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Obamacare Contractor Blamed for Slow Medicare Payments to Hospitals (Employees not being paid)
Weekly Standard ^ | 1-2-14 | By JERYL BIER

Posted on 01/02/2014 6:11:31 AM PST by rawhide

The contractor building the financial management system for Healthcare.gov is being blamed by a Houston hospital for delayed Medicare reimbursements that have caused the hospital to miss payrolls for weeks. Novitas Solutions is the federal government's new Medicare payment processor for the south-central region of the country hired by the Centers for Medicare and Medicaid Services (CMS), a division of the Department of Health and Human Services (HHS.) ABC-KTRK in Houston reports:

According to the CEO Jason Leday, more than 150 employees haven't been paid in nearly a month.

"I understand that they have children and a house payment, bills. Not getting paid is wow," nearby resident Theresa Gutierrez said.

The hospital is strapped for cash not because its not making money, but because Leday says a new Medicare payment facilitator named Novitas Solutions is taking too way long to pay out Medicare claims to the hospital.

Leday says he's owed nearly $3 million in payments from Medicare and can't make payroll...

The Texas Medical Association says they are familiar with complaints like this one regarding the medicare payment facilitator- and a representative told us smaller community hospitals like this one are in similar situations.

Novitas also runs the south-central region's Medicare website which was launched just two days before the October 1 launch of Healthcare.gov. As THE WEEKLY STANDARD reported on December 19, that site has experienced problems reminiscent of Healthcare.gov's troubles, and the site will not be fully operational until well into 2014.

Novitas's direct connection to Healthcare.gov stems from an emergency, no-bid contract for "financial management services" awarded in August...

(Excerpt) Read more at weeklystandard.com ...


TOPICS: Government; News/Current Events
KEYWORDS: cms; medicare; medicarenonpayments; medicarepayments; novitas; obamacarecontractor; obamacarefuture

1 posted on 01/02/2014 6:11:31 AM PST by rawhide
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To: rawhide

Mack Daddy strikes again


2 posted on 01/02/2014 6:12:41 AM PST by Doogle (USAF.68-73..8th TFW Ubon Thailand..never store a threat you should have eliminated))
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To: rawhide
Yeah, just how can a single payer have the time to review treatment plans, approve same and write all of those checks in a timely manner?

That poor bureaucrat is sure going to be busy.

3 posted on 01/02/2014 6:13:40 AM PST by Paladin2
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To: rawhide

and it will only get worse… and as this continues people will leave which means there will be fewer people to staff the hospital and the care will tank…. just like in the UK with their wonderful NHI


4 posted on 01/02/2014 6:16:02 AM PST by Nifster
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To: rawhide

They have to wait all this time for the gutless Republicans in the House and Senate to appease Democrats and secure a budget that has more holes in it than block of Swiss Cheese with gas.

So we not only have $1T being printed up by the Fed to buy T-bills and MBSs on the stock market, we are going another Trillion in debt to pay for the increased Medicaid, subsidies and Medicare costs created by Obamacare.

Think of a daughter, or wife, coked-out or massiverly hormone-deficient with absolutely no care in the world about tomorrow or next week - only that they are compelled to spend to satiate their self-indulgent appetites. This is your government.


5 posted on 01/02/2014 6:19:27 AM PST by Gaffer
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To: rawhide

an “emergency no-bid contract”

eh

follow the money trail to whatever democrat connected crony/donor runs and benefits from Novitus. Wanna bet they haven’t missed a paycheck or a political donation


6 posted on 01/02/2014 6:19:48 AM PST by silverleaf (Age takes a toll: Please have exact change)
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To: rawhide
This is what happens when the freeloader crowd is in charge in Washington. Of course no one is going to get paid. The only thing freeloaders know how to do is take.
7 posted on 01/02/2014 6:20:43 AM PST by concerned about politics ("Get thee behind me, Liberal")
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To: silverleaf
an “emergency no-bid contract” eh follow the money trail to whatever democrat connected crony/donor runs and benefits from Novitus. Wanna bet they haven’t missed a paycheck or a political donation

My first thought too.

8 posted on 01/02/2014 6:23:28 AM PST by Don Corleone ("Oil the gun..eat the cannoli. Take it to the Mattress.")
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To: Don Corleone

I would like to see a state judge just walk up to this contractor and put a couple of state police at the doors...then ask them to pull out the finance records. No one leaves the building until everything is perfectly clear. It’d take about twelve hours for someone in this group to start freaking out and showing everything.


9 posted on 01/02/2014 6:32:58 AM PST by pepsionice
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To: Don Corleone
My first thought too.

I wouldn't be surprised to find out the money was allocated but mysteriously disappeared like the stimulus and green energy trillions. No one knows where that money went yet either. Poof! It simply vanished into thin air.

10 posted on 01/02/2014 6:34:05 AM PST by concerned about politics ("Get thee behind me, Liberal")
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To: onyx

Ping.


11 posted on 01/02/2014 6:35:34 AM PST by Black Agnes
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To: rawhide

One of the primary reasons all these private practices are hooking up w/ hospitals, slow reimbursements.
A friend’s doctor told him the only private practices to survive will be the ones that can make it for about a year w/ no reimbursements coming in. If they can make it , they’ll likely be ok.


12 posted on 01/02/2014 7:07:36 AM PST by Vinnie
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To: rawhide

They do this all the time. A doctor can submit his claims, and it might take up to 3 months before he/she is paid. Especially if both the primary Medicare and secondary Tricare Life (Ret. Military over 65) are admind from the same office.


13 posted on 01/02/2014 7:08:58 AM PST by GailA (THOSE WHO DON'T KEEP PROMISES TO THE MILITARY, WON'T KEEP THEM TO U!)
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To: rawhide

Sorry blogger doesn’t even name the hospital. You have to click through to the real story from ABC to get that.

http://abclocal.go.com/ktrk/story?section=news/local&id=9372756

(St. Anthony’s)


14 posted on 01/02/2014 7:20:30 AM PST by PAR35
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To: PAR35

And if the hospital really can’t afford to make payroll for a month, they either need to file bankruptcy (where certain employee salaries would get preference) or they need to be shut down.


15 posted on 01/02/2014 7:22:44 AM PST by PAR35
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To: rawhide
I am thankful to Obamacare for showing me what Schadenfreude really is.

Unfortunately, there will be hospitals and practices that will go out of business as a result of this legislation.

Because of this lack of access, people will die. You won't be able to directly attribute their deaths to specific hospitals, so the enemedia will never report their deaths as such.

It's going to get ugly.

16 posted on 01/02/2014 7:35:14 AM PST by GEC (Obamacare is the #MostEpicFailEver)
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To: rawhide
Leday says he's owed nearly $3 million in payments from Medicare and can't make payroll...

Can't the hospital get it's billing factored, at least for the amount of the payroll?

17 posted on 01/02/2014 8:03:00 AM PST by Mike Darancette (Do The Math)
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To: rawhide

Maybe they could refuse to take Medicare patients for elective procedures and visits until they are paid.
I’ll bet this will happen when administrators and insurers fail to pay.


18 posted on 01/02/2014 8:09:26 AM PST by grumpygresh (Democrats delenda est. New US economy: Fascism on top, Socialism on the bottom.)
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To: rawhide
The only way it could be this bad is if they took bureaucrats such as those working in the tag office and put them in charge of health insurance.

Oh wait . . .

19 posted on 01/02/2014 8:09:36 AM PST by Hoodat (Democrats - Opposing Equal Protection since 1828)
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To: Mike Darancette
Can't the hospital get it's billing factored, at least for the amount of the payroll?

That's an option, but not much different than going to a loan shark. It puts you into the death spiral that is very difficult to escape.

20 posted on 01/02/2014 8:28:54 AM PST by Ditto
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To: Don Corleone

Maybe the processor needs a visit from Don Corleone. That would get fast results.


21 posted on 01/02/2014 8:30:17 AM PST by SeaHawkFan
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To: Ditto

You have to pay your folks on time to avoid their own individual death spirals.


22 posted on 01/02/2014 10:04:28 AM PST by Mike Darancette (Do The Math)
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To: PAR35

Agreed


23 posted on 04/07/2014 11:34:20 PM PDT by Diannacolbert
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