#Medicare Consultant Rochester NY

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Medicare Made Easy: Navigating Your Path to Health and Financial Security

Navigating the complexities of Medicare can be overwhelming, but you don’t have to face it alone. At assisting you and your Medicare Needs in Rochester NY, Maust and Leone are here to provide you with the information and support you need to make the best decisions regarding your Medicare insurance. With our expertise and commitment to treating you like family, we aim to help you stay healthy and access the medical care you deserve. Here we will break down the different parts of Original Medicare, discuss what they cover, what they don’t cover, and explore additional options available to you.

Part A: Hospital Care and More: Original Medicare Part A is designed to cover essential healthcare services. Here’s what it generally includes:

Hospital care: This encompasses inpatient care, including room charges, nursing services, and meals during your stay.

Skilled nursing facility care: If you require skilled nursing or rehabilitation services after a hospital stay, Part A may cover this.

Hospice care: For individuals with terminal illnesses, hospice care provides comfort and support services.

Home health services: Part A covers medically necessary services received at home, such as skilled nursing care, physical therapy, and medical equipment.

Part B: Medically Necessary and Preventive Services: Original Medicare Part B complements Part A by covering a range of services to diagnose, treat, and prevent medical conditions. Here’s what it includes:

Medically necessary services: This includes doctor visits, outpatient care, medical supplies, and necessary treatments.

Preventive services: Medicare encourages preventive care, covering screenings, vaccinations, and wellness visits to catch potential health issues early.

Exploring Your Options: While Original Medicare provides a solid foundation of coverage, additional options can help fill the gaps and enhance your benefits. These include Medicare Advantage Plans and Medicare Supplement Plans:

Medicare Advantage Plans: Offered by private insurance companies, these plans combine Part A, Part B, and often Part D (prescription drug coverage) into a single package. They may also provide additional benefits such as dental, vision, and hearing coverage.

Medicare Supplement Plans: Also known as Medigap plans, these policies help cover out-of-pocket expenses like deductibles, copayments, and coinsurance that Original Medicare does not pay for. They work alongside your Original Medicare coverage.

We understand that the world of Medicare can be complex, which is why we offer a FREE consultation to help you explore your options and find the plan that best suits your health and financial needs. Remember, we’re here to work for you, just like family, and ensure you receive the care you need. Contact us today at (585) 563–7979 to schedule your consultation and take the first step towards a healthier future.

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USA Vein Clinics – Rochester, NY

About Us

We are a network of state-of-the-art facilities dedicated to the treatment of venous insufficiency such as varicose veins and spider veins. Since venous insufficiency is a serious medical condition, it is important to know that the diagnosis and treatment of venous diseases are covered by Medicare and in each vein center, cardiovascular doctors specialize exclusively in problems with circulation to provide a comprehensive evaluation and treatment plan utilizing the most modern equipment and individual approach to each of our patients. Please contact the USA Vein Clinics in Rochester, NY on Winton Road to schedule a consultation.

Location

Find our Rochester, New York location on Winton Road at this link: https://www.usaveinclinics.com/company/locations/new-york/upstate-ny/office/rochester/

ADDRESS USA Vein Clinics 1892 S Winton Rd, Ste 190 B Rochester, NY 14618

PHONE (585) 505-8255

EMAIL office.rochester@usaveinclinics.com

What is Venous Insufficiency?

The circulatory system consists of veins and arteries. Arteries are blood vessels that bring the fresh oxygenated blood full of nutrients from the heart to the rest of the body. Veins are vessels that transport blood without oxygen and nutrients back to the heart against gravity. In healthy leg veins, one-way valves allow blood to move only in one direction: upstream towards the heart. In order to do this, when you walk, your leg muscles squeeze the deep veins of your legs and feet pushing the non-oxygenated blood back to the heart. In your veins there are one-way valves that are placed about one inch apart that keep blood flowing in the right direction. When your leg muscles relax, the valves inside your veins close preventing the backward flow of blood back down the legs.

There are three types of veins in your legs: superficial veins, which lie close to the skin, deep veins, which lie in or beneath the muscles, and perforating veins, which connect the superficial to the deep veins. Deep veins bring the blood back to the major vein in your abdomen called the vena cava, which brings the blood straight to the heart.

When a valve fails to function, the blood can begin to pool in your legs and cause a variety of health problems including swollen ankles, blood clots, leg pain, spider veins, varicose veins, and even ulcers. When your leg veins cannot bring enough blood back to the heart, the blood stays in your legs, causing various problems due to venous blood stasis.

If the blood does not move through deep veins, a condition called deep venous thrombosis may arise. If the valves in the superficial system of veins are not working properly, the condition is called superficial venous insufficiency.

Contact our network of leading physicians to access a painless cure for venous insufficiencies such as varicose veins and spider veins!

Varicose Veins

Varicose veins often appear as enlarged veins that twist and bulge in a rope-like pattern. They can be blue, red, or flesh-colored. They are often found on the back of the calves, inner and front thighs, or anywhere in the leg above and below the knee. In addition, they can be found deeper under the surface of your skin. Because varicose veins contain valves that are damaged, they hold more blood at a higher pressure than normal. This extra pressure forces fluid into the surrounding tissue which causes your leg to swell and feel tired and achy.

Reticular and Spider Veins

Reticular and Spider veins are smaller superficial veins (usually less 1 millimeter in diameter), much smaller than varicose veins, but still visible. They are the mildest form of venous insufficiency and rarely cause physical symptoms. These thread-like veins often resemble red, blue, or purple spider webs closer to the skin’s surface. They can cover a small or large area of the legs. Although spider veins normally don’t cause discomfort, the deeper veins that are associated with them do.

Treatments

If you have been told that you require treatment for venous insufficiency, continue reading, because virtually no one needs surgery anymore.

When varicose veins treatments are performed properly (i.e. find the root of the problem with an ultrasound and eliminate it at the source), you should get long-lasting results – your varicose veins and your symptoms of venous insufficiency should disappear permanently.

USA Vein Clinics achieves its high success rate in varicose vein treatments by not taking shortcuts. At USA Vein Clinics, you will be seen by one of our highly skilled and caring physicians who will develop a custom vein treatment plan just for you. The first thing we do when making a diagnosis of venous insufficiency is map out your network of veins using a diagnostic ultrasound. Then using a systematic approach, we start treating your disease by eliminating the source of the problem. Our physicians employ lasers, a varicose vein innovation that began rapidly rising in popularity around the world in about 2002. We use ultrasound at every visit to give us a clear picture of which vein we need to treat.

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family insurance plan

Welcome To Oneillmarketing.net

O'Neill Marketing - Get the family medical insurance plans in Florida! | O'Neill Marketing

  Family medical insurance plans

About us - O'Neill Marketing is one of the best family health insurance agencies in Florida that offers the family medical insurance plans in Florida. Get the family dental insurance & medical insurance in Florida.

 YOUR ONE STOP SHOP FOR AGENTS AND AGENCIES

O’Neill Marketing is a young and fast growing FMO with the best contracts the business.

We are a Non-Captive National FMO that operates on a virtual platform. Family health insurance  We work directly with Insurance companies so we can offer independent agents the highest commission rates.

 Family insurance health

Some of the top benefits of working with O’Neill Marketing:

– Highest Commissions available – Try us!

– 24/7 Support – Have you been calling your GA every day for the past week with no returned call? It might be time to make a switch!

– Cutting Edge Tech – Best in the business Enrollment Platforms, Agent Portals, Agent Dashboards, Landing Pages, Resource Center, and much more.

– Leads – Rather than pay-per-leads (we have those too) we prefer to invest in YOU and market YOUR BUSINESS. We offer Co-op dollars to help our agents’ take their business to the next level.

 SLIME FREE– We emphasize honesty and transparency in everything we do which sets us apart in this crazy industry. We don’t make empty promises that we can’t keep and we pay our agents within 3 days (usually 3 hours) of receiving payment from the carriers. Don’t settle for bad business partners! At O’Neill Marketing we really are here for you.

 We have a large portfolio of health insurance products and work with over 50 insurance companies:

 ·         ACA Obama Care

·         Medicare Advantage & Supplemental

·         Group (We have exclusive contracts with providers)

·         Short Term

·         Indemnity Accident – CI Disability

·         Dental & Vision

·         Life

·         Final Expense

Family insurance in Florida

FRESH BUT ALSO EXPERIENCED

Family dental +insurance

At O’Neill we understand healthcare more than most FMOs. Our Founder, Chuck O’Neill is the only person in the country to create or build two commercial health plans in the past 15 years, Avalon Healthcare and Minuteman Health (the Massachusetts CO-OP). We were there when the HMOs were emerging in the 1990s; we helped them grow and change an industry. We created one of the first on-line ancillary web portals – Oxford Benefit Management, offering key products to small groups in the Northeast. We’ve invested in products and provided strategic direction to companies that help consumers personally in the senior and under-65 markets. And we’ve consulted with some of the largest healthcare entities in America. Our deep understanding of how the insurance space works helps our agents better understand the needs of consumers and how to best offer the strategic products required to protect themselves and their families.

 We provide superior sales support, agent training, exclusive leads, cutting edge marketing and generous agent incentives – including bonus and incentive programs. We are an emerging FMO representing the nation’s top Health, Life and Ancillary Carriers. We now offer Group and Senior Market products and have ground floor opportunities for agents experienced in Medicare Advantage and Supplemental plans.

 Family insurance plan

ABOUT O’NEILL MARKETING

We are a comprehensive individual and group, health and life insurance General Agency representing insurance companies and products that meet the needs of individuals and employers in Florida. O’Neill Marketing was founded on the premise that insurance agents need experienced support when working in an ever-changing complicated insurance marketplace.

 Family insurance agency

Our web-based platforms offer agents easy to use processes for quoting and selling insurance products. They provide 24/7 access to basic health and life insurance questions, product information, quoting tools, insurance company partnerships and easy-to-understand commissions reporting.

 Charles T. O’Neill – Founder and President

Charles (Chuck) O’Neill has spent the past 25 years creating and founding new healthcare companies, new departments for existing healthcare companies, and consulting with new and emerging healthcare entities to grow their businesses.

He was founder and CEO of Avalon Healthcare, a for-profit individual and small group commercial health plan selling risk bearing health insurance plans to Floridians. For the past six years, Chuck has been assisting a number of emerging healthcare services companies including serving as the Interim COO for the Massachusetts CO-OP, Minuteman Health.

 When not assisting agents at O’Neill Marketing he actively works with healthcare start-up companies including CareSync, Inc, www.caresync.com, and HemWell America, www.hemwellamerica.com providing capital and strategic support.

 He began his career in public relations and in 1992 joined Burson Marsteller working with Fortune 500 companies on major strategic initiatives. In 1994, he joined Oxford Health Plans to create the public relations department. At Oxford, he also developed a benefit management subsidiary called Oxford Benefit Management https://www.uhc.com/obm/products that was one of the industry’s first web-based small group products distribution platforms. In 1998, Chuck co-founded TechHealth Inc., a workers compensation management company. TechHealth was sold to One-Call Medical in 2011.

 Chuck is a St. Bonaventure University graduate. From Rochester, NY, he currently lives in Tampa, FL with his wife and their five children.

ADDRESS: 5550 IDLEWILD AVE, 110, TAMPA, FLORIDA 33634

PHONE: 813.489.4156

Email: info@oneillmarketing.net

 Visit For More Information:  https://oneillmarketing.net/about-us/

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Information on Filing a Whistleblower Case and Gaining A Possible Qui Tam Reward in The Process

According to one site, an interesting fact is that approximately 45% of employees in the United States have observed some type of activity in their workplace that may suggest fraud. Between the years 1996 and 2004, approximately 20% of all fraud cases against corporate entities were whistleblower cases, filed by employees who observed the fraudulent activities. Unfortunately, as many as 25% of whistleblower cases are usually withdrawn by the employee, with most stating that they fear retaliation. One function of obtaining a whistleblower lawyer is to discuss what retaliation you might encounter and how the qui tam law firm will deal with it.

How to File a Whistleblower Complaint

Misconduct occurs daily in many types of businesses, including those in the healthcare industry. When fraudulent activity affects claims that are made to government funded programs like Medicaid and Medicare, reports from whistleblowers would not only help to resolve such fraud and ensure the company is held responsible, but may also yield a whistleblower award for the employee who files the complaint.

If the case is successful, the whistleblower may be entitled to receive a reward for the value of up to 30% the amount that was recovered by the government institution as a result of the information that was provided. The minimum reward is usually set to 15% of the recovered amount. With the average value of a case intervened by the government at $10 million dollars, the relator or whistleblower may well receive over a million dollars for their information.

While such a reward can be fruitful for a whistleblower when they inform the government that the employer is committing fraud, individuals who do not follow a specific set of instructions will not be granted any type of reward or worse wind up in trouble themselves.

Under the False Claims Act (FCA), you cannot file a whistleblower claim by yourself (pro se), you must use a whistleblower lawyer.  It’s important to involve a quality whistleblower law firm early to protect your rights and maximize your chance for success.

After you select qui tam counsel, they will guide you regarding what relevant evidence needs to be collected in order to support the whistleblower case. An attorney who focuses on qui tam complaints is usually the best option as they know what to look for and will usually provide a free review of the evidence submitted to determine the validity of the case. The attorney is required to deal with all the information submitted to them as confidential and not to share it with anyone, even if the employee decides not to proceed with the case.  If you don’t have access to the evidence but know enough detailed information the case could still proceed.

Once reviewed, there are many procedural hurdles in filing a False Claims Act, a federal statute, to initiate investigations into the company who is committing the fraud. The government will have the first shot at the case, but if they don’t intervene the case could still possibly proceed if there’s enough evidence and a violation on such things as Medicare Fraud.  There are also other routes to go, such as SEC whistleblower laws, CFTC whistleblower laws and IRS whistleblower laws to name a few.

Conclusion

Whistleblower cases serve an important function and allow entities who are involved in fraudulent activities to be exposed and held accountable. When such fraud is committed against the government, such as when a health care facility makes false claims to Medicare, then the whistleblower who originally files the case may be eligible to receive as much as 30% the value of the recovered amount, which could be considerable.  All the more reason why you should consult with a whistleblower lawyer Rochester, NY trusts with a track record of success.

Thank you to our friends and contributors at Brown, LLC (formerly JTB law Group, LLC) for their insight into whistleblower cases.

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Ambulance Transportation Billing Services New York, NY

Our billers specialized in Ambulance Transportation billing for several years adhere to complex requirements from various agencies, most notably Medicare. Failure in appropriately processing or assigning your EMS claims filing to general clerks who are not aware of the regulations makes your service liable to charges of fraud, payments of significant penalties and pending receivables.

Our billers' expertise in understanding the current regulations, and the common errors that are encountered when billing for ambulance transport services keeps them in a good position to avoid the most common errors of:

Fee schedules

Coding and

Internal procedures

Physicians in New York are increasingly preferring to have professional Medical billers and coders manage their billing process. Numerous physicians have observed that the cost of maintaining these professionals can be very high too thus an increasing trend in looking out for expert billers locally who may or may not be associated with the practice full time.

With an average of 10 years of medical billing and coding experience, our certified billers are available to service your practice in any city of New York including the New York City, Buffalo, Rochester, Yonkers and Syracuse.

They help practices protect patient information, minimize interruptions in cash flow by due to staff turnover and absences, elimination of backlogs and providing continuity of revenue collections. You can count on them for medical billing and coding services where they can help you to:

Increase revenue steadily

Faster claims processing as they are dedicated to billing not multi-tasking

Follow up on rejected or partially paid claims

Consulting in coding to increase revenue through better code utilization

Adopting best Medical Billing practices and recovering collections quickly

The requirement of billers and coders in the New York City area as well as the Trio-State region is swelling and procurement is becoming increasingly difficult in the expensive state of New York.

As stated by the United States Bureau of Statistics, there will be a severe shortage of almost 50,000 medical billers and coders by the year 2015. Since we already have the largest number of billers in New York, you can locate a biller of your choice in almost all the major cities.

Our Billers in the state of New York are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue.

The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of New York by optimizing costs and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%.

Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which thesebillers in New York guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.

Fee schedule errors: Our billers are well aware of all four methods of billing allowed by carriers currently. They analyze whether your fee schedule allows a fully itemized billing or the one that allows base rate and mileage only.

Coding errors: The billers are adequately trained to interpret the run sheets and choose the proper code(s), that represent the patient's condition appropriately and help you get reimbursed accordingly.

Procedural errors:Our billers are so familiar with applicable Medicare and insurance regulations of ambulance transport services that it would be impossible for them to err on procedural codes. With continuous changes in the already voluminous Medicare regulations, our biller’s skill, compliance and accuracy will impress you.

Bringing this experience and expertise to your service can be just one step away.

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Medicare Advantage Plans Rochester NY

Are you looking for a Medicare plan that offers a wider range of coverage? Maust and Leone can help you find a Medicare Advantage plan that meets your needs. Let us help you explore your options today.

Visit: https://www.maustandleone.com/original-medicare-rochester-ny.html

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Medicare Advantage Plans Rochester NY | Consultants

If you are 65 or older, or will soon be turning 65, we can help you explore Medicare options in Rochester, NY, and the surrounding area. Our team offers comprehensive plans and is happy to schedule a free consultation with you. Don't wait, contact us today!

Visit: https://yourmedicaresolutionsadvisor.com/

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Medicare Insurance Rochester NY | Maust and Leone Medicare Advisors

Looking for the best Medicare plan that fits your needs? Maust and Leone Medicare Advisors are licensed Medicare Agents in Rochester NY are standing by to help you. We compare your Medicare options and assist you in finding the best plan for your lifestyle and healthcare needs. Call at 585-563-7979 to request a free consultation today!

yourmedicaresolutionsadvisor.com

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Medicare Prescription Drug Plan

Each Medicare Prescription Drug Plan has its own list of covered drugs. Original Medicare doesn’t cover Part D. But Maust and Leone Medicare Advisors are licensed and offer comprehensive Medicare Part D, which can be valuable if you take medications. As a health insurance brokerage, we can afford you a wide range of options. And we are trained and experienced in dealing with the nuances of insurance and understanding your unique situation.

Enroll for Medicare Part D in Rochester NY and surrounding areas from Maust and Leone Medicare Advisors. 

Contact Us At (585) 563-7979 or Visit Our Website For Free Consultation - yourmedicaresolutionsadvisor.com

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Medicare Rochester NY