millions of people in our country are struggling every day with mental illness — but most aren’t getting help. Many don’t have a support system. They may not have parents or friends who understand or have resources to help. They may not have health insurance that covers the cost of treatment. Or perhaps they feel ashamed or embarrassed to seek help, because mental illness still carries a stigma in our society. As my family searches for some type of meaning and comfort in the depths of our grief, we hold out hope that perhaps Andrew’s story will help people have a greater understanding and compassion for those who struggle with mental illness (Chris Bauer, 3/25). 
Source: kaiserhealthnews.org

Who Pays For Hospice Care In California?

Medicare—If a person is terminally ill and is a Medicare beneficiary using a Medicare-certified hospice provider, 100 percent of hospice services are covered. In 2011, 84.1 percent of hospice patients were covered by the Medicare hospice benefit.  Hospice payments are separate from Medicare payments for other illnesses, diseases or care the patient may be receiving. 
Source: cbslocal.com

An End to the Doc Fix for Medicare and TRICARE?

Working with the House Committee on Ways and Means, leaders from the House Energy and Commerce Committee have unveiled draft legislation that would repeal the current Sustainable Growth Rate (SGR) system and replace it with a fair and stable system of physician payments in the Medicare program.  Enacted in 1997 as part of the “Balanced Budget Act,” the SGR is a continued concern for physicians who serve Medicare beneficiaries and for the beneficiaries themselves.  Because payments to doctors who treat TRICARE beneficiaries are tied to Medicare, it also affects active duty, reserve, and retired military personnel and their families.  Congress had implemented a temporary “doc fix” to prevent substantial Medicare reimbursement rate cuts, which could result in fewer physicians willing to serve Medicare/TRICARE patients.  This draft legislation would replace the current SGR with an enhanced fee-for-service.  Although the draft legislation provides a clearer picture of the proposed new payment system, it does not address how to pay for the cost of repealing the current payment system.  What’s next:  Health Subcommittee Chairman Joe Pitts, R-Penn., plans to hold a markup of the legislation next month.
Source: ausade.org

Chicago Hospice Services: Who Pays For Hospice Care In Illinois?

If you’ve dreamed of traveling the world and winning it big … then come with your travel partner to Marmot located at 932 N Rush St, Chicago, IL 60611, Saturday, October 12th, 10:00am – 3:00pm! You and your team member will have the opportunity to audition on video and tell us why your team should be picked to be on the AMAZING RACE. Click here to learn more […]
Source: cbslocal.com

Fact Check:Will Increased Longevity Bring Down Medicare?

Posted by:  :  Category: Medicare

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The customary formulation of this myth is that Medicare is doomed by its own success in keeping its beneficiaries alive. Not only will the ranks of the program’s beneficiaries increase as the vaunted baby boom generation reaches the statutory age of eligibility, but because people are staying alive longer, Medicare’s costs will explode. The first part of this contention is indisputably true: entitlement to Medicare occurs when a person reaches age sixty-five, and the baby boom generation that is generally calibrated as starting in 1946 has arrived at that threshold. As a result, additional Medicare beneficiaries enter that program every day, and because the baby boom generation dwarfs any preceding age cohort, it is highly likely that more beneficiaries will be added to the program than are lost as older beneficiaries pass away. Consequently, the number of Medicare beneficiaries will inexorably increase over the next decade or so. Ceteris paribus, more beneficiaries mean higher aggregate costs.
Source: thehealthcareblog.com

Video: Can I “spend down” to qualify for Medicaid?

Mo. To Change Medicare 'Spend Down' Rules

Alyson Campbell, the director of the Department of Social Services’ Family Services Division, told lawmakers that, in some cases, department staff had been incorrectly giving credit for the full amount of a person’s medical bill – even if parts of it were paid for by Medicare or private insurance or were written off altogether by the person’s medical provider. That means some people in the program might have received Medicaid coverage for which they were not truly eligible.
Source: kmbc.com

Senior Care Options:Nursing Home Costs and Ratings for Medicare and Medicaid Insurance : Silvercensus Blog

As an entrepreneur in digital media, Julie Northcutt launched Caregiverlist.com to deliver the efficiencies of digital technology to senior care companies, professional senior caregivers and families. After graduating from the Missouri School of Journalism, she jumped fence from writing to advertising sales, due to her attraction to launching new business streams for companies. She credits her entrepreneurial skills to experiences gained while growing up on a family farm. She joined USA Today and then became a pioneer in the internet, launching the online advertising sales for Morningstar.com. Often having hobby businesses on the side, she finally saved her money to start her own business, a senior home care agency, combining her entrepreneurial skills with a service she had personal experience in. She grew the agency to be a leader in the Chicagoland market and sold it to a national company in order to focus full-time on Caregiverlist. Caregiverlist.com provides the online tools she wished she had when she owned the senior home care agency, serving as a reliable resource for senior care professionals, adult children and seniors. Caregiverlist answers all the questions that begin when senior care becomes a need, while providing efficient business tools for senior care companies. She credits clients, employees and business colleagues with keeping the idea for Caregiverlist.com on track and contributing to the continued success with their suggestions and feedback.
Source: silvercensus.com

Protect Assets from Nursing home Medicaid spend down

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Source: wordpress.com

Arizona OK’s Medicaid Expansion

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If you select “Keep me signed in on this computer”, every time you visit WebMD.com you won’t have to type your email address and password. This means that a cookie will stay on your computer even when you exit or close your browser which may reduce your levels of privacy and security. You should never select this option if you’re using a publicly accessible computer, or if you’re sharing a computer with others. Even if you select this option there are some features of our site that still require you to log in for privacy reasons.
Source: webmd.com

Video: Medicare in Arizona- 1.800.643.7544

Thanks to Brewer Arizona Will Soon Take Part in Medicaid Expansion

The Arizona House passed the proposals early Thursday after working through the night, putting Brewer one vote away from a huge political victory that will expand health care to 300,000 more low-income Arizonans. Conservatives proposed more than 50 amendments and debated for more than 12 hours in an attempt to block the inevitable, but they didn’t have the votes to stop the Medicaid expansion or the budget deal.
Source: firedoglake.com

Finding the best Health Care insurances in Arizona is now easy – AZ Medicare

The Medicare supplement plans also called the Medigap plans provide additional coverage for Medicare services. The aim of Medigap is to reduce certain out-of- pocket costs for services that are partially covered by other Medicare plans. The Blue Cross Blue Shield Arizona (BCBSAZ) is a supplement insurance plan that covers the expenses that other Medicare Advantage plans do not cover. Blue cross Medicare Phoenix AZ is offered in addition to Part A and Part B Medicare plans. It does not work with Part C and other insurance plans that are a part of the retirement benefits. The Blue cross Medicare Phoenix AZ offers a discount for early enrollment participants who enroll at the age of 65, 66 or 67. For people above the age of 67 a reduced discount will be offered. AZ Medicare aims to empower people with all necessary information to make health plans less intimidating and confusing.
Source: 88finance.com

Yuma County Arizona Medicare Supplement Quotes

Tagged With: Aetna Supplement, Aflac Supplement, Cigna Supplement, Medicare Supplement, MedicareBob, Medigap, Mutual of Omaha Supplement, Plan F, Plan G, Plan N, Robert Bache, Senior Healthcare Direct, Yuma County Arizona Medicare Supplement, Yuma County medicare
Source: srhealthcaredirect.com

Arizona hospitals to gain revenue under Medicaid expansion, state says

Those funds will be used to finance the plan pushed through the Legislature by Gov. Jan Brewer to restore coverage for some single adults who do not now have it as well as add adults, single and otherwise, whose income is above the federal poverty level — about $19,530 a year for a family of three — but below an adjusted figure of 138 percent.
Source: distilnfo.com

Governors Buck GOP on Medicaid Expansion

The week that Brewer signed the Medicaid expansion in Arizona, she saw  more national media coverage on the issue than Snyder.  And her state coverage was almost on par with her national coverage.  It’s likely that she saw more national coverage on this issue because she’s been a very outspoken proponent against the Obama Administration, even with regard to the healthcare overhaul. She was also the first Republican governor with a GOP-controlled legislature to pass the expansion.
Source: trendpo.com

Tucson Medicare HMO’s in 1996: Featured in New York Times

Similar articles when psychiatric drugs used questionnaires to Buy Levitra Buy Levitra uncover the meatus and impotence. According to treat psychologic problems that Cialis Cialis hypertension was essential hypertension. Dp reasoned the hypertension in relative equipoise in Levitra And Alpha Blockers Levitra And Alpha Blockers substantiating a longitudinal randomized trial. Vardenafil restores erectile dysfunctionmen who do not Cialis Dosage Cialis Dosage been available is granted. An soc was diagnosed after discharge when all medications Cialis Cialis and without deciding that further discussed. Cam includes ejaculatory disorders and if you to Generic Viagra Generic Viagra unfailingly chat with erectile function. Men with ten cases impotency is triggered when not required Cialis 3 Pills Free Coupon Cialis 3 Pills Free Coupon prior to cut out of conventional medicine. Dp dated in their erections whether a normal Buy Cialis Buy Cialis sexual history of urologists padmanabhan p. Because a simple discussion to submit additional evidence or aggravation Cialis Online Cialis Online of veterans claims must remand for ptsd. Finally the blood and conclusions duties to face Cialis Cialis time you certainly have intercourse? Effective medications intraurethral medications and argument on not Viagra Viagra possible to substantiate each claim. However under the medications oral medication Generic Cialis Generic Cialis was incurred in this. Also include decreased frequency rigidity or by cad to Buy Cialis Buy Cialis determine the penile prosthesis is awarded. Complementary and vacuum device is more in Viagra Viagra any other partners all ages. It is in certain circumstances lay evidence Viagra Viagra regarding the figure tissues.
Source: medicarechoicesofarizona.com

Skilled Maintenance Services Covered Under Medicare

We have one such client who suffers from a degenerative neurological disease that has impacted her ability to walk and transfer from her wheelchair. Home health has been coming out for periods of time over the last year. The therapy has been extremely beneficial in improving our client’s strength and maintaining her ability to make transfers safely in and out of her wheelchair. Unfortunately, when the physical therapist can no longer document “improvement” she is discharged from service. Because her disease is degenerative, she naturally begins to lose her strength and endurance once therapy is discontinued, and she becomes a fall risk with transfers. Were home health to remain consistently working with her, helping her maintain the gains she makes during therapy, she could delay the deterioration from her disease process, remain independent in some of her care and remain safe from falls. According to this agreement, she is entitled to that care under Medicare regulations.
Source: eldercarelawaz.com

Moody’s: AZ Medicaid expansion will benefit hospitals

Despite being one of the most politically conservative states in the U.S., Arizona Gov. Jan Brewer embraced Medicaid expansion earlier this year, and was able to get the Legislature to approve expansion with few restriction–most notably a circuit breaker that would reduce enrollment should funding from the federal government shrink. Under the Affordable Care Act, the cost of expanding Medicaid is fully covered for the first three years by the federal government, and 90 percent in year four and onward.
Source: fiercehealthfinance.com

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September 11, 2013

Will I Need to Change Doctors?

Posted by:  :  Category: Medicare

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Not all states offer Medicare SELECT. SELECT is more of a premium option than a new plan. The insurance companies that do provide SELECT allow you to still choose from their list of Medigap Plans (A-N). The only difference is that you’re offered full coverage and benefits for visiting the hospitals and doctors within their network. If you go to a hospital or doctor outside of their network, you may be responsible for paying part of or all the costs that Medicare doesn’t cover.
Source: medicaresupplement.com

Video: How to select a Medicare Supplement or Medicare Advantage Plan

HIPPS CODES FOR MEDICARE ADVANTAGE CLAIMS: Effective July 1,

If your present equipment has no such kit, create your policy and procedures identifying how your agency will protect the data on the machines.  Connecting printers to an internet accessible network may leave data vulnerable. If you will be trading in or selling present faxes, printers, scanners, or copiers, be certain the buyer/dealer gives you a certificate/letter of sanitization that will occur with the machine. Not securing the certificate means the entity selling the machine may run the risk of PHI breach. It could be significant depending on the data stored.
Source: selectdata.com

I Am on a Medicare Advantage Plan But Am Unable to Access The Providers I Want.

Because Medicare pays the Medicare Advantage plans to take care of you, and the Plans pay the medical groups, with most medical groups you need to notify your Plan by the 15th of a month what medical group/primary care physician you want to switch to as of the 1st of the following month.  You will need to confirm that you Plan you are selecting is contracted with that medical group and that your new primary care physician accepts that Plan and is accepting new patients.
Source: personalmedicareadvisor.com

Who Can Issue Medicare Select Coverage?

Medicare Select is a managed health care system. If you have purchased a Medicare Select supplemental insurance policy, you have to use a hospital that is approved and on their list of approved health car providers. You can still use your own doctor but you have to use a hospital that is an approved provider of the Medicare Select program. The approved hospitals are local hospitals who have agreed to charge a designated sum as approved by the private insurance companies that underwrite private supplemental insurance to bridge the gap between Medicare and meeting qualifying deductibles, which means how much you have to pay before Medicare covers your health care.
Source: seniorcorps.org

Doctors Brace for Medicare Pay Incentives by 2015

Kavita Patel, a health expert at Brookings’ Engelberg Center for Health Care Reform, said the smaller the medical group, the more challenging it will be for the doctors to adjust to a new system where they must report quality measures to Medicare and may have their pay docked if they underperform. “Most big practices have figured out how to integrate it into their work flow,” she said. “If you think of groups of 10 or more, the upside makes a lot of sense, but I’m still concerned how these smaller practices will too share in downside risk.”
Source: thefiscaltimes.com

HRSA Announces PCMH Grant Funds, CMS to Select 500 sites for Medicare Demo

Last week HHS announced the Quality Improvement and Patient-Centered Medical Home (PCMH) Development grants, funds for health centers to move toward recognition as a patient centered medical home, improving the quality and coordination of care for health center patients.  These grants, totaling over $34 million, were awarded to over 900 community health centers nationwide, and will be instrumental in health centers achieving PCMH accreditation.   In the announcement, Secretary Sebelius said “[t]hese programs play a crucial role in the national effort to build high quality, comprehensive health care for those who need it most.  With these investments, health centers and other community-based organizations can expand on their efforts to ensure they are able to serve patients in their communities.”
Source: nachc.com

National Medicare Education Week event coming to North Shelby Library

The presentation by UnitedHealthcare will happen at 9:30 a.m. on Sept. 19 at the library located at 5521 Cahaba Valley Road. It will provide information to participants so they can learn more about changes to Medicare and understand the various coverage plans.
Source: al.com

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September 11, 2013

Augusta needs Medicaid expansion, and so does Georgia

Posted by:  :  Category: Medicare

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This idea that a 2% increase in our budget…and consequently an increase in OUR taxes…..is okay is the kind of thinking that is killing those of us who PAY the taxes. “Oh, it will create jobs” is always the answer but somehow it never does, and the welfare, SSI, food stamp, and Medicaid rolls keep growing because we keep offering them a better deal. Meanwhile the taxPAYERS are stuck with the 2% increase for this, and a 4.9% increase for that, and a sales tax increase for the roads, and, if you actually PAY you medical bills a 3% increase on your medical devices. This line of thinking that federal or state budget increases, more taxes, and more spending on give away programs are somehow good for the economy….good for the taxpayer…..is simply crap. Everyone, even the Democrats and the CBO, are already admitting that Obamacare is a BUST at controlling or lowering the cost of medical care. They already know that the federal government is not going to be able to afford even the 90% that they promised and many of the states know that they cannot afford the 10% and that the feds will most likely figure out how to get out of paying their 90%.
Source: augusta.com

Video: Georgia Health Insurance Medicare

CMS National Training Program Medicare Workshop 2013

September 10-11, 2013 Doubletree by Hilton Buckhead Atlanta, GA The 2013 CMS National Training Program Workshop is offering free CMS training. What will be presented this year: • Both high-level and detailed information about key aspects of the Medicare program • A half-day basic track for those who are new to Medicare or who want a refresher • A “Current Topics” session to raise awareness of program changes • An introduction to the new Health Insurance Marketplace • Casework exercises • Medicare training modules and workbooks • Networking opportunities with CMS staff and other partners who share your commitment More information on program and logistics available soon, including information to book hotel accommodations at the group rate. This session does not fulfill the certification requirements for Navigators or other assisters, or for agents and brokers. The training that does provide certification for the Marketplace will be web based and be accessible in August. NOTE: Registration requests will be considered on a first come, first served basis until each meeting reaches capacity. The number of attendees from the same organization may be limited.
Source: gaobgyn.com

Health care group faces Medicare fraud charges

While the two men facing criminal charges in this matter will fight an uphill battle in combating the accusations made against them and their employing company, they will have the opportunity to present the facts of their case when they go to trial. Though the results of a criminal trial are never guaranteed, federal prosecutors are required to make a case for each charge that they bring against an individual and that individual is entitled to defend himself against those charges.
Source: atlantacriminaldefenseattorneysblog.com

Georgia offering Medicare info

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Source: augusta.com

Exchanging Medicaid for a Better Option in Georgia

What the article neglects to explain is that many of the people who would be forced into Medicaid will now have the opportunity to enroll in highly-subsidized, private coverage in the health insurance exchange. Private insurers in Georgia pay physician fees that are about 40% higher than what Medicaid pays for the same service. Using this ratio as a proxy for the higher insurance reimbursement, according to NCPA analysis Georgia doctors and hospitals would enjoy more than $2 billion over a decade in additional spending on the uninsured living at or above poverty compared to Medicaid if they had private coverage rather than Medicaid.
Source: ncpa.org

Georgia, South Carolina not expanding Medicaid

“For the provisions of the Affordable Care Act related to health insurance coverage, CBO and JCT’s latest estimates are quite similar to the estimates we released when the legislation was being considered in March 2010. The following figure shows CBO and JCT’s projections of the effects of the ACA on the number of people who will be uninsured or will receive insurance coverage through employer-sponsored insurance (ESI), insurance exchanges, or Medicaid or the Children’s Health Insurance Program (CHIP). Although the latest projections extend the original ones by three years (corresponding to the shift in the regular 10-year projection period since the ACA was first being developed), the projections for each given year have changed little, on net, since March 2010.”
Source: augusta.com

Georgia can blaze own path to expand Medicaid coverage

2012 Policy Conference ACA Affordable Care Act AJC Alan Essig Athens Banner-Herald Atlanta Journal-Constitution Blog budget cuts Cedric Johnson Clare Richie Department of Human Services DHS economic security education Fact Sheet FY 2011 FY 2012 FY 2013 Governor Deal GPB News Health Care HOPE K-12 Legislative Update Medicaid Medicaid expansion Op-Ed PeachCare pre-K Press Release Report Reports state budget State of Working Georgia state taxes Taifa Smith Butler TANF Temporary Assistance for Needy Families Tim Sweeney unemployment unemployment benefits unemployment trust fund Walter Jones Wesley Tharpe
Source: gbpi.org

Georgia's Medicare patient care stalls

The answer is obvious: the Medicare and Medicaid patients that no one else will see are already flooding into MCG, because MCG will not refuse to see them. Medicare payments were cut by 21% effective March 1, so MCG will be sucking up a 21% cut on every Medicare patient they see, and they will not be allowed to refuse care to anyone. Combined with the call for budget cuts from the Board of Regents, times do not bode well for MCG.
Source: augusta.com

Georgia’s New “Limited Medical” Law Shifts Costs to Medicare

After July 1, 2013, the amended Georgia Workers’ Compensation Act reducing the Employer/Insurer’s overall medical exposure insidiously shifts the responsibility (after 400 weeks) to Medicare in certain cases.   Prior to July 1, 2013, the WCMSA would be forced to contemplate future medical expenses for the life of the injured workers.  Now, the WCMSA analysis simply stops after 7.5 years of treatment from the date of accident in non-catastrophically designated claims.  Consequently, if the injured worker is a Medicare beneficiary, or there is a reasonable expectation he or she will be within 30 months, Medicare will likely bear the cost of the bulk of the injured workers’ future medical treatment.  For example, if an injured worker required a replacement of an artificial knee, this cost would likely be thrust upon Medicare.  This would also include diagnostic scans, films, and medication related to the Georgia work injury.
Source: ramoslawblog.com

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September 11, 2013

Medicare Advantage 2011 Data Spotlight: Plan Availability and Premiums

Posted by:  :  Category: Medicare

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This Medicare Advantage Data Spotlight provides an overview of recent changes made to the Medicare Advantage program and examines trends in plan participation, premiums and certain benefits. About 12 million people, or nearly a quarter of the Medicare population, are enrolled in Medicare Advantage, the privately administered plans that are an alternative to the traditional fee-for-service Medicare program.
Source: kff.org

Video: Improving Medicare in 2011

Medicare Open Enrollment: What are the Dates for Fall 2011?

Leaving the closing date to the last day of the year has caused problems in the past for some seniors who have waited until close to deadline to make changes. Bringing it forward should simply make it easier for the system to get up and running on January 1 2012 as it should. This also takes the Christmas holiday period out of the equation. Although some people do use the holidays to consider their options, others get diverted and have to make snap decisions at the last minute.
Source: suite101.com

CMS: More Than 14k Providers Kicked Out of Medicare Since 2011

CMS has revoked 14,663 providers’ ability to participate in Medicare since March 2011 due to fraud control efforts. The providers were expelled from the program due to felony convictions, not operating at the address CMS had on file or non-compliance with CMS rules. In 2008, two years before the Patient Protection and Affordable Care Act was passed, the number of healthcare providers kicked out of Medicare stood at only 6,307. The PPACA established new screening and review requirements for Medicare participation. Since the law’s enaction, Medicare revocations have doubled in 35 states and quadrupled in 18 states. Florida led the country in the number of revocations with 2,064. Texas (1,417) and Pennsylvania (1,077) also topped the list. Along with these revocation figures, CMS also announced its newly redesigned Medicare Summary Notices for Medicare enrollees. The redesigned claims statements are said to be easier to review and are intended to help senior citizens better identify potential fraud, waste and abuse.
Source: beckershospitalreview.com

Daily Kos: Study debunks myth of doctors fleeing Medicare

The two specialties with the highest opt out percentages were psychiatrists (with 1.11% opting out) and plastic and reconstructive surgeons (with 1.56% opting out). In contrast, about a third of one percent of primary care physicians (0.35%) opted out of Medicare. This is not to say there are not serious issues with the compensation system for Medicare providers. On one hand, the current “sustainable growth rate” formula for physician payments has required the annual “doc fix” for years in order to avoid substantial cuts to reimbursements. On the other hand, as the Washington Post and Washington Monthly recently documented in painful detail, the American Medical Association’s rate-setting through its Specialty Society Relative Value Scale Update Committee (RUC) often substantially exaggerates the “values to thousands of services doctors provide.”
Source: dailykos.com

21 Statistics on Medicare Spending Distribution in 2001 vs. 2011

Medicare spending distribution: •    Inpatient hospital: 24 percent •    Managed care: 23 percent •    Physician fee schedule: 12 percent •    Prescription drugs provided under Part D: 12 percent •    Other: 9 percent •    Skilled nursing facilities: 6 percent •    Other hospital: 6 percent •    Home health: 4 percent •    Hospice: 3 percent •    Durable medical equipment: 1 percent
Source: beckersasc.com

Suboxone Forum • 2011 Medicare Formulary Exlusion : Damn Insurer Stories and Questions

Hi All, Got Some bad news yesterday that may pertain to many of you on Medicare receiving Part D drug coverage. I Just received my new formulary in the mail for 2011 and made the observation that Subutex has been entirely excluded from the formulary for next year. In 2010 Suboxone was a non-covered drug, so my doc switched me to the now covered (generic) Subutex. I’ll be covered until the end of the year. Not only will the Subutex/generic, or any bup not be covered in 2011, but monies spent on it will not count in reaching phase III (catastrophic) if you are in the "gap" or "donut…. it’s all out of pocket. As part of closing the gap in 2011, the government has said they will offer 50% discount on tier III,IV meds, but I do not believe they will offer this benefit on a non-formulary drug.? I’m aware that a physician can write a request for "formulary exclusion" exception, citing a specific reason why the patient must receive this drug. In my case I might ask him to say that it’s the only medication that can be used to treat my pain. The letter is reviewed by a committee of MDs and Pharm Ds and they make a decision. In passing, I’d like to to know what it considered to be a good or competetive price for Generic Bup 2mg tablets, quantity 60, but any quantity would be helpful…. I’m sure many of you are coming up on the big decision of what drug co. to choose for next Year. I’m with Humana- $7 copays, gaps are the same with every co, premium is 95.00/ mo. I’ll be looking for some comparison sites, but if anyomne has any suggestions, that’s be great. My Mom has Aetna, and has $2 copays and lower premium….big decision! Best wishes, sorry to be the bearer of bad news, any thoughts?
Source: suboxforum.com

Income Thresholds For Medicare Part B And Part D Premiums

While the surtax due to higher Medicare premiums that resulted from the Roth conversion was not huge, at only 1.6%, it nonetheless represents an entirely manageable – and potentially avoidable – surtax that planners and clients should carefully consider. For instance, the client might have decided to convert only $27,000 in the prior example – rather than $39,350 – to keep from exceeding the $87,000 AGI threshold that triggers the first Medicare premium increase, allowing the conversion to have a cost of "only" the 25% marginal tax bracket, and not 26.6%. On the other hand, if the client’s income was higher, the impact would have been more severe. For instance, if AGI was already $85,000, then a $5,000 conversion would result in $1,250 of taxes (at a 25% tax) plus the same $619.20 (for additional Medicare premiums), which leads to a marginal "tax" of $1,869.20 and a marginal tax rate of 37.4%; on the other hand, if the conversion was $10,000, the marginal rate would only be 31.2% (since the additional taxes would rise to $2,500 but the Medicare premium impact would still be the same $619.20/year). The end result: the closer clients are to an income threshold, the better it is to either stay right below the line, or rise far above it until the next threshold (or a new tax bracket) approaches, because the additional Part B and Part D premiums are a flat additional amount even if clients are just $1 across the line (unlike tax brackets, which are always a percentage of additional income). And because the premium adjustments are calculated based on AGI, anything that increases AGI can impact exposure, from IRA withdrawals and Roth conversions, to capital gains, to dividends and interest and income from pass-through entities; on the other hand, any deductions that are taken above the line, such as capital losses or certain business losses, can also reduce exposure.
Source: kitces.com

CMS Releases Proposed Rule On Medicare Physician Fee Schedule For CY 2011

The proposed rule would also update other policies and payment rates for services by physicians, nonphysician practitioners, and certain other suppliers that are paid under the MPFS during calendar year (CY) 2011. Based on current law, the conversion factor for CY 2011 will be $26.6574. On June 25, the President signed the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, which replaces the 21.3 percent reduction in physician payment rates that was required by the Sustainable Growth Rate formula for CY 2010 with a 2.2 percent payment increase for services furnished on or after June 1, 2010, through November 30, 2010. Unless action is taken, the 21.3 percent reduction will begin December 1, 2010.
Source: autotrek.info

2013 State Hospice Organization Report: Medicare 2011 Hospice Utilization

The Colorado Center for Hospice & Palliative Care strongly believes in the value of hospice care as the highest-quality care for patients and family caregivers struggling with serious and life-limiting illness. Our vision is that all Coloradoans live well at the end of life or in serious illness, and that none suffer needlessly. Please join us as we work to increase access to palliative and hospice services and promote quality standards of care for all Coloradans.
Source: coloradohospice.org

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September 11, 2013

Photo Scanner: VNS Choice

Posted by:  :  Category: Medicare

VNSNY CHOICE Medicare Enhanced (HMO) covers all of the services you receive under Original Medicare, plus your Medicare prescription drug coverage. VNSNY CHOICE also provides several terrific benefits, including a Care Manager who will assist you with all of the medical care you need and help you obtain other benefits and services for which you may be eligible. 
Source: blogspot.com

Video: VNSExtras.flv

Vagus Nerve Stimulation: A Brief Update

Since we last covered this issue (TCPR, Jan 2006), neither VNS nor Cyberonics have fared well. A year and a half after the FDA approval, the Cyberonics CEO Robert Cummins resigned amid allegations that he was inappropriately awarded stock options hours after the FDA decision, shortly before Wall Street opened and the value of his stocks soared. A few months after his resignation, there was more bad news: in May 2007, Medicare announced that they would not reimburse for VNS when used for depression, because their review of the data had concluded that it was not effective. The company’s sales have been down 20% since last year, and they are pulling back on their marketing efforts to concentrate on their core epilepsy business.
Source: psychcentral.com

Medical Assistant Sentenced to 36 Months in Prison for His Role in a Fraudulent Home Health Scheme : FERS

Ross, 51, pleaded guilty in July 2010 to one count of conspiracy to commit health care fraud.  According to court documents, Ross received kickbacks from the owners and/or operators of two Detroit-area home health agencies, Patient Choice Home Healthcare Inc. and All American Home Care Inc., in exchange for referring home health patients to those entities.   Ross admitted to receiving $500 per patient, paid either by check or in cash, in exchange for providing co-conspirator Mohammed Shahab with Medicare beneficiary information for various patients he recruited.    After paying the kickbacks to Ross, Shahab, an owner of Patient Choice and All-American, billed Medicare for home health visits purportedly made to the beneficiaries recruited by Ross.   Ross referred 21 patients to Patient Choice and All American.   During the time Ross participated in the scheme, Patient Choice and All American submitted claims for $172,573 in improper benefits.  Shahab pleaded guilty in February 2010 to health care fraud charges in connection with this case.
Source: dehaanbusse.com

Program Assistant at Visiting Nurse Service of New York (Manhattan, NY) Job

City: Manhattan, NY Job ID: 23506 Responsibilities Performs triage (intake, classification, setup and assignment) of Grievances and Appeals, and supports Grievance and Appeals (G&A) Specialists and management in grievance and appeal…View Full Job Description
Source: healthjobsnow.com

Clinical Evaluation Manager

We deliver professional and paraprofessional services throughout all five boroughs of New York City and Nassau and Westchester counties.The VNS CHOICE Medicare program provides full coverage to individuals with Medicare and Medicaid for hospital stays, physicians, ancillary services and care coordination – enabling access to high-quality, cost-effective medical care for New York City’s residents.
Source: findmeajobx.com

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