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Medicare Benefits

Contact Info

Medicare Claims Analysts
252-522-7812
252-522-7805
252-522-7076

Email:
pfs@lenoir.org

“Medical Necessity” is a term that has been used in recent years by Medicare and may not be familiar to you. “Medical Necessity” means that there are procedures and services physicians may prescribe for you that they may feel are necessary to manage your health. However, Medicare may not pay for certain services based up on their policies.

In the past, Medicare has covered most procedures. With the emergence of MRI, CT Scan, and other sophisticated and costly services  and procedures as the diagnostic methods of choice, it is important for you to know what procedures and services will be covered by asking your physicians and or Medicare. We also encourage you to discuss with your physicians other treatment options available to you that may give them the information that they need to treat you. If your physician orders a procedure or service that Medicare may not cover, you may be asked to sign an Advance Beneficiary Notice (ABN). The ABN informs you in advance that Medicare is not likely to pay for the procedure or service, and that you will be responsible for payment. By signing the ABN, you are indicating that you understand and agree to be personally and fully responsible for payment.

Medicare beneficiaries are responsible for deductibles and co-insurance. If you receive services as an outpatient or in outpatient observation, you will be billed for non-covered oral drugs and some injectable drugs that fall under the category of Self-Administered. Please refer to the online version of National Medicare Handbook at www.medicare.gov or call 1-800-633-4227 if you need more information.

Do You Have Any Options?

You can agree to be financially responsible for the procedure by signing the ABN form, or you can refuse the test or services. If you refuse the test or services, you will also be asked to sign a form indicating you’ve elected not to have the service. If you request the services and will not sign the ABN, you will still be responsible for payment. If you need services that are not covered by Medicare, you will be responsible for payment. You have the right to appeal a Medicare decision not in your favor. If you would like to appeal a Medicare decision, or have other Medicare questions, please contact the Medicare beneficiary hotline at 800-633-4227.

 
CAREER OPPORTUNITIES

Dr. Charles Moore joins staff

The Lenoir Memorial medical community would like to welcome Dr. Charles Moore to the medical staff. Dr. Moore recently completed a fellowship in minimally invasive/ bariatric surgery at the ECU Brody School of Medicine. Prior to his move to Greenville he was an attending surgeon, trauma, critical care, and general surgeon at the Aria Health System in Philadelphia, PA.  Dr. Moore is married to Lisa a professor at the Brody School of Medicine.  They have two children.  Dr. Moore may be reached at Lenoir Surgical 252-775-5999.

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HealthLink - Fall 2014

Check out the latest edition of Lenoir HealthLink! Download the pdf.

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Health Needs Assessment

Lenoir County Health Department and Lenoir Memorial Hospital are conducting a county-wide health assessment. Your opinions about our community are important to us. Please complete the 2014 Community Health Assessment survey located at this link  https;//docs.google.com/forms/d/1aAOrM2yYy9LUs7uhbpQY8H3Ckxdizx6xL7dG02zRjw0/viewform?usp=send_form

 

 

 

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Farmers Market pre-ordered deliveries at LMH

Join Chelsea Sutton from Natures Touch Farm in LaGrange as she explains the pre-order process and describes products available from local farmers that will make access to fresh, local, and organic options easy for pick up at LMH.  Pre-order online every other week for pick up on alternate Tuesdays outside the Minges Wellness Center.  Pre-ordering online opens July 14.  Information session are on July7 and July 10 at 1 p.m. at the Minges Wellness Center in studio A.

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Lenoir Memorial receives $282,898 grant from The Duke Endowment

Lenoir Memorial has received a $282,898 grant from The Duke Endowment to fund the development of a primary stroke center.  The grant will be used to develop a comprehensive program that will stabilize the treatment stroke patients including initial acute care.  Program components will include prevention, treatment, and post-care follow-up.  Constance Hengel, director of Community Programming and Development states, "Death rates from stroke in eastern NC are among the highest in the state and the nation so better stroke outcomes are the goal in this intervention.  Rapid recognition of stroke and reduction of time from event to treatment will be a major focus in the project. Time is brain and every minute counts for someone having a stroke.  Our hope is to help the community becomes more aware of stroke symptoms and improved recognition and time for getting affected residents to our hospital quickly so we can provide rapid treatment."

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Got Gout?

Join Dr. Geeta Katwa, Carolina Regional Arthritis and Rheumatology, PA for a community education presentation on Gout.  If you have Gout, then you know that Gout presents with sudden, severe attacks of pain, redness and tenderness in joints, most often the joint at the base of the big toe. Dr. Katwa will field questions and help you understand the complex arthritis that is Gout.

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Pumkin: from pizza to pie and everything in between

We all know that pumpkins make great jack-o-lanterns and yummy pies.  But did you know that pumpkin as a food has many versatile uses?  Did you know it is a nutritional powerhouse and offers many health benefits?  Come join our Registered Dietitian, Angie Watson, RD, LDN, CDE, for a sampling of tasty pumpkin recipies, and learn about the many nutritional benefits of pumpkin.

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Keeping a happy heart: Tips on how to stay heart healthy!

Take a look at your to-do list today.  Do you have "get heart healthy" listed?  If not, you should! According to the Centers for Disease Control, heart disease is the number one cause of death in the United States.  Come join Graham as he discusses heart healthy tips to reduce your risk for heart disease. 

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Learn the moves of the THRILLER DANCE

The exercise experts at the Minges Wellness Center will be teaching Michael Jackson's THRILLER dance during the month of October.  One of his all time greatest hits, it is something that no one can resist grooving and moving to and it's easy!  There will be a variety of workshops offered all leading up to a final class showcasing the dance on Halloween day, Friday, October 31 at 12 Noon at Lenoir Memorial. Call 252-522-7207 or 252-522-7944 for more details on how you can participate. 

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Free Shredding

Lenoir Memorial and CINTAS Document Management are sponsoring a community-wide SHRED EVENT.  CINTAS will be on hand for community members to safely and confidentially destroy personal and home paperwork and documents through a shredding disposal method.  No cardboard accepted.

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