Master Medicare Guide 2016

To provide effective service in helping clients understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the most current information from a source you can trust - Medicare Handbook. This is the indispensable resource for clarifying Medicare's confusing rules and regulations. Prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., it addresses issues you need to master to provide effective planning advice or advocacy services, including: Medicare eligibility rules and enrollment requirements; Medicare covered services, deductibles, and co-payments; coinsurance, premiums, penalties; coverage criteria for each of the programs; problem areas of concern for the advocate; grievance and appeals procedures. The 2016 Edition of Medicare Handbook offers expert guidance on: Health Care Reform Prescription Drug Coverage Enrollment and Eligibility Medigap Coverage Medicare Secondary Payer Issues Grievance and Appeals Home Health Care Managed Care Plans Hospice Care And more! In addition, Medicare Handbook will help resolve the kinds of questions that arise on a regular basis, such as: How do I appeal a denial of services? What steps do I need to take in order to receive Medicare covered home health care? What are the elements of Medicare's appeal process for the denial of coverage of an item, service, or procedure? Does my state have to help me enroll in Medicare so that I can get assistance through a Medicare Savings Program? When should I sign up for a Medigap plan? If I am on Medicare, do I have to buy health insurance in the insurance marketplace created by the Affordable Care Act? Is it true that I have to show medical improvement in order to get nursing and therapy services for my chronic condition? And more! The 2016 Medicare Handbook is the indispensable resource that provides: Extensive discussion and examples of how Medicare rules apply in the real world Case citations, checklists, worksheets, and other practice tools to help in obtaining coverage for clients, while minimizing research and drafting time Practice pointers and cautionary notes regarding coverage and eligibility questions where advocacy problems arise, and those areas in which coverage has been reduced or denied And more!

The 2011 Master Medicare Guide is our seventh annual comprehensive on-volume desk reference packed with timely and useful information for providers, attorneys, accountants, and consultants who need to stay on top of one of the most complex programs maintained by the federal government. This year's edition includes explanations of the impact of several significant pieces of legislation enacted during 2010, including the Patient Protection and Affordable Care Act (PPACA); the Health Care and Education Reconciliation Act of 2010; and the Medicare and Medicaid Extenders Act of 2010, enacted in late December of 2010, that provided for a one-year fix in Medicare physician payments and other changes.

The 2017 Master Medicare Guide is packed with timely and useful information to help you stay on top of one of the most complex programs administered by the federal government. The 2017 Edition includes: Over 500 explanation summaries for all aspects of the Medicare program - coverage, eligibility, reimbursement, fraud and abuse, and administration. These explanations reflect significant regulatory changes that went into effect in 2016, including - The implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which introduces a new system of Medicare reimbursement for physicians, among other things Updated emergency preparedness rules for institutional healthcare providers reimbursed under Medicare Annual prospective payment updates for Medicare providers All discussions include cross-references to relevant laws, regulations, CMS manual sections, administrative and judicial decisions, and more!

The 2015 Master Medicare Guide is packed with timely and useful information to help you stay on top of one of the most complex programs administered by the federal government. The 2015 Edition includes: Over 500 explanation summaries for all aspects of the Medicare program coverage, eligibility, reimbursement, fraud and abuse, and administration Highlights of the Protecting Access to Medicare Act of 2014 (P.L. 113-93) and the Improving Medicare Post-Acute Care Transformation Act of 2014 (P.L. 113-185)""; the most recent physician fee schedule reimbursement fix; A focus on the continuing implementation of the Affordable Care Act as it relates to Medicare, including accountable care organizations and a tighter link between the quality of health care and Medicare reimbursement All discussions include cross-references to relevant laws, regulations, CMS manual sections, administrative and judicial decisions, and more!

The on-line version of the annual one-volume print overview of the Medicare program. Included are explanations of all the different parts of the Medicare program, with links into the relevant sections of the CCH Medicare and Medicaid Guide.

The 2012 Master Medicare Guide is our 8th annual comprehensive one-volume desk reference packed with timely and useful information for providers, attorneys, accountants, and consultants who need to stay on top of one of the most complex programs maintained by the federal government. This year's edition includes: New summaries for all 500-plus explanations in the book Expanded discussion of health care reform-related topics such as accountable care organizations; new demonstration programs; and private health insurance programs and their relationship with Medicare Summaries of all significant Final rules published in 2011 relating to Medicare and health care reform 50 new "practical analysis" pieces from expert authors

The on-line version of the annual one-volume print overview of the Medicare program. Included are explanations of all the different parts of the Medicare program, with links into the relevant sections of the CCH Medicare and Medicaid Guide.