What Does Railroad Medicare Cover?
It basically covers the same as traditional government services, except that beneficiaries are RR retirees. The plan contains Part A benefits, covering hospitalization costs similar to those found in traditional Medicare Part A. Part B is paid for by monthly premiums from Federal government funding revenues or by individuals, determined by employment history.
As with traditional services, Part B coverage offers help in paying for services provided by physicians and physician-based medical services not covered in Part A, which includes doctors services, laboratory services, outpatient hospital services, preventive services, and Home Health Care Services, and many other benefits.
Part A medical benefits include hospital insurance, which helps to pay for skilled nursing facilities following a hospital stay, and inpatient care in a hospital, as well as some hospice care and Home Health Care Services.
RR Medicare offers coverage to railroad workers in a similar format as those covered under Social Security benefits, and railroad retirement payroll taxes also include hospital insurance tax for Medicare, just like Social Security taxes do.
For those retiring from railroad service, the Railroad Retirement Board enrolls employees into the program, and premiums are generally deducted from monthly benefit payments.
Benefits of Railroad Medicare
Individuals submit claims to the Centers for Medicare and Medicaid Services (CMS) or a designated CMS contractor, through its agents, or employers.
Individuals working in the railroad industry should contact Medicare regarding Railroad Retirement Benefits at Railroad Benefits to read RB-20 January 2010 - Medicare for Railroad Workers and their Families to access the information booklet in its entirety. Additional questions may be broached to Palmetto GBA for clarification regarding eligibility, enrollment periods, claims processing, or answers to general questions and facts regarding benefits and services.
Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.
Medicare Guideline posts
- Home
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation process - how often provide need to do - FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list
Subscribe to:
Post Comments (Atom)
Top Medicare billing tips
-
CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr...
-
Patient Discharge Status Code - Definition A patient discharge status code is a two-digit code that identifies where the patient is at th...
-
REIMBURSEMENT GUIDELINES Global Obstetrical (OB) Care As defined by the American Medical Association (AMA), "the total obstetric pa...
-
procedure code and description 93922 LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES, (EG, FOR LOW...
-
CPT CODE J3301 - Kenalog-40 Injection Kenalog-40 Injection (triamcinolone acetonide injectable suspension, USP) is a synthetic glucocortic...
-
Procedure code and description 95806 - Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory air...
-
Frequency Limitations: Testing may be covered up to two times a year in clinically stable patients; more frequent testing may be reasonabl...
-
Procedure code and Description 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the...
-
Procedure Code Changes and Description • Deleted Codes * 49080 - Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic...
-
procedure code and description 11042 -Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 square cm ...
No comments:
Post a Comment