Medicare & Medicaid Cost Report l Owner Administrator Forum Seminar

Posted by:  :  Category: Medicare

Medicare Training & Consulting, Inc., was founded by Jim Plonsey in the Chicago area. After training Medicare auditors for Blue Cross Association, Jim established a business training Medicare auditors. This lead to doing cost reimbursement seminars for providers, most notably, home health agencies. Medicare Training & Consulting, Inc. has become a leader in providing Owners and Administrators with the reimbursement strategies.
Source: medicareconsulting.net

Start a Home Healthcare Agency

Our founder, Rosina McFadden, is known as pioneer in the home care industry. She has both a Bachelors and Master’s degree in Nursing and was an early leader in promoting the advantages of Home Care as an alternative to long term hospital stays, while providing her expert testimony before both State and Federal Legislatures. She was a senior Home Health Care site surveyor for the Community Health Accreditation Program for over 15 years and is known as an expert in the industry for home health care accreditation. All of our Registered Nurse consultants have been certified by both the Community Health Accreditation Program (CHAP) as well as the Accreditation Commission for Home Care (ACHC).
Source: 1staccreditation.com

California Health Advocates: Medicare Policy, Advocacy and Education

» Ryan Coble from the Office of Inspector General will discuss durable medical equipment (DME) fraud. Topics include: common DME fraud schemes; DME case examples; and trends and hotspots. She will also discuss what SMPs, beneficiaries and their representatives can look for to detect DME fraud, and what information to provide the OIG when referring DME fraud cases. Due to the law enforcement sensitive information, this training will not be recorded. Register today!
Source: cahealthadvocates.org

Medicare Cost Report Software

We offer access to Medicare and Medicaid cost report preparation, cost report training, Medicare cost report software (through our partner), and Medicare cost report consultation services! We support Hospitals, Skilled Nursing Facilities (SNFs), Hospices, Home Health Agencies, RHC/FQHCs, and more. We offer Medicare and Medicaid cost report support. Feel free to comtact us today for more information.
Source: costreportconsulting.com

CMA Health Policy Consultants

2015 will also usher in a new Congress. Many of its leaders and members will likely champion plans to further privatize Medicare. These proposals will likely surface despite increasing reports that Medicare costs and the federal deficit are declining, and that traditional Medicare costs less than private Medicare. Once again we will likely hear about plans to transform Medicare to “Premium Support” (a voucher towards the purchase of private insurance). We will probably read about proposals to increase the age of Medicare eligibility, decrease the value of Supplemental Medicare Insurance (Medigap), redesign Medicare to make it “simpler” (but less useful for most beneficiaries). We urge you to listen carefully for these and other such plans. And respond!
Source: cmahealthpolicy.com

Social Security Tax / Medicare Tax and Self

Posted by:  :  Category: Medicare

The United States has entered into social security agreements with foreign countries to coordinate social security coverage and taxation of workers employed for part or all of their working careers in one of the countries. These agreements are commonly referred to as Totalization Agreements. Under these agreements, dual coverage and dual contributions (taxes) for the same work are eliminated. The agreements generally make sure that social security taxes (including self-employment tax) are paid only to one country. You can get more information on the Social Security Administration’s Web site.
Source: irs.gov

Medicare Surtax on Wages and Self

The Additional Medicare Tax was legislated as part of the Patient Protection and Affordable Care Act, and amended by the Health Care and Education Reconciliation Act of 2010. These two laws reformed the health care market by requiring individuals to obtain health insurance or pay a tax penalty. The additional Medicare tax was included as a revenue raiser in that legislation. At the time the legislation was passed, the Joint Committee on Taxation estimated that the Additional Medicare Tax and the Unearned Income Medicare Contribution Tax would together generate an additional $20.5 billion in tax revenue in the year 2013, the first year that the Medicare surtax would be in effect. (Source: JCX-17-10 [pdf].)
Source: about.com

Medicare.gov: the official U.S. government site for Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

National Doctor and Hospital Finder

Posted by:  :  Category: Medicare

You can narrow your search by choosing from a range of criteria when you see your results, such as gender, accepting new patients, hospital affiliation. (The criteria vary depending on whether you’re searching for doctors, clinics, hospitals or other providers.)
Source: bcbs.com

Medicare Advantage Plans 2016

Medicare Advantage Plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans (PFFS), Special Needs Plans, and Medicare Medical Savings Account Plans. For people enrolled in a Medicare Advantage Plan their Medicare services are covered through the plan and are not paid for under Original Medicare. For the most part,  Advantage Plans offer prescription drug coverage. Medicare Advantage Plans cover all Medicare services and may also offer extra coverage.
Source: medicarehealthinsurancefacts.com

Medicare.gov: el sitio oficial del gobierno de EE. UU. para Medicare

Posted by:  :  Category: Medicare

Esta aplicación no está disponible en su totalidad para los usuarios cuyos navegadores no son compatibles con hojas de estilo en cascada (CSS) o que tienen esta opción desactivada. Para visualizar esta aplicación de manera más óptima, active la opción CSS en su navegador y actualice la página.
Source: medicare.gov

Medicare.gov – the Official Government Site for Medicare – Complaint Form

Please note that this tool is for non-critical complaints. If your issue needs to be addressed within 10 days, you should call 1-800-MEDICARE (1-800-633-4227). 1-800-MEDICARE is available 24 hours, 7 days a week, including some federal holidays. TTY/TTD users can call 1-877-486-2048. Selecting the ‘Continue Form’ button will change your answer from “Yes” to “No” for the question “Does your complaint or concern need to be addressed within 10 days?”. Selecting the ‘Exit Form’ button will navigate you to a page instructing you to contact Medicare over the phone.
Source: medicare.gov

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

Medicare Supplement Insurance Quote Engine

In addition to Medicare supplement insurance, we are pleased to be participating in the Medicare Advantage market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement policy and is especially advantageous for those less than 65 years old. The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
Source: bestmedicaresupplement.com

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare Supplement Plans & Quotes

Turning 65 is stressful, and the amount of information people receive leading up to their birthday is astounding. From the stacks of mail piling up on your desk, to the seemingly endless phone calls and quotes from insurance companies and agents, the task of gathering honest, unbiased information can feel impossible. Our goal is to offer what nobody else will, which is why we provide medicare supplement quotes, financial ratings, benefit information, application fee data, price history, and pricing methodology for all supplemental insurance companies in one clean, concise report. Our free, no obligation service is designed to give you the information you need regarding Part D and Medicare Supplement Plans in order to make an educated purchasing decision. In addition, we offer continued support for all of our customers to ensure they have no claims or billing issues. On an annual basis we review all medicare supplement insurance quotes and plan options in an effort to notify our customers of any new or better plans that may be available.
Source: medicaresupplementshop.com

Best Medicare Supplement Insurance Quotes

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Medicare Open Enrollment 2016

Posted by:  :  Category: Medicare

Doughnut hole: A gap in prescription drug benefits. In 2015, Part D enrollees will pay a monthly premium and may, depending on the plan, pay a deductible on prescriptions. Once any deductible is met, they pay copayments or co-insurance for their drugs until total drug spending – what the plan pays and what the enrollee pays combined – reaches $2,970 for the year. Then the enrollee pays 47.5 percent of the cost of brand-name drugs and 79 percent of the cost of generics until total out-of-pocket expenses for the year reach $4,750. After that, the enrollee reaches catastrophic coverage and pays only a small portion of drug costs, either 5 percent or copayments of $2.65 for generics and $6.60 for brands, whichever is more.
Source: medicarehealthinsurancefacts.com

Silver Sneakers & Blue Shield Medicare Supplement

Posted by:  :  Category: Medicare

now offers the Silver Sneakers Fitness Program to subscribers of the Blue Shield Medicare Supplement plans throughout California.  The current Medigap subscribers can join the Silver Sneakers program at no additional cost and enjoy fitness, fun and friends with the award-winning program.  Designed exclusively for older adults and taught by certified instructors, offers an innovative blend of physical activity, healthy lifestyle direction and social opportunities to Medicare-eligible individuals.  Studies have found individuals who participate in Silver Sneakers have a significantly lower risk of depression and require fewer admissions to the hospital.
Source: johnconner.com

SilverSneakers Medicare Programs

SilverSneakers is a safe, fun program that provides a wide variety of options for this kind of beneficial exercise, especially designed for seniors. More than 40 Medicare plans offer this benefit to seniors across the nation, with over 11,000 gyms, fitness centers, YMCAs and Curves facilities participating. If you belong to SilverSneakers, you have access to basic fitness center memberships at any participating location, as well as special fitness classes, activities, and health and nutrition education designed for older adults. Whether your goals are to lose weight, increase strength and stamina, improve flexibility and range of motion, or just to remain physically and socially active, a SilverSneakers membership can help you reach those goals.
Source: boomerplaces.com

Silver Sneakers Locations in Colorado

The SilverSneakers® Fitness Program is an innovative health, exercise and wellness program helping older adults live healthy, active lifestyles. Get fit, have fun, make friends! Eligible members can receive a basic membership at any participating fitness center, where they can enjoy specialized SilverSneakers fitness classes focusing on improving strength, flexibility, balance and coordination. Certified SilverSneakers fitness instructors teach the classes, and participants can also enjoy other basic membership amenities, including use of exercise equipment, weight and circuit training, and other fitness offerings and social events.
Source: medicarecolorado.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

Medicare Card, Replacement, Blog, Social Security Help, Information, Medicaid, Retirement Benefits, Dental Insurance, dental health care plans

Posted by:  :  Category: Medicare

For all others, the standard Medicare Part B monthly premium will be $110.50 in 2011, which is a 15% increase over the 2009 premium.  The Medicare Part B premium is increasing in 2011 due to possible increases in Part B costs.  If your income is above $85,000 (single) or $170,000 (married couple), then your Medicare Part B premium may be higher than $110.50 per month.  For additional details, see the FAQ titled: "2011 Part B Premium Amounts for Persons with Higher Income Levels".
Source: medicarecard.com

Order a Medicare Replacement Card Online

california medi-cal dental Drug Plan Health HIV How Social Security Works How to File a Claim for Medicare How to get a new medicare replacement card HUD lost medicare card M.D. Medi-Cal Medicaid medicaid card Medicaid Services Medicare medicare card MedicareCard MedicareCard.com MedicareCard Replacement medicare card replacement medicare coverage Medicare has Two Parts Medicare Help Medicare Part A Hospital Insurance Coverage Medicare Premium Amounts for 2010 Medicare Prescription Drug Coverage Medicare Replacement Cards Meeting Announcement MyMedicare.gov National Institutes of Health Need a Replacement Card? Order a Medicare Card by Phone or Online NIH NIMH Obama Part A (Hospital Insurance) Part B (Medical Insurance) part of the National Institutes of Health protecting my social security number replacement social security card Social Security social security card some disabled people under age 65 ssa.gov Supplier Enrolled in Medicare
Source: medicarecard.com

Hip Replacement and Medicare coverage??? (medical, plan, hospital, doctor)

Barb, I had a total hip replacement on the left side last last June 2012 and wish I had done it sooner! I researched the surgeons who only do the anterior approach. It is much less invasive, zero chance of dislocation (unless you really mess up yourself by pivoting with your foot flat on the floor), not as much blood loss or complications etc., and a much easier recovery. I was in the hospital only 3 days, went to a rehab place for 5 days, but it was an awful place and I was not getting any PT etc., so I checked out of there and went home. Did not have any family support or care at home, except for the physical therapy (Medicare covers) at home, probably 9 times, I forget. Then outpatient PT to which I drove myself there. Was offered home health care, but didn’t need or want it, was doing fine after 3 weeks and driving. Look up doctors who specialize in the anterior method. Smaller incision high on the hip, no muscles are cut etc., excellent way to go. Mine is ceramic and titanium, they don’t do metal on metal anymore. With the old method you have a lot of strict precautions. Now I need to have the right hip done (which is now bone on bone, yikes), and will schedule it for March or so right here at home in NC; that way I’m good to go for the spring and summer best weather; and I know what to expect. I won’t go to any rehab/nursing center, better off at home with PT at the house. Those places are awful. Actually, the one I went to did some fraudulent Medicare billing and I’ve reported them. I never once got PT and they billed something like $1700 for PT which I never got, and something ridiculous for OT (occupational therapy which I never got). I had no choice about where to go for rehab, it was chosen on a first come first serve basis. (I did not have it done here in NC, had it done up north to be near family. haha.) So depending on where you live, if you want to go to rehab, visit the places and make sure they are clean and well rated. Most good hospitals and surgeons have a "Joint Center" and you have a private room, and great care. Choose the best surgeon you can find. Once you are recovered, probably within a month, you will wish you had it done sooner. No more pain.
Source: city-data.com

More Medicare Information

If you live in Puerto Rico you will not receive Medicare Medical Insurance (Medicare Part B) automatically. You will need to sign up for it during your initial enrollment period or you will pay a penalty. To sign up, please call our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You also may contact your local Social Security office. You can find your local Social Security office by using our Office Locator.
Source: socialsecurity.gov

Medicare Guidelines for CPAP Replacement

Medicare has a set schedule for replacement of each part of a CPAP machine. For example, your full face mask, CPAP mask or oral interface can be replaced as often as every 90 days, but the cushion of your face mask can be replaced every 30 days. Nasal cushions, replacement pillows, tubing and disposable filters can also be replaced as often as every 30 days. Headgear, chinstraps and non-disposable filters can be replaced every six months. The CPAP machine and humidifier can be replaced every five years.
Source: ehow.com

Medicare Payment & Reimbursement

Posted by:  :  Category: Medicare

Highlights Summary of the Medicare Access and CHIP Reauthorization Act of 2015 – 4/16/15 This act has implications for the sustainable growth rate, therapy cap, PQRS, postacute care providers, durable medical equipment orders, renewal of MAC contracts, and telehealth, as well as other Medicare payment provisions.
Source: apta.org

Australian Psychological Society : Medicare rebates for mental health services provided by psychologists: Information for clients

Posted by:  :  Category: Medicare

Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.
Source: org.au

Australian Psychological Society : Medicare and psychology

Medicare benefits are available for a range of specified psychology services for people with certain conditions, as summarised below. To receive psychological services under Medicare, a person must be referred by his/her GP or in some instances by a psychiatrist or a paediatrician. The full requirements for provision of psychological services in the following areas must be understood before services are provided. Select from the options below or browse the A-Z topic list. 
Source: org.au

Speech Pathology Australia

A session is a consultation with an allied health professional. The consultation must be of at least 20 minutes duration and must be provided to an individual client.  The speech pathologist named on the referral form should provide the service. If there is a change in the speech pathologist providing the service the GP should be notified of the change.
Source: org.au