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why does doctor ask about black lung disease for medicare patients

by Francesca Schmeler Published 3 years ago Updated 2 years ago

Doctor's response Yes, there is an important connection between black lung disease and emphysema. Black lung disease is a lung condition that is the direct result of coal mining. The silica mineral and carbon in the dust raised by coal mining can cause serious chronic (long-lasting) lung disease.

Full Answer

Who is eligible for “black lung” benefits?

It can take years or decades for the disease to develop. Some people don’t have symptoms until they retire. (Most of the people diagnosed with the disease are …

How long do you live with black lung?

Does HHS help people with Black Lung disease? Black Lung Clinics provide services to active, inactive, disabled and retired coal miners with respiratory & pulmonary impairments and their families regardless of their ability to pay. Among the services are: diagnosis. treatment. rehabilitation. benefits counseling.

What is the treatment for black lung?

Who does BLCP help? The program serves active, inactive, retired, and disabled US coal miners. Does BLCP serve patients directly? We fund Black Lung Clinics. These clinics may serve patients directly or through health care providers such as: Federally Qualified Health Centers; Hospitals; State health departments; Mobile vans; Clinics

Are black lung benefits taxable?

You should present your Black Lung card whenever you seek treatment for your lung condition. Showing a medical provider your card will identify you as a Federal Black Lung Program beneficiary, and will help the medical provider determine the proper way to bill for services. Federal Black Lung Program. However, bills or

Does Medicare cover black lung disease?

Federal Black Lung Benefits - Medicare does not pay for services covered under the Federal Black Lung Program. However, if a Medicare-eligible patient has an illness or injury not related to black lung, the patient may submit a claim to Medicare.Dec 1, 2021

Who qualifies for black lung benefits?

The Black Lung Benefits Act provides monthly benefits to eligible surviving family members of coal miners whose deaths were due to black lung disease, or "pneumoconiosis." The Act also provides monthly benefits to survivors of miners who were entitled to benefits based on their own lifetime claims.

Does black lung benefits affect Social Security?

Reduction of social security disability benefits has occurred in less than 5 percent of allowed miners' black lung claims. In most instances where reduction is necessary, only a partial reduction rather than total offset of the social security disability benefit is required.

Is black lung considered COPD?

The inhalation and accumulation of coal dust into the lungs increases the risk of developing chronic bronchitis and chronic obstructive pulmonary disease (COPD). Although black lung disease may share many of the symptoms of COPD, it is not COPD and is not treated like COPD.

How hard is it to get black lung benefits?

Over the last decade, 52,537 miners have applied to the Labor Department for black lung benefits. The department determined that only 7,252, or about 14 percent, were eligible, according to its data. The industry then challenged 70 percent of those claims, often denying the presence of the disease.Sep 7, 2017

How do they test for black lung?

There is no specific test for black lung disease. If you are concerned about your symptoms, your doctor will first want to take a detailed medical history, asking about your job history in detail to determine the likelihood of exposure.Mar 3, 2020

Is black lung considered a disability?

If you have black lung disease or Coal Workers Pneumoconiosis, you may be eligible for disability benefits under the federal Black Lung program. Black lung disease is observable on chest x-ray and CT scans. If you have black lung disease, then your chest x-ray or CT scan will show pulmonary nodules in your lungs.Sep 26, 2019

Is black lung taxable?

U.S. Department of Labor. "Federal Black Lung Benefits Are Not Taxable." Accessed Dec. 17, 2020.

What are the symptoms of black lung?

What are the symptoms of black lung?
  • Coughing and coughing up black mucus.
  • Very severe shortness of breath.
  • Heart failure. Heart failure is when your heart doesn't pump blood as well as it should. It doesn't mean your heart has stopped... read more (when your heart doesn't pump blood as well as it should)

What is the treatment for black lung disease?

There is no cure. Treatments generally aim to ease symptoms, prevent further damage to your lungs, and improve your quality of life. Your doctor may prescribe medication to keep airways open, such as inhalers, especially if you have asthma symptoms.Oct 7, 2020

What is the difference between COPD and black lung?

The inhalation and accumulation of coal dust into the lungs increases the risk of developing chronic bronchitis and chronic obstructive pulmonary disease (COPD). Although black lung disease may share many of the symptoms of COPD, it is not COPD and is not treated like COPD.

What is the black lung disease?

Prevention. Black lung disease, also known as coal worker's pneumonoconiosis (CWP) is an occupational condition that—while once declining—is now increasing in both incidence and severity in the United States. 1  Most often occurring in coal miners, the greatest increase has been seen in central Appalachia, though the disease is increasing in other ...

Can you have black lung disease early?

Early on, many people will have no symptoms of black lung disease. When symptoms begin, shortness of breath only with activity (exercise intolerance) may easily be dismissed as being simply due to age.

What are the different types of lung diseases?

Black lung disease or coal mine dust lung disease (CMDLD) can be divided into two categories: 1 Simple: Simple black lung disease is most common, with the development of inflammatory nodules in the lung. 2 Complex: Complex disease, or progressive massive pulmonary fibrosis, is more severe. It can lead to severe disability and death.

Who discovered black pigment in the lungs?

The connection between black pigment in the lungs and coal miners was first made in 1831 by Dr. Craufurd Gregory. After chemical analysis of the material, he was the first to consider black lung disease an occupational disease related to coal dust and alerted physicians to watch for the disease in miners.

Can exercise cause shortness of breath?

When symptoms begin, shortness of breath only with activity (exercise intolerance) may easily be dis missed as being simply due to age. With time, shortness of breath may worsen and include a sensation of chest tightness. A persistent cough may also occur which can be either dry or wet (productive of mucus).

Does coal dust cause lung disease?

Coal dust exposure is also associated with other lung diseases that may have their own symptoms . In addition to fibrosis, coal miners are at risk for developing obstructive lung diseases such as emphysema and chronic bronchitis, and it's estimated that at least 15% of coal miners have chronic bronchitis due to dust exposure (industrial bronchitis).

Can coal miner get black lung disease?

Many coal miners are at risk for black lung disease, with some exposures to coal dust posing more risk. For example, stone cutters have very high exposure rates, as do people who work downwind from dust-generating equipment.

How much money did HRSA give to black lung clinics?

HRSA awarded approximately $11.2 million in Fiscal Year (FY) 2020 to the recipients below for the Black Lung Clinics Program. Black Lung Clinics receive grant funding from HRSA to seek out and provide services to coal miners, whether they are currently involved in mining or not.

When was the Black Lung Benefits Reform Act passed?

The Black Lung Benefits Reform Act of 1977 (Public Law 95-239), as amended February 27, 1985, reinstated the authority of the Federal Mine Safety and Health Act for the Secretary of Health and Human Services to support clinics to evaluate and treat coal miners with respiratory impairments.

Basics

Symptoms

Incidence

  • The incidence of black lung disease had actually declined to record lows in the 1990s due to the Coal Act. Since that time, the prevalence of black lung disease (combining both simple and complex) has increased significantly according to a 2018 study reported in the American Journal of Public Health. At the current time, black lung disease is present in over 10 percent of miners …
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Causes and Risk Factors

  • Many coal miners are at risk for black lung disease, with some exposures to coal dust posing more risk. For example, stone cutters have very high exposure rates, as do people who work downwind from dust-generating equipment.
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Diagnosis

  • The diagnosis of black lung disease begins with a careful history to evaluate risk factors and a physical exam.
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Treatment

  • There is currently no cure for black lung disease, and the goal of treatment is to prevent worsening of the disease and control symptoms. Medications such as inhalers may be needed, especially for those who also have chronic bronchitis. Oxygen may be needed, especially with PMF. Pulmonary rehabilitationcan be helpful by providing breathing techniqu...
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Prognosis

  • The prognosis of black lung disease depends on the extent of the disease (simple or complex) as well as further exposures. Simple black lung disease can progress slowly over a long period of time, whereas PMF can progress rapidly. Years of potential life lost (YPLL), a measure of the toll the disease takes, has been increasing, likely due to the increased severity of black lung disease …
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Prevention

  • Prevention encompasses both primary prevention, meaning preventing exposure in the first place, and secondary prevention, or preventing further damage once evidence of black lung disease is present. Primary prevention includes better methods of dust control, limits on exposure, and the use of protective equipment (such as respirators) when indicated. The Federal Coal Mine Healt…
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