Plus: Hospices may get higher pay for beginning and end of patient's. According to a Nov. 8 L.A. Times article, Medicare hasn't paid some physicians in Hawaii, California, and Nevada for long periods of time -- not since February for some -- and money is getting tight in those practices. The reason: Physicians in these states were expected to begin using new UPIN numbers last May, but one of the Medicare contractors changed during the UPIN assignment process. Therefore, the carrier never sent out the UPINs and the physicians are unable to collect payment from Medicare without those PIN numbers on file. To read the L.A. Times article in its entirety, visit http://www.latimes.com/news/local/la-me-medicare8-2008nov08,0,4948549.story?page=1.