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.


Hunger – the new “non-word”

November 17, 2006

As everyone knows I am a workaholic.  I rarely have time for the newspaper, except when I’m in a waiting room.  Today, I was waiting to get my oil changed at the Saturn dealership.  I was a little aggravated about my selection of reading material.  One newspaper was dated October 28th.  While I hadn’t read it, I wasn’t terribly interest in ‘old’ news.  The newest addition was yesterdays Star Telegram.  What I read made my blood boil.

The article was written by Elizabeth Williamson from The Washington Post.    Title: USDA to drop ‘hunger’ from its annual report

“The U.S. government has vowed that Americans will never be hungry again.  But they may experience ‘very low food security’.”

(WTF?!?!?!?)

“Every year, the Agriculture Department isses a report that measures American’s assess to food, and it has consistently used the word hunger in describing those who can least afford to put food on the table.  But not this year.  “……………..

“The department said that 12 percent of Americans – 35 million people- could not afford to put food on the table at least part of last year.  Eleven million of them reported going hungry at times.  Beginning this year, the Agriculture Department has determined ‘very low food security’ to be a more scientifically palatable description for that group.”………………………..

“……………..The catagory ‘very low food security’ described as experiencing ‘multiple indications of disrupted eating patterns and reduced food intake’ will take the place of hunger.

“Anti-hunger advocates say the new words sugarcoat a national shame.”

“The proposal to remove the word hunger from our official reports is a huge disservice to the millions of Americans who struggle daily to feed themselves and their families”, said David Beckmann, president of Bread for the World, an anti-hunger advocacy group.”

If we take the huge raises that congressmen grant themselves yearly, and the cost of secret service for presidents families after they leave office, we could take a chunk out of the non word (hunger) in America.  Take away 3/4 of their huge retirements and let them live on the social security that they are trying to do away with and we might even be able to house the homeless.  Shhhhhhhh……that will probably be the next ‘non word”. 


WTF!?!

August 26, 2006

Evidentally I’ve been a very bad girl.  Not only will WordPress not let me comment on other peoples posts, it won’t even let me comment on my own. 😦

UPDATE:

So I found out that all my OWN comments went into spam.  Now that should tell me to STFU!


I hate doctors…..

May 19, 2006

So I go to pick up my hormones this morning and am informed by the pharmacist that I have to have a new rx….the fucking doctor denied a refill.  Now I haven't seen this asswipe in 10 years.  I always see his assistant, who seems to have time to talk, answer questions and drill me to no end about my health.  She is a really neat person.

So I call the doctors office and am informed by the receptionist that Ms. W……… is out of the office this week.  Good for her.  I ask if they can call me in a 30 day rx.  Oh no, the doctor says he MUST see you first.  I say that I must see him today or they must call me in a rx as I won't be in town next week.  Ok, come in at 5:40 this afternoon.

I go in to his office and what do I see????? Another assistant.  "What can I do for you today?"  he asks in his barely distinguishable foreign tongue.  (Bring Doctor Dipshitt in here so I can kick his ass.)  "I need a rx for my hormones…and allergy mediation."  "I will write you for one month…you must have (the dreaded) pap smear before you get more."  (Fucking wonderful).  (All rightie then…how about some good drugs while you're at it.)  Scribble, scribble, scribble….. "You have a good day" he smiles widely.  (Fuck you in the neck….)

Away I go back to the pharmacy.  "We're all out of your allergy medication until tomorrow afternoon, is that all right?"  (Do I have a goddam choice?)  I pick option A…"sure that is just great".  What little of the blissful hormone I have in my system has just gone up in smoke….hot flashes return.

What I wouldn't give to be able to go see Dr. Iwantinyourpants.  And I would if he hadn't had to retire…  Now THERE was a Doctor, in fact the only one I never wanted to shoot before sunrise.