Even though Medicare recipients getting these services may stay in the hospital overnight or longer, getting the same nursing care, lab tests and drugs as they would if inpatients, their bill will be calculated very differently. Patients admitted for in-patient stays usually are responsible for the Medicare hospital deductible of ,484 for a stay of up to 60 days. They may also pay 20% of doctor charges. Many people have Medigap or Medicare Advantage plans that cover much or even all of this expense. Outpatient services, on the other hand, are charged differently, with the patient paying 20% of the Medicare approved amount for each service. In addition, the new billing changes would hit patients with "facility fees" that can run up to several thousand dollars to cover hospital overhead charges. And since, prescription drug plans don't cover medication for hospital patients, beneficiaries would be charged 100% of the full retail cost of drugs they need, even those they normally routinely take at home. .The Congressional Budget Office (CBO) and the Joint Committee on Taxation have boosted previous estimates and now say that switching to the chained consumer price index (C-CPI) will cut Social Security and other federal retirement benefits by 8 billion and increase taxes by 2 billion over the next 10 years. The loss to beneficiaries would compound over time and grows deeper each year as illustrated in the following chart. As seniors grow older and more likely to develop costly health conditions, their Social Security benefits would become less adequate to cover rising costs more quickly. .Alzheimers and some Potentially Good News .TSCL supports legislation that would raise the taxable maximum. "TSCL believes that cutting Social Security benefits can't be justified when moderate payroll tax adjustments can keep the system solvent for decades," says TSCL Executive Director Shannon Benton. "Requiring everyone to pay their full share would add years of solvency to the Social Security," Benton says. .With reconciliation, Democrats can pass a bill without any Republican votes so they are hoping to get a much more comprehensive bill than the Grassley-Wyden one. .What should you do? If you still use paper tax returns, don't wait for the forms and instructions to show up in your mailbox. The IRS did not send any out this year. Visit the IRS website at www.irs.gov for forms, instructions, and to file online. Free tax assistance services may be available in your area, or call your local IRS taxpayer assistance office. .Economic recession isn't entirely to blame for low inflation. For more than three decades the federal government has made a substantial number of changes to the methodology it uses to calculate the consumer price index, which is used to determine the COLA. "Virtually all the changes have tended to reduce the measured rate of inflation," Cates says. "Not surprisingly, many COLA recipients sometimes tell us they suspect the government is manipulating the inflation measure to cut spending on their benefits," he adds. .The Inspector General found .1 billion in wages and self -employment income was reported in tax years 2006-2011 under the 67,000 numbers. The wage reports were placed in the Social Security Earnings Suspense File. The problem with placing these numbers into the Earnings Suspense File, however, allows for the earnings to potentially be claimed and used for determining benefits in the future. .The revenues that would be collected based on the 12.4% Social Security tax (the total paid by employee with the employer match) was ,071,619, and averaged 3,581 per CEO.