Showing 9 ideas for tag "medicare"
kudos icon +

Department of Health and Human Services

Plain Language for Describing Medical Services to Seniors

To help seniors better understand what their health care providers are billing/charging the Medicare program, beneficiaries' Medicare Summary Notices should include plain language about services billed to Medicare by inpatient and outpatient providers. Most seniors do not understand the scientific and medical names of certain diseases and body parts. Therefore, they may not be able to report fraud and abuse. By using... more »

Voting

34 votes
Active
kudos icon +

Legislative Branch

Medicare hotline

The HHS Hotline for calling in Medicare Fraud tips needs to be revamped. We need to give Seniors an incentive for finding and calling in fraud -- perhaps a percentage of the money recovered. Also we need a better and faster way to get the tips that do come in to the regional offices that investigate the fraud. Currently the information goes through several unneccessary layers of bureaucracy. By the time it reaches... more »

Voting

1 vote
Active
kudos icon +

Social Security Administration

Social Security and Medicare Unite

As a service representative for the Social Security Administration, every day I see people come into our field office who think that we are Medicare. Sure, we do limited things for Medicare- since they don't have offices for public service-such as part B applications and part D subsidy applications, however, the majority of the people I see that think that we are Medicare come in because they have detailed and complex... more »

Voting

26 votes
Active
kudos icon +

Department of Health and Human Services

Permit Emergency Ambulance Transports to "Urgent Care" Clinics Under Medicare Reimbursement Rules

Medicare will not provide reimbursement for an emergency ambulance transport to an urgent care facility/clinic in a rural area. Medicare considers this a "doctor's office" and instead only provides reimbursement for a much longer ambulance transport of the patient to a hospital. In rural areas this creates a hardship to patients with non-life threatening injuries and is a waste of emergency resources. The resulting... more »

Voting

2 votes
Active
kudos icon +

Department of Health and Human Services

Minimum for Reconsideration Cases

Set a minimum amount for reconsideration in Medicare Part A claims appeals. Currently, Medicare providers have unlimited access to claims appeals processes through the reconsideration level. They have already been through redetermination and reconsideration.

Medicare spends thousands to have legal and healthcare professionals review ridiculous claims from providers for items such as syringes, low-cost lab tests and... more »

Voting

4 votes
Active
kudos icon +

Department of Health and Human Services

Prevent Massive Medicare Fraud

Tailor the required time to reimburse Medicare providers from the time a claim is filed based on track record. The current mandate that Medicare reimburse all providers by 30 days after providers submit a claim (confirmed today with Mediare) allows massive fraud by fly-by-night operations (Florida and elsewhere) who roll up operations after just a month or so, and move to other cities and states, thereby fleecing the... more »

Voting

5 votes
Active
kudos icon +

Department of Health and Human Services

Decrease Frequency of Medicare Summary Notices and Medicare Drug Program Changes

Decrease Frequency of the Medicare Summary Notices to recipients every 6 months instead of every 3 months. Four pages mailed every month to every Medicare recipient even if there is only 1 entry for services rendered. The issuance of this MSN costs more than the services rendered. Also, do not allow the Medicare drug insurance companies to change their coverage on drugs all year long. It should be done only in the... more »

Voting

0 votes
Active
kudos icon +

Department of Health and Human Services

The Humana/Medicare Advantage Program-No Advantage

I suggest that you get rid of the Humana/Medicare Advantage conflict-of-interest program, and go back to what people spent their working lives acquiring---a bona fide medicare program and the supplemental insurance program they signed up for. The doctors are not getting paid under this program, the patients are paying 300-400% what they were paying under the old program for less care, and some "doctor" in Humana is making... more »

Voting

-1 votes
Active