Guest guest Posted August 9, 2012 Report Share Posted August 9, 2012 Please keep sharing....helps reduce stress.........alcohol is nice too...........not enough $ or time to go to camp in the west coast this year!!! :-(M in Western PATo: Sent: Thursday, August 9, 2012 10:34:20 AMSubject: Forgive my rant I just came to a realization that I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useless). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhDExecutive Director & Co-founderCare for Your Health, IncPhone Fax www.care4yourhealth.org "Don't ever let injustice go by unchallenged." Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2012 Report Share Posted August 9, 2012 frankly I am stressed out of my own mind right now.The state apologized to me for being so bizarre in its rules for new hires(I got a part time RN) YOu have to file for unemployment taxes but cannot until the employee has earned 1500 or worked 20 weeks in a yr but when you file the quarterly taxes they want your Unemployment number Which the other agency will not give you becasue somehow someway I am supposed to remember this at 20 weeks or 1500 AND when I tried to file they changed my address to a town called Milo MAine 100 miles away and when I called they told me not to worry about it! BUT once you get TO 20 weeks you have TO PAY IT ALL ANYWAY fo r the whole yr not just for the 21-52 weeks so why not register to begin with??? I now do have my own personal state worker to email and she is keeping track of me She said the law was written by a blind lawyer(sarcasm) Then there's patietns who are all unhappy all of them and then there's more providers a re coming here(PCPs) I just do not htink we have the demand!! and Medicaid is cutting people off and there are letters daily about ACos and PMCh and so on.People are needing huge long visits with thier worries and complexties I am off today and just plowed through about 20 faxes everyone demanding I do this or that for themoy.thanks sorry. Bad bad spell here. Please keep sharing....helps reduce stress.........alcohol is nice too...........not enough $ or time to go to camp in the west coast this year!!! :-( M in Western PATo: Sent: Thursday, August 9, 2012 10:34:20 AMSubject: Forgive my rant I just came to a realization that I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useless). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhD Executive Director & Co-founderCare for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php -- MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2012 Report Share Posted August 9, 2012 Sounds very stupid. I don’t know if you are using a payroll program but sometimes it “pays” to not have to deal with this strange rules yourself. Go spend some time in your garden! Kathy Saradarian, MDNJ From: [mailto: ] On Behalf Of Sent: Thursday, August 09, 2012 11:20 AMTo: Subject: Re: Forgive my rant frankly I am stressed out of my own mind right now.The state apologized to me for being so bizarre in its rules for new hires(I got a part time RN) YOu have to file for unemployment taxes but cannot until the employee has earned 1500 or worked 20 weeks in a yr but when you file the quarterly taxes they want your Unemployment number Which the other agency will not give you becasue somehow someway I am supposed to remember this at 20 weeks or 1500 AND when I tried to file they changed my address to a town called Milo MAine 100 miles away and when I called they told me not to worry about it! BUT once you get TO 20 weeks you have TO PAY IT ALL ANYWAY fo r the whole yr not just for the 21-52 weeks so why not register to begin with??? I now do have my own personal state worker to email and she is keeping track of me She said the law was written by a blind lawyer(sarcasm)Then there's patietns who are all unhappy all of them and then there's more providers a re coming here(PCPs) I just do not htink we have the demand!! and Medicaid is cutting people off and there are letters daily about ACos and PMCh and so on.People are needing huge long visits with thier worries and complexties I am off today and just plowed through about 20 faxes everyone demanding I do this or that for themoy.thanks sorry. Bad bad spell here.Please keep sharing....helps reduce stress.........alcohol is nice too...........not enough $ or time to go to camp in the west coast this year!!! :-( M in Western PATo: Sent: Thursday, August 9, 2012 10:34:20 AMSubject: Forgive my rant I just came to a realization that I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useless). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhDExecutive Director & Co-founderCare for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php -- MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2012 Report Share Posted August 17, 2012 , It is my considered opinion, thanks to the work for benefits move that has infused the Medicaid systems throughout the country, that the only people hired to man the Medicaid phone system are the Medicaid recipients who can’t or won’t get a job doing anything else. The answers given most of the time are convoluted, flat out wrong or totally unrelated to the original question. I used to tell my staff, if you don’t like the answer you receive when you call, hang up and call back, the answer will change. Just keep going till you get an answer you like then get the name of the person you talk to and make note of the date and time of the call. Georgia has a policy, that the information received in calls to the provider hotline are totally accurate and if the information received is determined to be wrong and causes problems for the providers in their dealings with Medicaid, that they will comply with the erroneous information given even if it contradicts actual Medicaid manual information. This little detail is in fine print in their provider manual, and most of the time the wonderful people on the phone deny it exists too. The recipients that are so incompetent that even the Medicaid system doesn’t want them to answer their phones are shipped over to the Medicare Claim processor telephone assistance center and put to work their phone bank. Either way the providers and their staff who call are screwed six ways to Sunday. Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of Dr. Izquierdo-Porrera MD PhDSent: Thursday, August 09, 2012 10:34 AMTo: Subject: Forgive my rant I just came to a realization that I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useless). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhDExecutive Director & Co-founderCare for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2012 Report Share Posted August 17, 2012 Do you have a link to the “fine print” about settlement of misinformation provided by Medicaid and Medicare? Neighbors, MDHuntsville, Alabama From: [mailto: ] On Behalf Of Beth SullivanSent: Friday, August 17, 2012 7:54 AMTo: Subject: RE: Forgive my rant , It is my considered opinion, thanks to the work for benefits move that has infused the Medicaid systems throughout the country, that the only people hired to man the Medicaid phone system are the Medicaid recipients who can’t or won’t get a job doing anything else. The answers given most of the time are convoluted, flat out wrong or totally unrelated to the original question. I used to tell my staff, if you don’t like the answer you receive when you call, hang up and call back, the answer will change. Just keep going till you get an answer you like then get the name o f the person you talk to and make note of the date and time of the call. Georgia has a policy, that the information received in calls to the provider hotline are totally accurate and if the information received is determined to be wrong and causes problems for the providers in their dealings with Medicaid, that they will comply with the erroneous information given even if it contradicts actual Medicaid manual information. This little detail is in fine print in their provider manual, and most of the time the wonderful people on the phone deny it exists too. The recipients that are so incompetent that even the Medicaid system doesn’t want them to answer their phones are shipped over to the Medicare Claim processor telephone assistance center and put to work their phone bank. Either way the providers and their staf f who call are screwed six ways to Sunday. Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of Dr. Izquierdo-Porrera MD PhDSent: Thursday, August 09, 2012 10:34 AMTo: Subject: Forgive my rant I just came to a realization t hat I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useless). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhDExecutive Director & Co-founder Care for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php < /o> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2012 Report Share Posted August 17, 2012 Or at least the name of the rep who told you that, along with the date/time? :^) From: [mailto: ] On Behalf Of theNeighborsSent: Friday, August 17, 2012 10:40 AMTo: Subject: RE: Forgive my rant Do you have a link to the “fine print” about settlement of misinformation provided by Medicaid and Medicare? Neighbors, MDHuntsville, Alabama From: [mailto: ] On Behalf Of Beth SullivanSent: Friday, August 17, 2012 7:54 AMTo: Subject: RE: Forgive my rant , It is my considered opinion, thanks to the work for benefits move that has infused the Medicaid systems throughout the country, that the only people hired to man the Medicaid phone system are the Medicaid recipients who can’t or won’t get a job doing anything else. The answers given most of the time are convoluted, flat out wrong or totally unrelated to the original question. I used to tell my staff, if you don’t like the answer you receive when you call, hang up and call back, the answer will change. Just keep going till you get an answer you like then get the name o f the person you talk to and make note of the date and time of the call. Georgia has a policy, that the information received in calls to the provider hotline are totally accurate and if the information received is determined to be wrong and causes problems for the providers in their dealings with Medicaid, that they will comply with the erroneous information given even if it contradicts actual Medicaid manual information. This little detail is in fine print in their provider manual, and most of the time the wonderful people on the phone deny it exists too. The recipients that are so incompetent that even the Medicaid system doesn’t want them to answer their phones are shipped over to the Medicare Claim processor telephone assistance center and put to work their phone bank. Either way the providers and their staf f who call are screwed six ways to Sunday. Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of Dr. Izquierdo-Porrera MD PhDSent: Thursday, August 09, 2012 10:34 AMTo: Subject: Forgive my rant I just came to a realization t hat I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useless). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhDExecutive Director & Co-founder Care for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php < /o> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2012 Report Share Posted August 18, 2012 It is in the Provider Manual on the GA Medicaid Website under Claim Adjudication and Finalization Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of Ken StoneSent: Friday, August 17, 2012 11:41 AMTo: Subject: RE: Forgive my rant Or at least the name of the rep who told you that, along with the date/time? :^) From: [mailto: ] On Behalf Of theNeighborsSent: Friday, August 17, 2012 10:40 AMTo: Subject: RE: Forgive my rant Do you have a link to the “fine print” about settlement of misinformation provided by Medicaid and Medicare? Neighbors, MDHuntsville, Alabama From: [mailto: ] On Behalf Of Beth SullivanSent: Friday, August 17, 2012 7:54 AMTo: Subject: RE: Forgive my rant , It is my considered opinion, thanks to the work for benefits move that has infused the Medicaid systems throughout the country, that the only people hired to man the Medicaid phone system are the Medicaid recipients who can’t or won’t get a job doing anything else. The answers given most of the time are convoluted, flat out wrong or totally unrelated to the original question. I used to tell my staff, if you don’t like the answer you receive when you call, hang up and call back, the answer will change. Just keep going till you get an answer you like then get the name o f the person you talk to and make note of the date and time of the call. Georgia has a policy, that the information received in calls to the provider hotline are totally accurate and if the information received is determined to be wrong and causes problems for the providers in their dealings with Medicaid, that they will comply with the erroneous information given even if it contradicts actual Medicaid manual information. This little detail is in fine print in their provider manual, and most of the time the wonderful people on the phone deny it exists too. The recipients that are so incompetent that even the Medicaid system doesn’t want them to answer their phones are shipped over to the Medicare Claim processor telephone assistance center and put to work their phone bank. Either way the providers and their staf f who call are screwed six ways to Sunday. Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of Dr. Izquierdo-Porrera MD PhDSent: Thursday, August 09, 2012 10:34 AMTo: Subject: Forgive my rant I just came to a realization t hat I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useless). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhDExecutive Director & Co-founder Care for Your Health, IncPhone Fax www.care4yourhealth.org " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php < /o> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2012 Report Share Posted August 18, 2012 Must have misunderstood. I was interested in finding the “fine print” on a Medicare site. From: [mailto: ] On Behalf Of Beth SullivanSent: Saturday, August 18, 2012 9:26 AMTo: Subject: RE: Forgive my rant It is in the Provider Manual on the GA Medicaid Website under Claim Adjudication and Finalization Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of Ken StoneSent: Friday, August 17, 2012 11:41 AMTo: Subject: RE: Forgive my rant Or at least the name of the rep who told you that, along with the date/time? :^) From: [mailto: ] On Behalf Of theNeighborsSent: Friday, August 17, 2012 10:40 AMTo: Subject: RE: Forgive my rant Do you have a link to the “fine print” about settlement of misinformation provided by Medicaid and Medicare? Neighbors, MDHuntsville, Alabama From: [mailto: ] On Behalf Of Beth SullivanSent: Friday, August 17, 2012 7:54 AMTo: Subject: RE: Forgive my rant , It is my considered opinion, thanks to the work for benefits move that has infused the Medicaid systems throughout the country, that the only people hired to man the Medicaid phone system are the Medicaid recipients who can’t or won’t get a job do ing anything else. The answers given most of the time are convoluted, flat out wrong or totally unrelated to the original question. I used to tell my staff, if you don’t like the answer you receive when you call, hang up and call back, the answer will change. Just keep going till you get an answer you like then get the name o f the person you talk to and make note of the date and time of the call. Georgia has a policy, that the information received in calls to the provider hotline are totally accurate and if the information received is determined to be wrong and causes problems for the providers in their dealings with Medicaid, that they will comply with the erroneous information given even if it contradicts actual Medicaid manual information. This little detail is in fine print in their provider man ual, and most of the time the wonderful people on the phone deny it exists too. The recipients that are so incompetent that even the Medicaid system doesn’t want them to answer their phones are shipped over to the Medicare Claim processor telephone assistance center and put to work their phone bank. Either way the providers and their staf f who call are screwed six ways to Sunday. Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of Dr. Izquierdo-Porrera MD PhDSent: Thursday, August 09, 2012 10:34 AMTo: Subject: Forgive my rant I just came to a realization t hat I wanted to share with you. In land the Medicaid office is full of people that are benignly incompetent (i.e. not necessarily hard working but occasionally try and are nice to talk to you) vs the Medicare contractor (Novitas Solutions) that suffers from a severe case of negligent incompetence (nasty and useles s). I need to keep my rant short so I cannot go into the details of how I am in my third submission to become a medicare provider but I will be happy to share a bottle of wine and my fun stories during camp. By the way the State Medicaid office recognizes my voice and knows me by my first name. That should tell you something… Izquierdo-Porrera MD PhDExecutive Director & Co-founder Care for Your Health, IncPhone Fax www.care4yourhealth.org & n bsp; " Don't ever let injustice go by unchallenged. " Help us make our community healthy -> http://www.care4yourhealth.org/wanttohelp.php < /o> Quote Link to comment Share on other sites More sharing options...
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