TYPES OF MEDICARE FRAUD When an individual or organization seeks to collect Medicare health care reimbursement under false pretenses, it is Medicare fraud. The fraud is usually carried out in one of the following three ways: Phantom Billing: The medical provider bills Medicare for unnecessary procedures, medical test, or procedures OR procedures or tests are [...]
Medicare Part B and Medicare Part D provide coverage for diabetic services and supplies. MEDICARE PART B Medicare Part B covers the services that may affect people who have diabetes as well as some preventive services for people who are at risk for diabetes. Diabetic Screenings for those with specific risk factors or conditions Diabetes [...]
If you or a family member requires 24/7 nursing care (also known as skilled nursing), moving to a nursing home is one choice, but not the only one. The days of a parent making a child promise, “…to never put me in a nursing home” should be over. A nursing home may be where you [...]
A REALLY NASTY VIRUS When I was 21 years old I had an outbreak of shingles. To this day, it is the most painful medical memory of my life. I still have the physical scars from it. I was surprised to learn that shingles is usually considered a disease of middle age and the elderly. [...]
Be aware that www.MyMedicare.com is not the same as www.MyMedicare.gov. Both sites can be useful, but make sure you know the difference. www.MyMedicare.com MyMedicare.com (also, www.My Medicare.com) is a private site that provides visitors with information regarding medicare plans, medicare eligibility, and other resources pertaining to medicare. One of the primary purposes of the site [...]
Image by Daquella manera via Flickr WHAT IS COVERED? Medicare Part B covers the rental or purchase of a manual or power wheelchair or scooter for use primarily at home or a facility that is used like a home. Equipment may be used outside the home, but improving mobility for activities that take place in [...]
WHAT IS 1-800-MEDICARE? 1-800-MEDICAR(e) (1800 Medicare) is the telephone Help Line for the Centers for Medicare & Medicaid Services (CMS). This is the number you should call for questions about your claims, medical records, or expenses. You can also call 1-800-633-4227. TTY/TDD service is available for the hearing impaired at 1- 877-486-2048. The help line, [...]
Medicare makes changes every year. Recipients should check annually to understand what is new. DEADLINE IS EARLIER The New Deadline for signing up is from October 15, 2011 – December 7 , 2011, earlier than in previous years. Anyone can join, switch or drop a Medicare Advantage Plan during this time as well. Part A [...]
Medicare Part D helps pay for prescription drug coverage which is not offered in Parts A and B (Original Medicare). Medicare Part D is optional. You have to enroll to get it. If you wait to get Part D coverage you you may have to pay a penalty. Only private insurance companies offer Part D. Plans [...]
CUTS TAKING EFFECT 1/1/2012 Beginning the 1st of January, 2012, new Texas budget cuts take effect that will likely make it harder for seniors who solely rely up Medicare or Medicaid to obtain medical treatment. Cuts then go into effect that reduces reimbursements paid to medical practitioners treating those covered by Medicare and Medicaid. REDUCING [...]
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