Medicare Blog

why would an employee be charged medicare twice

by Robbie Moore IV Published 2 years ago Updated 1 year ago
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Full Answer

Why does Medicare call it easy pay?

En español | Medicare calls the system Easy Pay because it lets beneficiaries have their monthly Part B premiums deducted from their bank accounts. But last month, 411,000 enrollees discovered that they'd paid two premiums, not one.

Why did some enrollees pay two premiums instead of one?

But last month, 411,000 enrollees discovered that they'd paid two premiums, not one. Officials at the Centers for Medicare and Medicaid Services (CMS) said that the overpayments were the result of a “process error” and that as of Sept. 29 all the money that was overpaid Sept. 20 had been returned to beneficiaries’ bank accounts.

Are You paying twice for the same thing?

It may appear as if you’re paying twice for the same thing, but you’re really not. And while the Part B premiums may seem expensive, they actually cover only a fourth of Part B expenses.

What is the difference between FICA&Medicare?

Your employer makes a matching contribution to the Medicare program. Currently, the FICA tax is 7.65 percent of your gross taxable income for both the employee and the employer. The Social Security rate is 6.2 percent, up to an income limit of $137,000 and the Medicare rate is 1.45 percent, regardless of the amount of income earned.

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Why is Medicare called Easy Pay?

En español | Medicare calls the system Easy Pay because it lets beneficiaries have their monthly Part B premiums deducted from their bank accounts. But last month, 411,000 enrollees discovered that they'd paid two premiums, not one.

How to pay Medicare premiums?

Premiums for most Medicare recipients are deducted from their Social Security deposits. Otherwise, Medicare beneficiares have four methods to pay their bill: 1 Pay online by credit card or debit card at mymedicare.gov. 2 Pay directly from your savings or checking account by using your bank's online bill-paying service. Medicare can tell you what information you need to give to your bank. 3 Pay through Easy Pay. 4 Mail your payment to Medicare by check or money order. Include your payment coupon and send the money to: Medicare Premium Collection Center, P.O. Box 790355, St. Louis, MO 63179-0355.

Where to send Medicare payment to bank?

Mail your payment to Medicare by check or money order. Include your payment coupon and send the money to: Medicare Premium Collection Center, P.O. Box 790355, St. Louis, MO 63179-0355.

When is Medicare payment due for October?

Medicare actually bills its beneficiaries in advance, so the payment made Sept. 20 is for the October premium.

Did Medicare deduct Medicare Advantage premiums?

In June, about a quarter-million Medicare beneficiaries discovered that the Social Security Administration had not deducted the monthly premiums for Medicare Advantage and Part D prescription drug plans from their retirement benefits and did not send the money to the private insurance companies that run those plans.

What percentage of your income is taxable for Medicare?

The current tax rate for Medicare, which is subject to change, is 1.45 percent of your gross taxable income.

Is Medicare payroll tax deductible?

If you are retired and still working part-time, the Medicare payroll tax will still be deducted from your gross pay. Unlike the Social Security tax which currently stops being a deduction after a person earns $137,000, there is no income limit for the Medicare payroll tax.

What is a bill for the wrong patient service?

Bills for the wrong patient service. Bills for patient services that were never performed in the first place. Attempts to bill Medicare, Medicaid, either another private insurance company or the patient right away. Charges more than once for the same service. Doesn't check if they already billed for a procedure.

What happens when a doctor submits a claim?

Once your doctor submits the claim, your insurance checks if it meets their criteria. When your doctor submits the claim, it is their responsibility to record that the submission occurred. There are thousands of variables these systems use to determine whether to accept or reject a claim.

How much did CRC Health pay to the state of West Virginia?

CRC Health was also required to pay $2.2 million to the state of West Virginia. First, CRC Health collected blood and urine samples from drug testing facilities. Once collected, they then sent the samples to San Diego Reference Laboratory. The double billing fraud occurred when CRC would bill Acadia.

What is an exact duplicate claim?

The general definition of an exact duplicate claim is pretty straightforward. This type of claim contains the same information as a previously submitted claim. Although that’s the generally accepted definition, it may differ based on the insurance payer.

How much did Pentec pay for fraud?

Pentec Health Pharmacy. In February 2019 Beckers Hospital Review reported that Pentec Pharmacy agreed to pay $17 million in fraud fines. The Department of Justice accused Pentec of over-billing Medicaid for wasted amounts of product while compounding its drug, Proplete.

How long did the overbilling last?

The over-billing occurred for 11 years from 2007 - 2018. The specialty pharmacy also submitted duplicate claims to the Federal Employee Health Benefits Program. An employee notified the Department of Justice under the False Claims Act as a whistle-blower.

Did Acadia pay a fine?

On May 8, 2019, Acadia Healthcare of West Virginia settled to pay the United States a $17 million fraud fine. The accusations were that Acadia and its subsidiary, CRC Health, billed many places for the same treatment. CRC Health was also required to pay $2.2 million to the state of West Virginia.

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