Page 49 - August 2022 Issue.indd

Although CMS is inviting comments, that invitation is likely
to be directed to medical systems and physicians. Th e federal
entity, CMS, seems to function like the FBI; you know it’s there, SHORE MEDICARE SOLUTIONS LLC
but it serves the public by working in the background! CMS Marti Wright • Owner

does not have local offices open to the public so you can’t just
call them like Medicare or Social Security. It is centralized Independent Insurance Broker
in D.C. but is broken up into national regions that are run
by “contractors” who facilitate the day-to-day operations of Over 25 Years Experience with
Medicare. Maryland is in region #3, Philadelphia, and the Medicare Supplement Insurance
current contractor is Novitas Solutions, Inc. You can try www. Phone: (410) 443-1169
cms.gov under program proposals and news for more info
about expanding Dental Services in Medicare. Email: shoremedicaresolutions@gmail.com

These Medicare Administrative Contractors (MACs) process

claims for both Medicare covered services and Durable Medical

Equipment. They process claims from physicians, hospitals,
and other healthcare professionals and submit payment to
those providers based on Medicare rules and regulations.

Their responsibilities also include identifying and correcting
overpayments and underpayments of these claims, as well as
providing regulatory oversite to the medical systems in the U.S.
Skilled Nursing Facility 520 Kerr Avenue
The RAC (Recovery Audit Contractors) program identifi es We offer: Rehabilitation/Therapy, Respite,

improper Medicare A & B payments. Private RAC auditors Dementia Care, Wound Care, IV Therapy, Denton, MD 21629
are paid on a commission basis, which is good incentive to go Palliative Care, and so much more! Phone: 410-479-2130
after the bad guys! RACs review claims after they have been Fax: 410-479-3057

paid to hospital and physician practices, look for fraudulent Call us today!
patterns, and pass possible fraud information on to the MAC

Susan!
Susan!
Susan!

Delean-Botkin

Delegate for Maryland's District 37B

Meet
Priorities Susan

Family Nurse Practitioner in Easton
HEALTH CARE- Provide equitable care to all our citizens. Pay nurses fairly. for 25 years
Make insurance work for the patient! Negotiate better prices for medications.
Elected to the Talbot Board of
EDUCATION - Ensure that we have the best teachers and staff by Education, 2016, current President
compensating them well. Expand full-day PreK, Dual Enrollment, and Appointed to the Oxford Board of
Advanced Placement Courses.
Appeals 2010, current President.
PUBLIC SAFETY - Pay and train first responders and law enforcement Past President and Legislative
officers, so the mid-shore is where they want to work! Ensure Broadband is Chair, Nurse Practitioner
available in all areas of the Mid Shore. It can save a life. Association of Maryland
Past Legislative Chair of the
ENVIRONMENT - Prioritize renewable energy and provide environmental
Maryland Academy of Advanced Vote Susan and put a
protections for our waterways by evaluating sewage systems and offering
Practice Clinicians Nurse in the House!
options to upgrade.
susanforeasternshore.com Paid for by Delean-Bodkin 37B Amy Causey Treasurer
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