Monthly Archives: August 2017

Medicare isn’t an entitlement … Medicaid likewise isn’t an entitlement (to qualify you have to spend down your assets to $2,000) … we who work and have income, pay for it through social security and income taxes and this gives us individually the right to be covered after we have exhausted our resources down to $2,000.  Medicaid is typically used for medical care in a hospital or nursing home … physicians don’t usually take Medicaid patients due to low payments.  Those that do…..

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Americans believe that Medicare is going to cover their medical costs after the age of 65.  That Medicare is an entitlement program. Wrong.  First of all we Americans have paid for the Medicare premiums through withholding so it isn’t an entitlement.  Medicare will only pay under Part A if the following rules are met: Must have a qualified 3 day stay in an accredited hospital Must be medically necessary Must be certified by a licensed physician or Doctor of Osteopathy Must…..

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OUTCOME (continued from MEDICARE COVERAGE SOLUTION) In our businesses: our accounting, consulting clients and owned facilities were able to discharge 43,500 more patients than they had before we got involved, because of our Caregiver Management System.  Over the years, I setup spreadsheets documenting the successes in restoring bodily and cognitive function for patients that were discharged home or to the community compared to previous outcomes. As a result, our clients became better providers of rehabilitation therapies because they were assured…..

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SOFTWARE SOLUTION DEVELOPED BY JERRY RHOADS AND PROGRAMMED BY KIP RHOADS (continued from previous post) The design of the Caregiver Management System (our software for managing the care, documentation and billing) was based on my experience at Arthur Andersen in programming cost accounting systems for our clients. The components of the system were for setting up a separate account for each patient and using the care plan, using our standardization dictionary, to get the doctor’s diagnosis that triggered standardized problem…..

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HISTORY Eventually, Medicare and Medicaid rules and regulations became my specialty. While working for Arthur Andersen & Co. in 1962, I was assigned to the Blue Cross of America insurance company account to audit member hospitals’ cost reports.  That assignment changed in 1964 when Congress passed the Medicare/Medicaid law.  In 1967, we were given the task of rolling out the new Medicare law in hospitals and in 1968 Medicare and Medicaid in nursing homes.  In 1969 through 1974 I was…..

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