Thought for the day – Tuesday August 22, 2007

August 22, 2007

911: Government sponsored Dial-a-Prayer.

Yes – this would be the same government that gives you Medicare Liens.


Thought for the day – Sunday 8-19-07

August 19, 2007

On aging:

Old age is having a choice of two temptations and choosing the one that will get you home earlier.


I love this kind of phone calls!

August 15, 2007

Tonight I have a voice mail from my brother…

“Hi Sis,

I have a letter looks like it is from Medicare saying all of the cases against Mother have been settled.  Good going.  See ya, call me if you want to.”

OMG, YAY, YAY, YAY!!!

Tomorrow I call the nursing home to report that they may now bill medicare, write Mom a check for 20 days refund, and file for a refund of the past 10 days. 

Thanks to John Simpson, Attorney at Law and Mary Ann his assistant for all the wonderful help and referring me to the State Representative

Thanks to the office of Texas State Representative Randy Neugebauer from Lubbock, for your intervention on behalf of my Mom.

Thanks most of all to my Brother and Sister.  Not only for all of the brain storming, leg work and phone and fax machine……but because you’re mine.  I am so grateful that in times like these, you are there.


Mark and Isabella

August 14, 2007

mark-and-isabella.jpg

This is the first grandchild Mark has had the opportunity to be around.  Looks like he’s taking to it nicely.  And it seems that Ms. Isabella thinks Gramps is pretty cool too.

I KNOW I’m not old enough to have great grand children, even though Noah will be 6 soon, and Angelica will be 3 on the 27th of this month. 

Where the hell did all the years go????


Medicare liens…..before it happens to you!

August 9, 2007

Every senior citizen who is eligible for medicare should know a few facts that I’ve learned, THE HARD WAY!

If you or and elderly person you know is the recipient of medicare and has had medical expenses that an insurance company was liable for, but medicare paid:

Medicare CAN and WILL:

Place a lien on benefits payable to any skilled care facility.  They may collect the benefits from the insurance company, your attorney or you.  They may also NOT show the payment as taken care of and you will have no clue this has happened since they will not notify you……..until a facility tries to pre-cert you for skilled care.

This recently happened to my Mom.  The nursing home said they could not get medicare precertification because of 3 liens, for auto accidents that medicare paid and insurance was liable for.  When I got on the phone with them, medicare could not give me an answer on why this happened.  They gave me a number of a third party collections department for medicare.  They said yes, an insurance company was liable, they paid and until they receive the money, mother gets no skilled care.  My brother and I brainstormed and remembered something about money that her attorney had in trust to pay medicare on an accident she had in 2001.  I called the attorney and he said he remembered it well and was able to tell me that he sent a check to medicare in 2004.  He fax over the paperwork he had as well as copy of the check that medicare had cashed.  Another two wrecks in 2003 the insurance paid nothing on medical, therefore she owes nothing on that.

All sounds ducky huh?  NOT HARDLY.  I fax this information to the medicare collections department.  They are VERY behind and it will take up to 60 days to get the information into the system.  Great!  No there is nothing they can do to expedite the process.

I called the state representatives office and they agree to intervene, but state they are only doing this as a service to the people they serve and it still takes up to 60 days to process.  I fax them all the information also, for what I am still clueless.

I was looking on the internet this morning hoping that I could find something to give us some recourse.  I came up with this site: http://www.tlie.org/riskmgmt/news/2000isu1.htm   It appears that the attorney took care of the matter as they should.  This one that says they can do it: http://www.thecentersforlienresolution.com/medicaresetaside.html.  Where in the hell is one that says what to do when the bastards don’t take it off the books when it is paid???  Wonderful – I found this site for lien resolution and it only cost $1,800. to do what I’ve already done. http://www.thecentersforlienresolution.com/lienresolution.html  Kiss my ass!

You may ask why I’m making such a big deal of this.  Before we could get Mom into the nursing home we had to pay one month in advance…$4,976.58.  That does not include therapy she must have for her leg or her medication.  Three months minimum in the nursing home….do the math.

If you have family members that are enrolled in medicare call this number to see if there are any liens on their medicare.  1-866-677-7220 and have their medicare number and birthday handy as you must have that information to access their account.

The Bastard Jr. says this is just one more reason to keep the flat shovel handy.


Update on Mom

August 4, 2007

Mom got moved into the nursing home yesterday.  She was supposed to be transferred at 10:30AM and made it at 2PM. 

When I walked into the room in the morning the first thing that hit me was the starkness of the place.  I’m thinking…mmmmmmm maybe I could do something to make it more homey.  I went to her apartment and picked up some silk flowers to spruce up the place a bit.  I unpacked her bags and arranged the flowers in the rooms.  Much better, I thought appraising the room. 

I went to Wal-Mart and purchased the sweat pants they said she would need for her therapy, grabbed the usual quarter pounder and diet coke for lunch. 

I went back to the nursing home, she still wasn’t there.  Filled out a ream of paperwork to complete her admission.  Still no Mom.  I sat out in the car for a while.  Finally the transport vehicle arrived and unloaded Mom.  I gave them an opportunity to get her in the room, as I wasn’t up to hearing her scream during the process of getting her into bed.

When I walked into the room the nurses were assessing her leg.  Lucky me, I got to hear her scream anyway.  Then Mom saw me.  ‘WHERE THE HELL DID YOU COME FROM’ she screamed.  The nurse told her, ‘she’s been here taking care of your business all morning.’

3:00PM  I have a 6 hour drive ahead of me, I’m exhausted and depressed.  I tell Mom ‘I have to go Mother, Elaine will be here in less than an hour, try to rest.’  She says to me, ‘thank you so much for all you’ve done, I don’t know how I’d have made it through this without you.’