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Medicare is a health insurance program administered by the federal government for the elderly.  It was created in 1965 as part of the Social Security Act and is financed by a separate tax on wages.

Medicare is available to citizens over the age of 64 and those with some disabilities.  It presently covers tens of millions of Americans and has become a major federal government budget item with out-of-control growth.  Both Part A and Part B are funded from the U.S. Government's general fund but Part B also receives some payments that are deducted from covered retirees social security checks.

There are two parts to Medicare.  Part A covers hospital visits and Part B covers doctor's visits and related services.  Both parts contain deductibles and requires co-pays from the insured.  Some insurance companies offer private insurance policies to fill in the gaps omitted by Medicare.

Medicare pays physicians for their services based upon the Resource-Based Relative Value Scale.  Doctors often complain that Medicare payments do not reflect the market rate for services and some may not be willing to discount their services.

Fraudulent services continue to plague the Medicare system.  Some doctors and hospitals have defrauded the system by claiming payment for services not performed.  It is estimated that fraudulent claims are costing Medicare (and us taxpayers) tens of billions of dollars.


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Doctors Want An Overhaul Of Some Medicare Billing Codes ModernHealthcare.com
ModernHealthcare.com Doctors want an overhaul of some Medicare billing codes ModernHealthcare.com Lowering documentation standards for a commonly used set of billing codes would lead to better quality of care, doctors told the CMS during a conference call Wednesday. Most physicians bill Medicare for patient visits under a relatively generic set of CQRC Releases Competitive Bidding Impact ReportHomeCare Noridian Healthcare Solutions awarded CMS UPIC SMRC contractGlobeNewswire press release all 17 news articles raquo

Payment Reform On Track, Medicare Chief Says MedPage Today
MedPage Today Payment Reform on Track, Medicare Chief Says MedPage Today WASHINGTON Pay no attention to that funding cut behind the curtain physician payment reform and patient empowerment are alive and well, Demetrios Kouzoukas told House members at a hearing on Medicare39s physician reimbursement system. quotI think we

Medicare Advantage Vs. Medicare Cost Plans: Whataposs The Difference U.S. Ne...
U.S. News World Report Medicare Advantage vs. Medicare Cost Plans: What39s the Difference U.S. News World Report Depending on where you live, Medicare Cost plans may offer the best of both worlds for older adults who want the flexibility of keeping their traditional Medicare benefits while simultaneously having access to out of network health care providers If I have a tight budget and good health, what kind of Medicare should I getPBS NewsHour How to Apply for Medicare Without Claiming Social SecurityU.S. News World Report Confused about Medicare Here is a guide.Columbia Missourian WSPA.com Los Altos Town Crier all 23 news articles raquo

Improving Medication Adherence In A Medicare Population With Personalized Out...
Improving Medication Adherence in a Medicare Population With Personalized Outreach AJMC.com Managed Markets Network Getting patients, especially in the Medicare population, to adhere to taking prescribed medications is key to preventing future complications. One health plan used personalized outreach to call Medicare beneficiaries to educate them about adherence and and more raquo

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Facts of Law about medicare

Facts of Law - Medicare