News

  • Ask The Advisor September 2021

    But here's the real kicker. A statute of limitation loophole is hamstringing Medicare from recovering overpayments. Federal law allows a Medicare claims contractor to reopen a payment determination for "good cause" at any time within 4 years of the date the original payment determination was made. But another provision of law bars the recovery of overpayments from providers that are "without fault." And the law states that a provider is deemed to be without fault 3 years after the year in which the original payment was made unless there is "evidence to the contrary." .Medicare Has a Tele-Scam Problem Telephone scammers are bilking Medicare out of billions of dollars, and bombarding millions of older U.S. consumers with multiple daily automated phone calls for everything from "free" back braces to genetic tests. While Medicare scams have been with us for decades, what's new is the use of automated calling technology, and the massive international scale. Medicare Advantage Insurers Overcharged Medicare By Nearly Billion Medicare Advantage plans have overcharged Medicare by almost billion in recent years, but so far officials have only recovered a small fraction of that money. The federal government has announced it is stepping up efforts to recover those funds and TSCL is closely watching to see that it does. .To learn more, please visit . … Continued

  • Category Tips For Seniors Healthcare Page 3

    Alexandria, VA (October 24, 2011) In January, for the first time in two years, Social Security recipients will get a sorely-needed cost-of-living adjustment (COLA). Benefits will rise 3.6% in 2012, following a surge in inflation that occurred even while seniors had no annual increase to help meet rapidly rising prices. Stagnant COLAs may soon be a fact of life for beneficiaries - a change that would also lower lifetime Social Security benefits, especially for Baby Boomers, warns The Senior Citizens League (TSCL), one of the nation's largest nonpartisan seniors groups. .Senate Aging Committee Holds Hearing .Each year SSA receives hundreds of millions of employer reported W2s. When Social Security receives a name or SSN on a W-2 that does not match SSA's records, the wage report goes into the ESF while the SSA attempts to reconcile the discrepancy. In recent years the file has been growing at an unprecedented pace—the fastest since the inception of Social Security in 1937. … Continued

This week, the Centers for Medicare and Medicaid Services (CMS) announced its preliminary 2015 payment rate changes for the Medicare Advantage (MA) program. In addition, The Senior Citizens League (TSCL) saw two key bills gain support. .Sources: "Immigration Activists Urge Obama To Act Boldly", Carolyn Kaster, Associated Press, April 15, 201Letter to Senator Marco Rubio from Stephen C. Goss, Chief Actuary, Social Security Administration, June 28, 2013. .TSCL Goal of new Drug Pricing Legislation Left out of new House Bill .We will not go into the details because it has been widely reported on in the news, but that is the major legislation that has preoccupied Congress the last few weeks. .The Centers for Medicare and Medicaid Services said the rule would be mandatory and will focus on 50 single source drugs and biologic drugs that comprise the largest majority of Medicare Part B drug spending. .This week, lawmakers in the House and Senate voted to begin conference negotiations on legislation to overhaul the tax code. Representatives in the House passed their tax reform bill last month, and Senators in the Senate passed their version last Friday, with a vote of 51-4Members of the bicameral conference committee have been busy ironing out the differences between the two bills this week, and they hope to have a deal reached before they adjourn for the holiday recess on December 22nd. .The stockpile had 13 million medical-quality N-95 masks when the pandemic hit. The government aspires to have 1 billion, with 300 million anticipated by fall. It had 2 million gowns at the start of the pandemic and expects that to grow to as many as 7 million. .Now, another warning has been issued that some sanitizers made in both the U.S. and China contain benzene, a chemical known to cause blood cancers such as leukemias. .Could you tell me the status of the Social Security agreement with Mexico? There hasn't seemed to be much news about it recently. If we get a new president does that mean the agreement would be dead?