Medicare is always working to fight fraud and abuse. With that, a new type of claim review has recently begun: a process called Targeted Probe and Educate, or ‘TPE’ for short. How TPE works: Palmetto GBA/Railroad Medicare will conduct data analysis and find providers whose bi [...]
The office of Designated Legal Counsel Willard J. Moody, Esq., based in Portsmouth, Va., has extended an offer of service to SMART Transportation Division members who may have been unjustly fired for alleged Family Medical Leave Act (FMLA) violations. Television station WNYT [...]
“Your Track to Health,” the web portal that distributes national railroad health and welfare plan information to SMART Transportation Division members, has added a new shorter URL for members to access. To get the latest info on these railroad H&W plan offerings, TD membe [...]
Palmetto GBA has introduced a new beneficiary portal, MyRRMed, where users will have access to claims data, historical Medicare Summary Notices and data on who they have authorized to have access to their private health information. Portal Functions: At this time, you can use [...]
Winter weather presents hazards including slippery roads/surfaces, strong winds and environmental cold. Employers must prevent illnesses, injuries or fatalities, by controlling these hazards in workplaces impacted by winter weather. OSHA and National Oceanic and Atmospheric A [...]
The lifetime maximum benefit for the Railroad Employees National Early Retirement Major Medical Benefit (ERMA or GA-46000) Plan will increase from $157,800 to $162,500 beginning Jan. 1, 2018. At the end of 2001, Labor and Management had agreed on various procedures to adminis [...]
On Nov. 13, 2017, the Department of Transportation (DOT) published a final rule that, among other items, expands DOT’s current drug testing panel to include certain semi-synthetic opioids (i.e., hydrocodone, oxycodone, hydromorphone, oxymorphone). Testing for methylened [...]
Beginning Oct. 15 and running through Dec. 7, 2017, the open enrollment period allows Medicare-eligible patients the option of changing their coverage for 2018. Your 2018 Medicare & You Handbook should have arrived via the postal mail, and it’s important that you read thi [...]
Optum has announced that they are taking steps to offer assistance to people impacted by the shooting in Las Vegas. Behavioral care advocates are available 24/7 to address any concerns members may have. Optum is offering a free emotional support helpline for the people impact [...]
Railroad employees covered under the National Railway Carriers/UTU Health and Welfare Plan or the Railroad Employees’ National Health and Welfare Plan are being mailed a notification of the online open enrollment period that begins Oct. 1, 2017, and ends Oct. 31, 2017, at mid [...]