CMS’ Proposed Rules on Observation Status

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The proposed rules continue uncertainty for Medicare hospital patients about their status.  A patient may be classified as a hospital inpatient and go to a SNF for rehabilitation, all payable under Part A.  Then, months later (but within one year from the date of service in the hospital), a Medicare contractor may reject the Part A claim or the hospital, using self-audit, may decide to withdraw its Part A claim for reimbursement and submit a Part B inpatient claim instead.  At that point, the proposed rules say, the patient receives a refund of the Part A inpatient deductible and must pay the Part B co-payments and medication charges.  78 Fed. Reg., at 16,638.  CMS acknowledges, “some beneficiaries who are entitled to coverage under both Part A and Part B may have a greater financial liability for hospital services compared to current policy, as they would be liable for additional Part B services billed when the inpatient admission is determined not reasonable and necessary.”  78 Fed. Reg., at 16,639.  CMS does not discuss what happens to the Part A-covered SNF claim when the hospital withdraws the qualifying three-day inpatient stay.
Source: medicalinsuranceadvocacy.com

Video: Mevsnet.com Patient List Demonstration Video

How to Cut Medicare Spending: Attack Large Claims!!

I would attack drug costs with reference pricing. In each therapeutic class, the most cost-effective drug would be paid for in full and patients would pay the entire difference for more expensive drugs unless they couldn’t tolerate the cheaper drug for some reason which would probably happen about 10%-20% of the time. For devices, we need to get rid of the confidentiality agreements that currently preclude disclosure of actual contract, as opposed to list, prices. Let hospital discover what their competitors are paying and maybe we can get some convergence toward the lower prices paid by the larger, high volume hospitals.
Source: thehealthcareblog.com

Medical Biller/Accounts Receivable

Seeking an experienced Medical Biller/Accounts Receivable Specialist to conduct extensive follow up on outstanding claims. Responsibilities will include: Telephone and website inquiries regarding claim status, phone and letter appeals of denied claims, correction and resubmission of problem claims, email communication with providers, telephone communication with patients, some payment entry, and updating of demographic information as needed. Understanding of ICD-9 and CPT coding required. Must have experience in Medicare and Commercial insurance follow-up. Must be computer savvy, knowledge of Centricity Practice Manager and AARP a plus. Minimum 2 years experience required.
Source: mhmg.net

What is an MSP Code And Claim Exclusion: FK PSBR0500 MISSING INSURANCE TYPE CODE

5010 AAPC Adoption ADP AdvancedMD AHIMA ASTD Charge Entry checklist Claims Processing Classes CMS Credit Card Processing Demographics Design Education EHR EOM EOY Financials HIMSS ICD-10 ICD-10 training iLearn Implementation Internet Explorer Learning Solutions Login Meaningful Use Medicare Fee Schedule Payment Entry Period Close Plan Practice Management Regulatory Reports System Setup System Updates TD Magazine Templates Tips Training transition Updates Webinars
Source: advancedmd.com

Smart Billing Solutions: Medical Billing Blog: Noridian Online Provider Services for Medicare Eligibility, Claim Status and More

I particularly like the preventative services information. Endeavor lists the CPT code for a preventative service, then a description of the service and the next eligible date that the beneficiary can receive these benefits. This takes the guess work out of, “have you received a physical anywhere else in the last year?”. I wish they would do this with more limited/global services. Endeavor offers tutorials for use of their OPS site.
Source: blogspot.com

Medicare makes an “Oops!” on denial of incarcerated claims : Getting Paid

The CMS earlier this summer began denying claims and initiating recoveries on previously paid claims from physicians and others based on Social Security Administration data that indicated that the Medicare beneficiaries cared for had been incarcerated on the date of service. Medicare will generally not pay for medical items and services furnished to a beneficiary who is incarcerated, which the CMS defines as being confined within a penal facility, on a supervised release, on medical furlough, residing in a halfway house, or other similar situations.
Source: aafp.org

Prepaid Medicare Services Limited jobs Vacancy : Call Centre Agent Abuja Nigeria 2013 ~ Jobs Recruitment and Employment in Nigeria 2014 Abuja, Lagos, Calabar, Enugu, Ibadan, Ilorin

Posted by:  :  Category: Medicare

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Application Closing Date 29th October, 2013 Method Of Application Interested and qualified candidates should send their applications and CVs (as attachments) to: hr@prepaidmedicareng.com Or Via post, addressed to: The Admin/HR Manager, Prepaid Medicare Service Ltd (Head Office) Suite F6, Wing C, 3rd Floor, ABM Plaza, (opposite Utako Market) Plot No; 23 Ekukinam Street, Off Obafemi Awolowo Way, Utako District, Abuja Note: use job title and job reference as the subject of your email/letter
Source: blogspot.com

Video: The Employment Law Group®’s David Scher on What Whistleblowers Can Do About Medicare Fraud

Board OKs Deal for Nevada Medicare Debt

The federal government began requiring state and local government to pay into Medicare in 1986. But judges and members of board and commissions apparently fell through the cracks and neither the employee nor state share was paid for 27 years.
Source: 8newsnow.com

CMS Announces 2014 Medicare Part A Premiums, Deductible

The daily coinsurance amounts for 2014 will be $304 for a beneficiary’s 61st through 90th day of hospitalization (days one through 60 are fully covered), $608 for lifetime reserve days — the extra days Medicare will cover with a high coinsurance after the 90-day benefit period ends, limited to 60 per person in their lifetime. Additionally, patients will pay $152 for days 21 through 100 of extended care services in a skilled nursing facility during a benefit period.
Source: beckershospitalreview.com

Take Note: Medicare Surtax Effective January 1st Could Mean Money in Your Pocket!

2012 Adjusted Gross Income affordable care act Alternative Minimum Tax Amazon.com American Taxpayer Relief Act AMT Audit Barack Obama bush tax cuts Business congress corporate tax debt deductions DOMA Economics Estate planning fatca FBAR fiscal cliff Fiscal Slope Florida Fraud Government income tax Infographic Insurance internal revenue service IRS IRS tax forms John Boehner Law Law firm Marketplace Fairness Act marriage Medicare Mitt Romney mortgage New York Obama Obamacare olympics OVDP Patient Protection and Affordable Care Act penalties politics property tax Republican Republicans sales tax Senate states Tax tax breaks Tax credit tax cuts Tax deduction taxes tax evasion Tax Foundation tax fraud tax haven tax law tax news tax policy Tax rate Tax Reform tax return Tax return (United States) Tax tips Uncategorized United States Washington White House
Source: joyoftaxlaw.com

The Additional Medicare Tax

Beginning in 2013, employers must withhold an additional 0.9% Medicare tax from higher-earning employees when the employee’s earning for the year reach $200,000.

Medicare Open Enrollment 2014

Posted by:  :  Category: Medicare

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Active Seniors Affordable Care Act Aging assistance Awards Bob Horrocks Brain Health caregiver caregiving Catering Catering for a cause Center for Older Adults Classes Council Communicator Delaware County Easter Executive Director Fire Department Flu From the Director HEAP Insurance Levy Levy News Meals On Wheels Medicare nursing home care Publications retirement Robert Horrocks Senior Companion Senior Health Senior Services Senior Services Directory Senior Services Levy services Sleep Snip and Save Standards for Excellence support tax savings United Way Veterans Day Volunteer volunteers
Source: growingolder.org

Video: Delaware Medicare Supplements

Beebe gets top Medicare surgery rating in Delaware from Consumer Reports

In the September 2013 Issue of Consumer Reports magazine, 2,463 U.S. acute-care or critical-access hospitals are rated according to how well Medicare patients 65 years of age and older fared following surgery between 2009 and 2011. The ratings consider how well hospitals avoided adverse events that lead either to patients staying longer in the hospital for a procedure than expected, or to patients dying.  Medicare claims data from 27 categories of common surgeries was analyzed.
Source: delawarebusinessdaily.com

Delaware Receives $2.48 Million Innovation Grant from Center for Medicare and Medicaid Innovation

Delaware’s proposal entitled, “Transforming Delaware’s Health: A Model for State Health Care System Innovation,” addresses the need for a broad vision and comprehensive approach to more cost effective delivery of quality health care for all Delawareans.  Delaware plans to build a strong local foundation for innovation in order to develop a system-level transformative healthcare plan that can serve as a model for the country.  Through the collaborative planning process, Delaware will design a model to accelerate the adoption of payment and service delivery models across public and private payers; enhance health data collection and analytic capacity to support care coordination and outcomes-based payment models and integrate workforce planning, behavioral health and public health initiatives.
Source: delaware.gov

Medicare Open Enrollment Begins Monday — Seniors Have More Benefits, Better Choices, Lower Costs

During this Open Enrollment Period, Commissioner Stewart recommends that people treat their Medicare number as they do their social security number and credit card information. People with Medicare should never give their personal information to anyone arriving at their home uninvited or making unsolicited phone calls selling Medicare-related products or services. Beneficiaries who believe they are a victim of fraud or identity theft should contact Medicare (contact information above). If you suspect you are the victim of Medicare fraud, call 1-800-223-9074. More information is available at www.stopmedicarefraud.gov
Source: delaware.gov

Office of Statewide Benefits provides information on Medicare Parts A, B enrollment

Failure to enroll and maintain enrollment in Medicare Parts A and B upon eligibility may result in the subscriber being held financially responsible for the cost of all claims incurred, including prescription costs. Retirees and spouses enrolled in Medicare Parts A and B must provide a copy of their Medicare Identification Card to be enrolled in the state of Delaware Special Medicfill plan.
Source: udel.edu

Medicare Administrative Contractors Announce Intent to Review Hospice Claims

Similarly, CGS announced its intent to expand its existing hospice length of stay edits. Currently, the CGS Medical Review Department uses established edits to evaluate and select the most vulnerable claims.  CGS currently uses edit 5048T to select hospice claims with a length of stay 999 days or more but has decided to phase out edit 5048T in favor of a new edit that will identify claims earlier.  New edit 5118T will select claims with a length of stay between 150 and 365 days for providers that bill to CGS within the states of New Hampshire, Idaho, Georgia, Utah, Colorado, Delaware, Missouri, Alabama, Arkansas, Kansas, Tennessee and West Virginia. Widespread edit 5048T will be discontinued once edit 5118T is implemented.
Source: hallrender.com

Medicare Now Covering Gastric Sleeve in Our Region

What is Gastric Sleeve? The gastric sleeve procedure is an innovative way to reduce weight, lower obesity related illnesses, and improve the quality of your life. During gastric sleeve surgery at CHRIAS, one of our three board-certified surgeons will create a smaller, sleeve shaped stomach from your stomach pouch. No re-routing of the intestines (like with gastric bypass) is necessary. For this reason, patients experience fewer complications while still enjoying weight loss and improved health benefits. Typically, after having gastric sleeve, patients will feel satisfied eating smaller 3-4 ounce portions.
Source: chrias.com

Christiana Care Wins Prestigious Center for Medicare and Medicaid Innovation Grant

“The Affordable Care Act allows us to increase access to affordable, quality care by finding innovative ways to get better health outcomes for less money,” U.S. Sen. Tom Carper said. “This federal funding, made possible by the Affordable Care Act, will help Delaware’s doctors and nurses to use new technologies and electronic health records to better coordinate care for Delawareans, especially those with heart disease. This project helps to improve patients’ health and reduces unnecessary visits to emergency rooms and hospitals, increasing the quality and efficiency of health care services in Delaware while also lowering costs. I applaud the Administration’s efforts to support this initiative and congratulate Christiana Care on receiving this much-deserved grant.”
Source: delaware.gov

Delaware approves individual, small business health plans for exchange

The state’s marketplace will open Oct. 1 and will enable residents to see the plans as well as determine their eligibility and amount of tax credit or federal subsidy, and calculate the net cost of coverage. The open enrollment period runs from Oct. 1, 2013, through Mar. 31, 2014, with coverage beginning on or after Jan. 1, 2014.
Source: medicarebyphone.com

News Release: Medicare to Pay for Weight Loss Screening & Counseling by Primary Care Providers, Private Health Plans May Follow

Effective immediately, the Centers for Medicare and Medicaid Services (CMS) will cover the entire cost of primary care providers screening and counseling for weight loss and weight management for obese patients.  CMS will pay for physicians, nurses and physican assistants to provide dietary assessment, behavioral therapy and intensive behavioral counseling.  For more than one-third, or13 million, Medicare beneficiaries who are obses, CMS has made effective weight loss a priority. 
Source: hearttruthdelaware.org

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November 19, 2013

The SilverSneakers Medicare Advantage – MedicareWire

Posted by:  :  Category: Medicare

Originally an Arizona-based fitness club that started in the 1990s, SilverSneakers is now available in all 50 states. Depending on the Advantage plan offering Silver Sneakers benefits, your may be entitled to free or reduced-cost gym and fitness club memberships, specially designed fitness classes for seniors and individualized nutrition, fitness and wellness counseling for plan members. The free or reduced-cost gym memberships is the most popular feature of the program.
Source: medicarewire.com

Video: SilverSneakers Members Travel to Washington

Bob Lyons: “You should know.”

The state of Illinois’ decision to get out of the health care insurance business for retired state employees, retired university and community college workers, and retired teachers had nothing to do with the Affordable Care Act, but everything to do with saving money.  The ability of the private for-profit companies to offer such low price insurance to us is because they are receiving a monthly payment from the Federal government for each of us that enrolls in their plan.  United Health Care would likely make a profit on me, as long as I am healthy, if I paid them nothing every month.  My wife is retired and receives an IMRF pension and has a Medicare Advantage plan from UHC with zero premiums.  The total out of pockets costs are higher and some service like the “silver sneakers” require  a small monthly charge, but UHC will make most of the money from the Medicare payment from Social Security and the funds directly from the Federal Government.
Source: wordpress.com

SilverSneakers Medicare Programs

So, what exactly is SilverSneakers?  SilverSneakers is essentially a gym membership or fitness club membership to participating centers across the country.  You can find participating gyms by going to www.silversneakers.com and typing in your zip code.  You can find out if your Medicare plan offers Silver Sneakers by calling 1-888-423-4632.  Here are some of the features offered by SilverSneakers.
Source: medicare-plans.net

Free Silver Sneakers Plan for Medicare Advantage Plan Members at Guilford Fitness Center

If you live in Guilford, you will be happy to know that you may qualify for a free gym membership! If you currently receive social security and qualify for Medicare, you may be eligible for a free health club membership.  If you signed up for a Medicare Advantage Plan, it is possible one of your benefits is Silver Sneakers.  Silver Sneakers is a program that allows you a free gym membership at your local participating health club. 
Source: healthchocoholic.com

Healthways SilverSneakers Fitness Program Seeks Nominations

Healthways (HWAY) is the largest independent global provider of well-being improvement solutions. The Company offers the award-winning SilverSneakers Fitness Program, the nation’s leading exercise program designed exclusively for older adults. Dedicated to creating a healthier world one person at a time, the Company uses the science of behavior change to produce and measure positive change in well-being for our customers, which include employers, integrated health systems, hospitals, physicians, health plans, communities and government entities. We provide highly specific and personalized support for each individual and their team of experts to optimize each participant’s health and productivity and to reduce health-related costs. Results are achieved by addressing longitudinal health risks and care needs of everyone in a given population. The Company has scaled its proprietary technology infrastructure and delivery capabilities developed over 30 years and now serves approximately 45 million people on four continents. Learn more at www.silversneakers.com or www.healthways.com.
Source: clubindustry.com

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November 19, 2013

BCBS Medicare Advantage Plans

Posted by:  :  Category: Medicare

I would just cut your losses. Sitting around waiting for med advantage commish will destroy your focus. If it comes, then it comes. I would recommend never, ever selling that junk again and moving on. Sell a real insurance policy. If you don’t cut it off in your mind it will kill your focus, your sanity, and ultimately your business. There is nothing more insane then waiting to get paid by the govt’. Fool me once…
Source: insurance-forums.net

Video: Blue Cross Medicare Advantage – Popular Plan Options

Newsroom – Blue Cross Blue Shield of Michigan broadens Medicare options with new Medicare Advantage PPO product

October 1 is the first day BCBSM and Medicare Advantage carriers across the nation can market their Medicare Advantage products for 2010. Beneficiaries in BCBSM Medicare Advantage products will receive letters in the next 10 days about the new product line-up. "Blue Cross remains fully committed to providing products to Medicare beneficiaries and will continue to have the broadest array of Medicare Advantage products in the state," said Mark Owen, BCBSM vice president for federal and individual business. "It’s important for Medicare beneficiaries to know that there is no immediate change to their coverage. They have until the end of the year to make their selection for 2010." In addition to the three BCBSM products for 2010, seniors also can select from three Medicare Advantage products offered by Blue Care Network, the BCBSM-affiliated HMO. "We will be working with insurance agents and other groups across the state to reach out to Medicare beneficiaries to help them navigate these product and premium changes," said Owen. Seniors who meet low income guidelines can receive subsidies from the state and/or federal government to pay for all or part of their premiums. Medicare Advantage premiums vary by product and region. The new PPO product is expected to provide beneficiaries with value for their premium. For example, the BCBSM Medicare Plus Blue PPO, which includes Part D prescription drug coverage, will cost between $61 and $141 a month (premiums vary by geographic region), while traditional BCBSM Medicare Supplemental (Medigap) Plan C plans cost $183 when combined with a stand-alone Part D BCBSM prescription drug program. Medicare Advantage plans offer Medicare benefits through private health insurance plans and most include Part D prescription drug coverage. When you purchase a Medicare Advantage plan, you do not need to also purchase a Medigap policy. Medicare Advantage plans are regulated solely by the federal government, while Medigap plans are regulated by the state. The announced product changes are only for Medicare beneficiaries who directly purchase their Medicare Advantage products, not for beneficiaries enrolled in a group plan. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Source: bcbsm.com

Blue Cross Blue Shield of Michigan Offers New Medicare Plans

HMO’s (health maintenance Organizations) let you select a primary care physician from the BCBS provider network and this PCP manages your overall care. He or she will refer you to a specialist or to a selected hospital for care should you need additional services beyond his scope of practice. Referring yourself to an outside provider will cause a forfeit of benefits and out-of-pocket costs. The four BCBSM HMO products, formerly known as Options 1, 2, and 3, will now be known as BCN Advantage Elements, Classic , and Prestige. The Blues Care Network will also continue to offer the BCN Advantage Basic Plan.
Source: emaxhealth.com

BCBS, Priority Health rank highest in state for Medicaid, Medicare

If you enjoy the content on the Crain’s Detroit Business Web site and want to see more, try 8 issues of our print edition risk-free. If you wish to continue, you will receive 44 more issues (for a total of 52 in all), including the annual Book of Lists for just $59. That’s over 55% off the cover price. If you decide Crain’s is not for you, just write “Cancel” on the invoice, return it and owe nothing. The 8 issues are yours to keep with no further obligation to us. Sign up below.
Source: crainsdetroit.com

Oregon Chiropractic Association

Regence is building on our existing utilization management program efforts for our group and Individual products, including Medicare Advantage plans. We have selected an experienced third-party vendor, CareCore National, LLC (CCN), to administer a new physical medicine program component of our overall utilization management program.
Source: oregonchiroassoc.com

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November 19, 2013

Coalition for Medicare Choices Launches New “Seniors Are Watching” Ad Campaign to Protect Medicare Advantage from Further Cuts

Posted by:  :  Category: Medicare

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The new ad campaign, called “Seniors Are Watching,” highlights seniors’ opposition to any new cuts to Medicare Advantage.  “More than a million Medicare beneficiaries are organized to stand watch, ready to stop any new cuts to Medicare Advantage. They know better than anyone – seeing is believing,” reads a new print ad that will begin running today in targeted inside-the-Beltway publications.  Ads will also be running online and are available at the Coalition for Medicare Choices’ website: www.MedicareChoices.org/seniors-are-watching
Source: ahipcoverage.com

Video: Obamacare: How it’s drastically going to affect Medicare and Seniors

Analysis Shows 88% of Florida Seniors Can Expect to Pay Higher 2014 Medicare Part D Drug Plan Premiums

Q1Medicare.com is one of the largest independent online resources for Medicare Part D prescription drug plan and Medicare Advantage plan information. Q1Medicare offers a large selection of Frequently Asked Questions, online tools, and a free Medicare Part D Newsletter all designed to help Medicare beneficiaries, healthcare professionals, advocates, advisers, caregivers, and insurance agents better understand both the Medicare Part D prescription drug and Medicare Advantage programs. Q1Medicare.com is operated by Q1Group LLC (Saint Augustine, Florida).
Source: lensaunders.com

FAQ: Seniors On Medicare Don’t Need To Apply To The Health Law Marketplaces

Some worry those cuts could lead to access problems, if providers drop out of the program. In the most recent Medicare Trustees report, Paul Spitalnic, then acting chief actuary for the Centers for Medicare and Medicaid Services, wrote that over the long term, some of the health law’s changes would cause Medicare payment rates for home health, hospital and other services to drop below those now paid by the Medicaid program, “which have already led to access problems for Medicaid enrollees.”
Source: kaiserhealthnews.org

Seniors on Medicare don’t need to apply at the Insurance Marketplace

Related: In this video, Laval Miller-Wilson, the executive director of the Pennsylvania Health Law Project, provides an overview of Medicare, the federal health insurance program. Medicare covers people that are 65. It also covers people that have permanent disabilities. Before Medicare began in 1965, half of seniors didn’t have health insurance. Today, virtually all seniors 65 and older have Medicare.
Source: transforminghealth.org

Seniors Urged To Review Options During Medicare Open Enrollment

In addition, Stormont is participating in a Medicare Advantage program for the first time. It is through Coventry Total Care. People can find out information at sales seminars. They will be held at 10 am and 2 pm Nov. 8; 10 am and 2 pm Nov. 18; and 10 am Nov. 25. All meetings will be at the Pozez Education Ctr., 1505 SW 8th St. Call 785-233-1816 to reserve a seat.
Source: wibw.com

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November 19, 2013

Federal Panel: Hospitals Charging More Than Doctors Offices For Medicare Services

Posted by:  :  Category: Medicare

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The New York Times reports that a typical example of a 15-minute visit to a doctor’s office, which typically costs $58, might be as high as $98.70—or 70 percent more—for the same consultation in the outpatient department of a hospital. Additionally, the Times reports, a patient pays more out-of-pocket: $28.68 versus $14.50.
Source: boiseweekly.com

Video: Medicare vs Medicaid 612-309-9184 Minnesota Medical Assistance Minneapolis Elder Law Attorney

Location of Medicare offices

For customers looking for their nearest Medicare office, please find your nearest Medicare Service Centre on humanservices.gov.au. The Department of Human Services Service Centre locator contains information updated weekly, a search function and maps. The data below is provided for application developers or those wishing to reuse the data for other purposes. It is important that application developers keep the data up to date with the current version available on this website
Source: gov.au

Rainbow Children’s Medicare receives investment of Rs 100 cr from CDC, UK, and The Abraaj Group

Rainbow Children’s Medicare Private Limited (http://www.rainbowhospitals.in) has received an investment of Rs 100 crore from CDC, the UK’s development finance institution and The Abraaj Group, in the largest private equity investment in paediatric and maternity care in India, informs a communiqué from Veda, the advisors to the deal. This is CDC’s first direct equity investment in India since the launch of its new strategy in late 2012, adds Veda. “This investment will help Rainbow expand and develop its high-quality medical facilities, allowing the company to increase the number of beds available to patients from the current level of 400 to about 1,000.”
Source: yourstory.com

Promoting Integrity in Medicare Act of 2013 will close in

On the other hand, physician ownership is associated with higher volume; studies by the Commission and other researchers have found that physicians who furnish imaging services in their offices order more imaging than other physicians (Baker 2010, Hughes et al. 2010, Medicare Payment Advisory Commission 2009a). In addition, several types of imaging are usually not provided on the same day as an office visit, which raises questions about patient convenience. Rapid volume growth contributes to Medicare’s growing financial burden on taxpayers and beneficiaries, leads to concerns about the accuracy of physician fee schedule payment rates, and raises questions about inappropriate use.
Source: pathologyblawg.com

Treating People In Docs’ Offices Instead Of ERs May Not Save As Much As Thought

Kaiser Health News: Medicare Enhances Doctor-Rating Website The federal health care law requires the Centers for Medicare & Medicaid Services to publish performance data on doctors, including how patients rate them, how well the physicians’ medical interventions succeed and how well they follow clinical guidelines for basic care. The site has been up since 2010, but contained only basic information about doctors and group practices, such as their addresses, specialties and clinical training. The updated site expands the way people can search for doctors (Rau, 6/27).
Source: kaiserhealthnews.org

Therapist Assistant Pleads Guilty for Role in Medicare Fraud Scheme

Shah and his co-conspirators then created fictitious therapy files appearing to document physical therapy services provided to Medicare beneficiaries, when in fact no such services had been provided and/or were not medically necessary. Shah admitted that his role in creating the fictitious therapy files was to sign documents and progress notes indicating he had provided physical therapy services to particular Medicare beneficiaries, when in fact he had not. Shah admitted to knowing that the documents he falsified were used to support false claims billed to Medicare by his co-conspirators at Prestige.
Source: danielperlmanlaw.com

Law Offices of James Agoritsas

School Of Medicine Health Problems Population Antioxidants Health New Older Adults Lead Respondents Stress Alzheimer Disease Strokes Heart Disease University Of Michigan Diabetes 10 Years Life Expectancy Aarp Long Term Care Job Rose Baby Boomers Heart Stroke Alzheimer University Of California Cancer Type 2 Diabetes Medication Anxiety Participants Sleep Medicare Cdc Nbsp Risk Of Heart Disease Obesity Authors Memory Loss Law Aging Researcher Memory Likelihood Centers For Disease Control And Prevention Insurance Arthritis Healthy Diet United States Reverse Mortgage Health Benefits Elderly James W. Agoritsas Physical Activity Blood Pressure Dementia Money Health Care Costs Diseases Retirement Risk Stroke Cognitive Decline Vitamins Men And Women Brain Recession Health Massachusetts Mice Social Security Survey Prescription Drugs Alzheimer S Disease Diet Heart Attacks Medicine Prescriptions Exercise Retirement Plan Risk Of Heart Attack Heart Health People Depression Heart Attack Assistant Professor Centers For Disease Control Phd American Heart Association Marlborough Scientists Doctors Cholesterol High Blood Pressure Seniors Heart Failure Longevity Retirement Savings Adults Disease Control And Prevention Associate Professor Retirement Age
Source: agoritsaslaw.com

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November 19, 2013

New Hampshire: Brand New Medicare Supplement Plan

Posted by:  :  Category: Medicare

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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

Video: New Hampshire Medicare Advantage Plans

NH Groups New Fed Budget Spells end of Medicare / Public News Service

CONCORD, N. H. – Medicare as we know it could be gone for good, should the federal budget plan that passed in the U.S. House last month become a reality – and some New Hampshire groups are indicating concern about that possibility. Sarah Chaisson Warner, executive director of the New Hampshire Citizen’s Alliance, says the plan proposed by Rep. Paul Ryan (R-Wis.), would repeal the new consumer protections included in the Affordable Care Act, and people born after 1957 would be given two options involving a voucher plan when they hit age 65. In short, she says, Medicare would essentially be privatized. “Because it would set up two different pools of people – healthy and unhealthy people – and it would also turn over a lot of our health care and coverage system to private insurance companies.” In Chaisson Warner’s view, such changes would ultimately drive up out-of-pocket medical costs for seniors because their coverage would depend on private insurers. At the New Hampshire Chapter of the National Association of Social Workers, Executive Director Steve Gorin says the real issue is not just that Medicare costs are rising, but that health care costs are rising as well. He acknowledges some changes should be made to Medicare, but says over the past 30 years, it has been better at keeping costs down than the private sector. “I don’t see how repealing the Affordable Care Act really brings health care costs under control; I think it will cause them to go up.” The Ryan plan is based at least partly on the assumption that the current Medicare structure is flawed and is driving up health care costs, which are in turn threatening to bankrupt the system.
Source: publicnewsservice.org

Medicaid Expansion: Maine Looks At Another Plan; Advocates Lobby N.H., Missouri Lawmakers

CQ HealthBeat: Maine’s GOP Governor Criticizes Federal Offer On Medicaid  Maine’s Republican governor says Washington won’t recognize his state’s previous generosity when it comes to negotiations on a Medicaid expansion. But federal officials say they are doing all they can under the terms of the health law to pick up more of the tab. Gov. Paul R. LePage has been at loggerheads with his legislature — and other interests in the state — over whether to expand Medicaid. On Thursday, he issued a statement criticizing the latest offer by Centers for Medicare and Medicaid officials that would meet some, but not all, of his demands (Adams, 5/30). The Associated Press: Expand Medicaid, N.H. Urged  Organizations that provide free or low-cost health care and mental health services across New Hampshire again urged the Legislature on Thursday to approve expanding Medicaid coverage to the state’s poorest adults. New Hampshire’s current Medicaid program covers low-income children, pregnant women, parents with children, elders and people with disabilities, but the state is deciding whether to expand it to include anyone under age 65 who earns up to 138 percent of federal poverty guidelines, which is about $15,000 for a single adult (5/30).
Source: kaiserhealthnews.org

Medicare Part D: Beneficiary Satisfaction Soars

In a time when government disapproval has grown among the public, Medicare Part D stands as a mark of success for government programs. A national survey released this month by KRC Research of approximately 2,300 seniors (65+), highlights the overwhelming positive response to the program. With almost 10 years since it was first enacted, Medicare Part D appears to one of the most popular government programs in existence.
Source: nhjournal.com

Campaigning in New Hampshire, Obama ramps up attacks over Medicare, taxes

Complicating the argument for Republicans has been the vague nature of their plans for both Medicare and taxes. Romney has endorsed Ryan’s most recent budget, for instance, but more recently has backed away from it, saying he’ll offer his own plan sometime in the future. Also, while Ryan’s budget repeals most of the Democrats’ healthcare reforms, it keeps the more than $700 billion in Medicare cuts – the same cuts the Republicans are warning will devastate the program.
Source: thehill.com

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