Tag Archive | "Medicare"

Physical Therapist.. Job Prospects?


I’m thinking about applying to doctorate of physical therapy programs. What do you think the growth will be for this profession? I know that BLS and other job related sources say that need for this job will grow very fast, but I just would like to have thoughts from people in medicare.

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Can Someone Briefly Explain???? 10 Pts?


Im trying to understand this article can someone briefly explain to me in simple terms
???
Doctor accused of taking kickbacks to prescribe anti-psychotic drug
November 15, 2012|Staff report
532
A federal lawsuit accuses a Chicago psychiatrist of getting illegal kickbacks from pharmaceutical companies and submitting at least 140,000 false claims to Medicare and Medicaid for anti-psychotic medications he prescribed for thousands of mentally ill patients in nursing homes.
Dr. Michael J. Reinstein also submitted at least 50,000 claims to Medicare and Medicaid falsely claiming he had provided “pharmacologic management” for his patients at more than 30 area nursing homes and long-term care facilities, according to the health care fraud lawsuit filed by the U.S. attorney’s office.
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“This is the largest civil case alleging prescription medication fraud against an individual ever brought in Chicago,” said Acting U.S. Attorney Gary S. Shapiro.
Reinstein was the subject of an investigation by ProPublica and the Chicago Tribune in 2009 that found Reinstein, 69, had compiled a worrisome record of providing assembly-line care with a highly risky drug.
Searching publicly available documents, reporters discovered that Reinstein had been accused of overmedicating his mentally ill patients. His unusually heavy reliance on the drug clozapine — a potent psychotropic medication that carries five “black box” warnings — has been linked to at least three deaths.
In 2007 he prescribed various medications to 4,141 Medicaid patients, including more prescriptions for clozapine than were written by all the doctors in Texas put together, Medicaid records show. Records also showed he was getting government reimbursement for seeing an improbably large number of patients.
Reinstein has provided psychiatric medical services in the Chicago area since 1973. Since at least 1999, he has maintained an office in the Uptown neighborhood, which prosecutors said has the densest concentration of mentally ill nursing home residents in Illinois.
According to the federal lawsuit, Reinstein routinely prescribed anti-psychotic and other psychiatric medications to his patients based, not on their need but on his receipt of kickbacks from pharmaceutical companies.
Reinstein routinely prescribed Clozaril, the trade name for clozapine manufactured by Novartis, and he often had more than 1,000 patients using the medication at any given time, the lawsuit state. For many years, Novartis paid Reinstein to promote Clozaril, it alleges.
After Novartis’ patent for Clozaril expired in 1998, Reinstein resisted pharmacy and drug company efforts to switch his patients to generic clozapine and he continued to be the largest prescriber of Clozaril to Medicaid recipients in the United States, the lawsuit states.
In July 2003, Novartis notified Reinstein that it would be withdrawing its support for Clozaril, and ended the regular payments that it had been making to Reinstein.
In August 2003, the lawsuit says Reinstein offered to switch his patients to generic clozapine manufactured by Ivax Pharmaceuticals if the company met several conditions: Agree to pay Reinstein $50,000 under a one-year “consulting agreement”; pay his nurse to speak on behalf of clozapine; and fund a clozapine research study by a Reinstein-affiliated entity known as Uptown Research Institute.

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Do Republicans Know My Secret Agenda Yet?


Once Mitt is elected I will take over the throne so to speak. We’ve been weaving a web of deceit for the gullible republicans who suprisingly enough continue to vote against their own self interests.
1) This country will undergo lock down. No one in or out. The Berlin Wall is back.
2) Medicare and Social Security will be pushed into the stock market. The 1 percent will expand like you haven’t seen yet.
3) Term limits will be eradicated. We will be in power as long as I say so.
4) The Middle Class will be pushed to their limits through the increased cost of living and dropped into impoverished hell.
5) No welfare once you’ve fallen through the cracks. 47 percent will become 99 percent.
Obama will be a cake walk to the hell Mitt and I will unleash. MWAHAHAHAHA

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Why Do Catholic (or Other Religious Affiliated) Hospitals Bill Medicare For Treatment Of The Poor?


If religious organizations want to be free of government regulation, why do they cooperate in government payments to carry out their mission?
If the mission of a religious (Catholic) hospital is to provide care for the poor and indigent, why don’t they do that WITHOUT government subsidy?
What kind of double-standard does it take to insist they don’t have to follow government regulations as employers based on their “conscience”, but still bill the government for providing the service their “conscience” tells them to?
All opinions welcomed.

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Medicare In Us Territories And Affiliates?


I know that Medicare coverage is available in the US only and not in other countries. What about:
(1) Guam, Puerto Rico, Virgin Islands, American Samoa?
(2) “Freely associated countries” like Micronesia, Marshall Islands, Palau?

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Lots Of Questions About Divorcing Military Retiree.?


Been married for 40 years. Spouse was in military for 27 years, I was there for all 27. SBP elected. We are now 62, 64. I want to get away but have been told I must stay. If I leave, I leave with nothing and adult kids will get nothing. I am tired of the threats. I want the last phase of my life to be good. I am on medicare disability (from an accident) and tricare for the drugs. 1) I understand that if I leave, I can keep disability and tricare for life as long as I don’t remarry. But husband says I cannot even date as it would be considered same as marriage. What are the written regulations. 2) I live in community property state and should get 50/50. But he says if I leave, the first to go looses out. Does that really matter? 3) When I bring the issue up, he gets very angry, the humiliation would be too much for him. I fear about what this means. I plan to stay in the area because my children are here and it would be impossible to keep my new whereabouts a secret. What do others do? 4) am I entitled to a military lawyer? If so, how do I access one about this without his knowledge? 5) He has hidden assets in a safe for the majority of marriage. Probably 50% of our assets are hidden there. I know how much was paid for these assets because I have kept the records for the last 20 years. But the market value must be much more. If I mention divorce, these assets will just disappear. Will the record I have of the payments for these assets be of any value in distribution of assets. Excuse me for thinking of money, money, but I am disabled and my children deserve some compensation for the treatment they also received. If anyone can answer, I would appreciate it.

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