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Medicare

When do entities providing Medicare services face health insurer deduction limit on pay?

When do entities providing Medicare services face health insurer deduction limit on pay?

Chief Counsel Advice 201616008 In Chief Counsel Advice (CCA), IRS explains which entities providing Medicare services may face the Code Sec. 162(m)(6) health insurer compensation deduction limit. The answer depends on whether the entity is risk-bearing, whether it is licensed as a health insurer, and whether a legal relationship exists between covered individuals and the […]

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Main fund for U.S. Medicare program to run out of money in 2030

Main fund for U.S. Medicare program to run out of money in 2030

WASHINGTON (Reuters) – A slowdown in healthcare spending has shored up the funding outlook for the federal program that pays elderly Americans’ hospital bills, trustees of the program said on Wednesday. The Medicare program’s trust fund for hospital care will run out of money in 2030 the trustees said in a report. That was the […]

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US House okays bipartisan bill to fix Medicare doctor payments

US House okays bipartisan bill to fix Medicare doctor payments

WASHINGTON/NEW YORK (Reuters) – The U.S. House of Representatives on Thursday overwhelmingly approved a bill to permanently repair the formula for reimbursing Medicare physicians, marking a rare bipartisan achievement and sending the issue next to the Senate. The measure drafted and driven forward by Republican House Speaker John Boehner and Democratic Leader Nancy Pelosi would […]

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Medicare’s Annual Enrollment Period Approaches – New Developments Affect Coverage Choices and Claims-Denial Appeals

Medicare’s Annual Enrollment Period Approaches – New Developments Affect Coverage Choices and Claims-Denial Appeals

Medicare’s Annual Enrollment Period Approaches – New Developments Affect Coverage Choices and Claims-Denial Appeals, as reported in the WS Journal. Got Medicare? Two recent developments may help you figure out what type of coverage to elect during this fall’s open-enrollment period, and how to navigate the backlogged system for appealing Medicare claim denials. Oct. 15 […]

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A Medicare Crackdown

A Medicare Crackdown

As reported in the news of the WS Journal. The Obama administration strengthened Medicare’s authority to kick doctors and other medical providers out of the federal program for abusively billing the government. The move represents a significant shift in how the government tackles waste in Medicare, the insurance program for the elderly and disabled. The […]

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Don’t Skip Out on Medicare Part B – You’re Not Required to Take It, but You Should

Don’t Skip Out on Medicare Part B – You’re Not Required to Take It, but You Should

Don’t Skip Out on Medicare Part B – You’re Not Required to Take It, but You Should, as reported in the WS Journal. There’s a widely held misconception that the U.S. government forces you to take Medicare Part B. It doesn’t, but you should take it anyway and in a timely manner. First, a primer […]

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Corrections to Medicare surtax regs remove language allowing reliance on earlier rules

Corrections to Medicare surtax regs remove language allowing reliance on earlier rules

IRS has issued corrections to final regs on the additional 0.9% Medicare tax that were issued late last year.  Significantly, the corrections remove language in the regs allowing taxpayers to rely on the rules in earlier proposed regs for quarters beginning before the date the final regs were issued. T.D. 9645, 11/26/2013, as corrected on […]

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The Pitfalls of Applying for Medicare – Lots Can Go Wrong if You’re Not Careful

The Pitfalls of Applying for Medicare – Lots Can Go Wrong if You’re Not Careful

The Pitfalls of Applying for Medicare – Lots Can Go Wrong if You’re Not Careful, as reported in the news of the WS Journal. Roughly 3.65 million Americans will turn 65 this year and become eligible for Medicare. But be warned: There’s nothing simple about signing up for the government’s health-care insurance program. “Medicare is […]

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Final regs explain additional Medicare tax on employees and self-employed persons

Final regs explain additional Medicare tax on employees and self-employed persons

IRS has issued final regs on the additional 0.9% Medicare tax on employee compensation and self-employment income above a threshold amount received in tax years beginning after Dec. 31, 2012.  The final regs do not contain any significant changes from the proposed regs on this subject that were issued late in 2012.  T.D. 9645, 11/26/2013; […]

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New FAQs clarify how to report the additional Medicare tax on the income tax return

New FAQs clarify how to report the additional Medicare tax on the income tax return

IRS has updated and supplemented its questions and answers (referred to as FAQs) on the 0.9% Medicare tax that applies for tax years beginning after 2012. The FAQs address when taxpayers should file Form 8959 (Additional Medicare Tax) along with their returns, and detail how to handle the new tax in a variety of specialized […]

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Nursing Home Operator to Pay $48 Million to Resolve Allegations That Six California Facilities Billed for Unnecessary Therapy

Nursing Home Operator to Pay $48 Million to Resolve Allegations That Six California Facilities Billed for Unnecessary Therapy

Nursing Home Operator to Pay $48 Million to Resolve Allegations That Six California Facilities Billed for Unnecessary Therapy as announced in the DOJ Press Release. The Ensign Group Inc., a skilled nursing provider based in Mission Viejo, Calif., that operates nursing homes across the western U.S. has agreed to pay $48 million to resolve allegations […]

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IRS releases draft instructions and form on calculating additional Medicare tax

IRS releases draft instructions and form on calculating additional Medicare tax

Click here for draft 2013 Form 8959, Additional Medicare Tax. Click here for the draft instructions to 2013 Form 8959, Additional Medicare Tax. IRS has followed up on its earlier issuance of a draft version of Form 8959 with a draft of the form’s instructions. The form is used to figure out the amount of […]

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2014 Brings Changes in Retirement Benefits – Social Security Payouts, Medicare Copays Will Rise Modestly

2014 Brings Changes in Retirement Benefits – Social Security Payouts, Medicare Copays Will Rise Modestly

2014 Brings Changes in Retirement Benefits – Social Security Payouts, Medicare Copays Will Rise Modestly, as reported in the WS Journal. The new year will usher in some simple but significant changes to Social Security and Medicare benefits for the more than 57 million Americans who receive them. The widely watched cost-of-living adjustment will be […]

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Two Plead Guilty to Money Laundering Conspiracy in $10.5 Million Medicare Fraud Scheme

Two Plead Guilty to Money Laundering Conspiracy in $10.5 Million Medicare Fraud Scheme

As reported in the DOJ Press Release, Two Plead Guilty to Money Laundering Conspiracy in $10.5 Million Medicare Fraud Scheme, two men from Miami have pleaded guilty to laundering millions of dollars obtained through a $10.5 million Medicare fraud scheme using shell companies they controlled. Acting Assistant Attorney General Mythili Raman of the Justice Department’s […]

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Fraudsters Are Exploiting New Health Law

Fraudsters Are Exploiting New Health Law

As reported in the news of the WS Journal, Fraudsters Are Exploiting New Health Law – One Con: Telling Medicare Beneficiaries They Must Choose New Plans. During the past year, scams tied to Medicare have risen sharply as con artists have sought to exploit confusion among older individuals about the Affordable Care Act, commonly known […]

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Former Los Angeles-area Pastor Sentenced for Role in $11 Million Medicare Fraud Scheme

Former Los Angeles-area Pastor Sentenced for Role in $11 Million Medicare Fraud Scheme

As announced by the DOJ, Former Los Angeles-area Pastor Sentenced for Role in $11 Million Medicare Fraud Scheme, a pastor and owner of a Los Angeles-area medical supply company was sentenced for his role in a power wheelchair fraud scheme that defrauded Medicare out of more than $11 million. Acting Assistant Attorney General Mythili Raman […]

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Obamacare Aims to Close Medicare ‘Doughnut Hole’

Obamacare Aims to Close Medicare ‘Doughnut Hole’

As reported in the news of the WS Journal, Obamacare Aims to Close Medicare ‘Doughnut Hole’ – There’s a Medicare prescription-drug coverage abyss that is playfully referred to as the “doughnut hole,” though there is nothing sweet or amusing about it. But thanks to the Affordable Care Act, which had a rocky launch last week, […]

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It’s Time for Medicare Open Enrollment

It’s Time for Medicare Open Enrollment

As reported in the WS journal, It’s Time for Medicare Open Enrollment – You Have From Oct. 15 through Dec. 7 to Choose Your 2014 Coverage. Medicare’s annual open-enrollment period starts Tuesday, and this year beneficiaries need to take a particularly close look at their options, many of which have been tweaked. You will have […]

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Beware Medicare’s ‘Observation’ Status

Beware Medicare’s ‘Observation’ Status

As reported in the WS Journal, Beware Medicare’s ‘Observation’ Status, It Can Mean Surprise Out-of-Pocket Expenses. When in the hospital, more Medicare recipients are being held for observation rather than being formally admitted, a status that can leave them with big bills for items including rehabilitation services. While the federal agency that runs Medicare expects […]

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Making Sense of Social Security and Medicare – What’s it all about? Will there be enough money to retire? to pay for my medical needs?

Making Sense of Social Security and Medicare – What’s it all about? Will there be enough money to retire? to pay for my medical needs?

As reported in the WS Journal, Social Security, Medicare and other earned benefits make up, by far, the largest portion of the federal government’s expenses.  They also are among the most misunderstood. We are starting an occasional series to help you better understand your benefits. We’ll answer your specific questions related to Medicare, Medicaid, estate […]

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Meet Paul Raymond

Meet Paul Raymond

Mr. Raymond is a sought after speaker in tax controversy law by many attorney, accountant, and business groups and at the request of the Internal Revenue Service, has presented programs at the IRS Nationwide Tax Forum, attended by tax professionals throughout the United States.

Additionally, he continues to be an active member in the Section of Taxation, American Bar Association, where he was the Past Chair of the Employment Taxes Committee.

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