Post Tagged with: "Medicare"

SOS: Speaking of Seniors – Is This Medicare Advantage Fraud?

SOS: Speaking of Seniors – Is This Medicare Advantage Fraud?

On May 25, 2017, I met at my office with a couple from Merrillville, Indiana. The wife’s medical bill problems were routine and simple for me to resolve. But, the husband’s medical bill issues were something that I had never seen in my over 14 years of helping seniors with Medicare related medical bills.

Read more ›
SOS: Speaking of Seniors – They Were Surprised!

SOS: Speaking of Seniors – They Were Surprised!

I brought the chart that I usually use when I speak about Medicare problems and what I do to fix them. I explained that the Medicare system breaks down hundreds of times every day. That is the most common problem with the Medicare system. It is the problem that government bureaucrats and government contractors don’t what to discuss.

Read more ›
SOS: Speaking of Seniors – Ambulance Service was Kind

SOS: Speaking of Seniors – Ambulance Service was Kind

There are many rules in the Medicare system. This client got caught by a Medicare rule which caused an ambulance bill for $640 that Medicare would not help to cover. A few years ago, I warned seniors that the federal government would gradually change rules about Medicare to save the federal government money and push more medical costs back onto senior citizens.

Read more ›
SOS: Speaking of Seniors – X Ray Firm Never Filed Claim

SOS: Speaking of Seniors – X Ray Firm Never Filed Claim

I phoned the client’s Medicare supplement insurance company to learn what it knew of these claims. It reported that Medicare never sent these claims to it. Then, with our client, I phoned Medicare to learn about these claims. According to the Medicare representative, the x-ray firm never filed the claims with Medicare at all. That is a serious error or fraud.

Read more ›
SOS: Speaking of Seniors – Another Complaint Filed

SOS: Speaking of Seniors – Another Complaint Filed

Here are the facts. Earlier in the year, the client visited me and we reviewed documents about an unpaid bill. I learned from the client’s Medicare supplement insurance company that it had already paid the bill in question. The insurance company gave me the amount, the date of issuing the check, and the check number.

Read more ›
SOS: Speaking of Seniors – No Record Found

SOS: Speaking of Seniors – No Record Found

With our client in the office, I phoned Medicare. To our surprise, the medical biller never filed one of the claims with Medicare. The medical biller was telling the senior citizen to pay $433.50 without first filing the claim with Medicare. That’s a violation of Medicare rules.

Read more ›
SOS: Speaking of Seniors – 17 Claims Missing

SOS: Speaking of Seniors – 17 Claims Missing

On February 27, 2017, I reviewed a medical bill for a client from Gary, Indiana. The bill sought $261.15 from the client for 17 different doctor visits in 2016 and 2017.

Read more ›
Proud to Be a Pain

Proud to Be a Pain

Important people in Washington and elsewhere want everyone in America to believe that the federal government can run things better than anyone else. But, if letting the federal government run our health care is such a great idea, why are there so many problems with Medicare, Medicaid, and Obamacare?

Read more ›
SOS: Speaking of Seniors – Avoid Expensive Taxi Rides

SOS: Speaking of Seniors – Avoid Expensive Taxi Rides

I believe that the client used an ambulance service to go to an appointment with a doctor. The normal rule is that if an ambulance was not used in a life threatening situation, Medicare will not cover or help pay for it.

Read more ›
SOS: Speaking of Senior – Saved Munster Woman $206.49

SOS: Speaking of Senior – Saved Munster Woman $206.49

It took work over a few months, but I finally got a hospital in Illinois to admit that our client who lives in Munster DOES NOT OWE A BALANCE. I asked and the hospital agreed to send a statement to the client which shows zero balance owed.

Read more ›