August 28, 2015

Medicare’s program integrity initiatives

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For many years, the Centers for Medicare & Medicaid (CMS) has funded programs to reduce claims payment errors (either paying too much, paying too little or payments being made when none should be).  Some of these programs are handled through systematic checks that look for anomalies and mismatched services, and some are handled through clinical [...]

A new year can mean a new you with Medicare

The start of a new year is the time for resolutions. Railroad retirees covered under Medicare can receive the help they need in making some of their resolutions a reality. According to USA.gov, the top three New Year’s resolutions are: Lose Weight Volunteer Quit Smoking The year 2015 can be a year of change with [...]

Need a doctor? Here’s how to find one

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If you find yourself in need of a doctor, and you don’t know if one practices near you, or if they participate in Medicare, and you have internet access, you can use the ‘Physician Compare’ tool at www.Medicare.gov. Physician Compare is a website maintained by the Centers for Medicare and Medicaid Services (CMS), and it [...]

An explanation of Medicare

This article, provided by Palmetto GBA Railroad Medicare, outlines the various “parts” of Medicare and explains which types of services are covered under each. What Is Part A? Part A includes inpatient hospital, skilled nursing facility (or SNF), nursing home, hospice and home health services care. It also includes long-term care acute care (LTAC). Part [...]

Preserving Medicare: We have a role to play

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Would you accept a job paying $1 million to count out $2 billion in $1 bills? Think again, because working a 40-hour week and counting out $1 per second, you would require 266 years to count out the $2 billion total. Now that you have an idea how much $2 billion is, consider that in [...]