Coventry Medicare: Advantra (HMO

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Whether you are an employer, health care provider, interested in enrolling, or already a member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
Source: coventryhealthcare.com

Commonly Used Medicare Modifiers

+Manny Oliverez is a 20 year veteran of healthcare having managed medical practices. He advises medical practices, physicians and practice administrators on how to run their practice and manage their medical billing and revenue cycle management. Manny speaks, blogs and makes videos at www.CaptureBilling.com, a blog that is tops in the medical billing and coding field. READ MORE
Source: capturebilling.com

Medicare Advantage Plans in Georgia

Medicare Advantage plans in Georgia, as in other states, often expand their coverage beyond the benefits they’re required to provide. Medicare Advantage plans are offered by private, Medicare-approved insurance companies, and must include Original Medicare Part A and Part B benefits (except for hospice care, covered by Part A). But many Medicare Advantage plans include prescription drug coverage and/or other benefits, like vision services.
Source: ehealthmedicare.com

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

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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

Medicare Coverage in Texas

People with Original Medicare can join a Medicare Supplement (Medigap) plan to help offset some of their out-of-pocket costs. There are 10 plans available, with each type designated by a different letter (for example, Medigap Plan A). Medigap coverage is standardized, so no matter which insurer you purchase from, the benefits across each plan letter will be the same. States aren’t required to offer every plan type, so if you are looking for a Medicare Supplement plan in Texas, you may have different options available than someone in another state.
Source: planprescriber.com

Primary Care Physicians Accepting Medicare: A Snapshot

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Demographic analysis reveals some differences in the rates at which different types of physicians report accepting new Medicare patients. For example, 83 percent of primary care physicians who self-identify as Asian accept new Medicare patients, similar to the 86 percent among physicians who self-identify as either Black, Hispanic, or of another or multiple races (Figure 2). In contrast, a lower share of white primary care physicians (66 percent) say they are accepting new Medicare patients. Notably, while higher shares of Black and Hispanic primary care physicians accept new Medicare patients, Black and Hispanic physicians continue to comprise a relatively small share of the overall non-pediatric primary care physician workforce.
Source: kff.org

Opting Out of Medicare: a guide for physicians

I, ______, declare under penalty of perjury that the following is true and correct to the best of my knowledge, information, and belief: 1. I am a physician licensed to practice medicine in the state of ______. My address is at _________, my telephone number is _________, and my [national provider identifier (NPI) or billing number, if one has been assigned, uniform provider identification number (UPIN) if one has been assigned, or, if neither an NPI nor a UPIN has been assigned, my tax identification number (TIN)] is _________. I promise that, for a period of two years beginning on the date that this affidavit is signed (the “Opt-Out Period”) and continuing indefinitely with automatic extensions of the 2-year opt out period unless terminated by me as allowed by Title 1 Section 106(a)(1) Medicare Access and CHIP Reauthorization Act of 2015, I will be bound by the terms of both this affidavit and the private contracts that I enter into pursuant to this affidavit. [NOTE: Your personal UPIN number must be used, not a corporate UPIN number. Persons opt out, not corporations.] 2. I have entered or intend to enter into a private contract with a patient who is a beneficiary of Medicare (“Medicare Beneficiary”) pursuant to Section 4507 of the Balanced Budget Act of 1997 for the provision of medical services covered by Medicare Part B. Regardless of any payment arrangements I may make, this affidavit applies to all Medicare-covered items and services that I furnish to Medicare Beneficiaries during the Opt-Out period, except for emergency or urgent care services furnished to Beneficiaries with whom I had not previously privately contracted. I will not ask a Medicare Beneficiary who has not entered into a private contract and who requires emergency or urgent care services to enter into a private contract with respect to receiving such services, and I will comply with 42 C.F.R. § 405.440 for such services. 3. I hereby confirm that I will not submit, nor permit any entity acting on my behalf to submit, a claim to Medicare for any Medicare Part B item or service provided to any Medicare Beneficiary during the Opt-Out Period, except for items or services provided in an emergency or urgent care situation for which I am required to submit a claim under Medicare on behalf of a Medicare Beneficiary, and I will provide Medicare-covered services to Medicare Beneficiaries only through private contracts that satisfy 42 C.F.R. § 405.415 for such services. 4. I hereby confirm that I will not receive any direct or indirect Medicare payment for Medicare Part B items or services that I furnish to Medicare Beneficiaries with whom I have privately contracted, whether as an individual, an employee of an organization, a partner in a partnership, under a reassignment of benefits, or as payment for a service furnished to a Medicare Beneficiary under a Medicare+Choice plan, during the Opt-Out Period, except for items or services provided in an emergency or urgent care situation. I acknowledge that, during the Opt-Out Period, my services are not covered under Medicare Part B and that no Medicare Part B payment may be made to any entity for my services, directly or on a capitated basis, except for items or services provided in an emergency or urgent care situation. 5. A copy of this affidavit is being filed with [the name of each local Medicare carrier], the designated agent of the Secretary of the Department of Health and Human Services, no later than 10 days after the first contract to which this affidavit applies is entered into. [FOR PARTICIPATING PHYSICIANS ONLY: My Medicare Part B Participation agreement terminates on the effective date of this affidavit.] Executed on [date] by [Physician name] [Physician signature]
Source: aapsonline.org

Naturopathic Physicians and Medicare

Each year, the number of seniors who qualify for Medicare increases and so does the need to provide them with greater choice in health care. A major AANP legislative priority is to get naturopathic doctors included in Medicare so that seniors can be reimbursed for a type of care that can prevent many types of chronic illness and improve patients’ quality of life by alleviating the need for expensive drugs and surgery. To move toward this goal, the AANP is asking Congress to direct the Centers for Medicare and Medicaid Services to pursue a pilot project that would demonstrate the value of naturopathic care for seniors while saving the government money. A similar pilot project – one conducted by YMCA of the USA on diabetes prevention – is on track to become the first truly preventive approach covered by Medicare. AANP will officially launch this Medicare initiative at our 2016 federal legislative event, the DC FLI, where hundreds of naturopathic doctors and students will visit their members of Congress. The campaign won’t end there, however. In the weeks following the FLI, the entire profession will be called to action.   If you are interested in reaching out by phone or email to your Congressional office, please let us know HERE!  Please familiarize yourself with the materials on this webpage. AANP thanks you for your passion and your commitment to transform health care – for seniors and for citizens throughout the country.  MEDICARE 
Source: naturopathic.org

Medicare Patients’ Access to Physicians: A Synthesis of the Evidence

Nationally, patient and physician surveys and Medicare’s administrative data show that most Medicare patients enjoy good access to physicians and most physicians are accepting new Medicare patients.  Moreover, survey findings reveal that Medicare beneficiaries and adults with private insurance report similar access to physicians. While the majority of Medicare beneficiaries report having a usual source of care and do not forego needed physician visits, certain subgroups of Medicare beneficiaries have higher rates of access problems that warrant close attention. These include beneficiaries with no supplemental insurance or Medicaid, beneficiaries under age 65 living with a permanent disability, beneficiaries in fair and poor health, beneficiaries with four or more chronic conditions, and beneficiaries with lower incomes. For the most part, however, even among these subgroups, most do not report significant problems securing access to medical care when needed. Physician surveys and Medicare data tell a complementary story to the patient surveys.  Overall 91 percent of physicians report taking new Medicare patients—comparable to the rate for new private non-capitated patients. About 1 percent of physicians have formally opted-out of the Medicare program to contract privately with all their Medicare patients, with psychiatrists comprising the largest share.  Factors that influence physician decisions about acceptance of new patients can be strongly influenced by local health market circumstances that cannot be ascertained from state-level data.  Further research is needed at a more local level to understand how access is affected by other factors including provider supply, other insurer interactions, changes in group practice dynamics, and patient demand for medical services. Survey instruments could be improved to determine if doctors in open practices access some or all new patients, by type of insurance. While this paper focuses mostly on physicians, the number of other health professionals who provide care to Medicare patients—such as nurse practitioners and physician assistants—has grown rapidly over the past decade.
Source: kff.org

Medicare Annual Wellness Visit

Answer: See page nine of Transmittal 134: It clearly states who a medical professional is. It seems to leave the door open for some “incident-to” type services such that a nurse or someone without an NCI could perform these services. Indeed, the Medicare Administrative Contractor (MAC) WPS has said that these services can be carried out by an LPN under direct physician supervision, present in the office suite, and CMS in Baltimore has said that these were “intended to be collaborative.” That said, I would get something in writing from your local carrier or MAC before I went down that road.
Source: physicianspractice.com

Medicare's New Annual Wellness Visit

Betsy Nicoletti is the founder of Codapedia.com. She is the author of “A Field Guide to Physician Coding.” She believes all physicians can improve their compliance and increase their revenue through better coding. She may be reached at betsy.nicoletti@gmail.com. *Seniors and doctors alike are hot for the highly publicized new wellness visit under Medicare, but a story about claim denials from contractors is apparently causing a bit of alarm. Read, “Watch Out for Medicare Wellness Visit Glitches” to find out the details.   
Source: physicianspractice.com

New Medicare Rule Will Reimburse Physicians for Advance Care Planning

Proponents of this new legislation, such as the American Medical Association and the American Academy of Palliative and Hospice Medicine, say that this rule will encourage physicians to make time for these lengthy discussions and facilitate patient choices while improving quality of care for seniors. Opponents, including the Association of American Physicians and Surgeons, contend that such payments will “create financial incentives to persuade patients to consent to the denial of care.”
Source: the-hospitalist.org

Geographic Adjustment of Medicare Payments to Physicians: Evaluation of IOM Recommendations

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Medicare/Medigap/MediAdvantage

Posted by:  :  Category: Medicare

As a convenience to our users, the Utah State Insurance Department offers links to certain web sites created and maintained by other public and/or private entities. The department has no control over linked sites and cannot guarantee, or be held responsible for materials found on any non-departmental site. A link to another web site is NOT a Department endorsement of that site.
Source: utah.gov

Medicare Plans for Different Needs

Posted by:  :  Category: Medicare

UnitedHealthcare is dedicated to helping people nationwide live healthier lives. Our goal is to simplify the health care experience, help you meet your health and wellness needs and carry on trusted relationships with care providers. We offer a wide range of Medicare Advantage, Medicare prescription drug and Medicare Special Needs Plans that might be a good fit for you.
Source: uhcmedicaresolutions.com

Replacing your Medicare card if it is lost, stolen, or damaged

Posted by:  :  Category: Medicare

If your Medicare card has been lost or stolen, watch out for Medicare fraud. Check your Medicare Summary Notice (MSN) for services you did not receive and, if you spot any, call the Inspector General’s fraud hotline at 800-HHS-TIPS (800-447-8477) to report them. When it investigates the potential fraud, Medicare will not use your name if you do not want it to.
Source: medicareinteractive.org

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

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

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

Posted by:  :  Category: 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

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: ssa.gov

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

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

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Medicare claim submission and phone numbers for all states

MedicarePaymentandReimbursement.com provides Medicare Payments, Billing Guidelines, Fees Schedules 2010, Medicare Eligibility, 2011 Medicare Deductibles, Allowables, CPT Codes for Medicare, Phone Number, Denial, Address, Medicare Appeal, PQRI, EOB, Medicare and Medicaid Services.
Source: medicarepaymentandreimbursement.com

New Medicare Cards Will Not Display Social Security Numbers

As a reminder, we strongly encourage you to verify the legitimacy of text messages, emails, or phone calls by people who say they are from Social Security. Please contact your local Social Security office, or call Social Security’s nationwide toll-free customer service at 1‑800-772-1213. (Those who are deaf or hard-of-hearing can call Social Security’s TTY number at 1-800-325-0778.) 
Source: ssa.gov

Medicare Supplement Plans & Quotes

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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

Medicare Supplement Insurance

“My experience with Russell Noga and Medisupps.com has been so wonderful I have to share it! My aunt and uncle needed new insurance with their move to a new state. My uncle is hearing impaired, and my aunt struggles with English. His patience and professionalism was beyond measure! He found them the very best coverage to fit their individual needs and at the best rate possible. Russell was so thorough, extremely kind, and made the entire process painless. I can’t express how grateful we feel to have found him to work through the insurance process. Thank you, Russell! Medisupps.com ROCKS!” ~ Norma Vally a.k.a Toolbelt Diva (Discovery Home Channel)
Source: medisupps.com

Medicare Supplement (Medigap) Insurance Plans

MedSupp plans can help pay Original Medicare’s copayments and deductibles. Each type of plan offers a different level of coverage, and is named with a different letter (such as Plan A). The plans are standardized, so that all plans of the same letter offer the same benefits. In other words, the benefits for a Medicare Supplement Plan D enrollee in Rhode Island are the same for a Medicare Supplement Plan D enrollee in Tennessee. However, the premiums can differ among these private insurance companies.
Source: planprescriber.com

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

GlobeCare Medicare Supplement

Your acceptance for a Medicare Supplement policy is guaranteed with no waiting periods, regardless of preexisting conditions when purchased during the six-month open enrollment period for persons turning age 65.
Source: globecaremedsupp.com

MedicareMall Homepage 2015

Original Medicare Part A and Part B covers approximately 80% of your Medicare approved Medical expenses and limited Hospitalization coverage. A Medicare Supplement (also known as Medigap Plan) will help you cover those expenses. Our most popular Medigap Plans are Plan F, Plan G, and Plan N.
Source: medicaremall.com

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

Medicare Supplement Insurance (Medigap)

Posted by:  :  Category: Medicare

Please call us at 954-384-8647 to obtain rates on Medicare Supplement Insurance Plans, to request an application or any question that you may have. To view the insurance companies that we work with in your area, please click on your resident state below. We are here to serve you and we would be delighted to hear from you. You can also email us at quotes@medicaresupplementspecialists.com and we will respond promptly to your inquiry.
Source: medicaresupplementspecialists.com

Precision Senior Marketing

Located in beautiful Austin, Texas, Precision Senior Marketing, LLC is a full-service, national insurance marketing organization (FMO) dedicated to recruiting, servicing, and supporting the best senior market insurance agents in the United States. PSM provides its agents with only the market’s best products that include Medicare Supplements, Medicare Advantage, Life Insurance, Annuities and other insurance products that provide security and a peace of mind for the nation’s exploding senior population.
Source: psmbrokerage.com