Medicare Handbook, 2013 Edition

Medicare Handbook, 2013 Edition

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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 latest Medicare guidelines from a source you can trust - the 2013 Edition of Medicare Handbook . Prepared by experts from the Center for Medicare Advocacy, Inc., Medicare Handbook covers the issues you need to provide effective planning advice or advocacy services, including: Medicare eligibility and enrollment Medicare-covered services, deductibles, and co-payments Co-insurance, premiums, and penalties Federal coordinated care issues Grievance and appeals procedures Face-to-face encounter requirements for home health and hospice care Medicare Handbook also provides you with coverage rules for: Obtaining Medicare-covered services Prescription drug benefit and the Low-Income Subsidy (LIS) The Medicare Advantage Program Durable Medical Equipment (DME) Preventive services Appealing coverage denials and an understanding of: The Medicare Secondary Payer Program (MSP) The Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Acquisition Program Income-related premiums for Parts B and D The 2013 Edition has been updated to include information and strategies necessary to incorporate ACA provisions on behalf of people in need of health care. In addition, the 2013 Medicare Handbook will also help advocates contest limited coverage under private Medicare Part C plans (Medicare Advantage) and understand initiatives to reduce overpayments to Medicare Advantage. Other Medicare developments discussed in the 2013 Medicare Handbook include: Implementation of important provisions of the Affordable Care Act Beneficiary rights, when moving from one care setting to another Developments in the Medicare Home Health and Hospice Benefits Additional information regarding preventive benefits Continued changes in Medicare coverage for durable medical equipment150 [2] Expedited Review Requests in Hospital Settings For a hospital stay, a beneficiary must request expedited review of ... give the beneficiary a general, standardized notice at least two days in advance of the proposed end of the service. ... See also Medicare Claims Processing (MCP) Manual, CMS Pub. ... 26, 2004), adding 42 C.F.R. AsAs 405.1200a€”4051204, to implement 42 U.S.C. As 1395ff(b)(1)(F).

Title:Medicare Handbook, 2013 Edition
Author: Judith A. Stein, Jr. Chiplin Alfred J.
Publisher:Aspen Publishers Online - 2012-11-27

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