Author: Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 44
Book Description
The Medicare Handbook
Author: Improving the Medicare Market
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309175364
Category : Medical
Languages : en
Pages : 384
Book Description
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
Medicare Hospice Benefits
Author: How to Win Medicare Appeals
Author: David D. MullensPublisher:
ISBN: 9781641055987
Category : Administrative procedure
Languages : en
Pages : 280
Book Description
"This book is about how to successfully fight for the payment of medically reasonable and necessary services when Medicare erroneously denies payment, or when Medicare erroneously demands a repayment of overpayment"--
Medicare coverage of diabetes supplies & services
Author: Medicare Coverage Decisions and Beneficiary Appeals
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on HealthPublisher:
ISBN:
Category : Law
Languages : en
Pages : 136
Book Description
Section 1557 of the Affordable Care Act
Author: American Dental AssociationPublisher: American Dental Association
ISBN: 1941807712
Category : Medical
Languages : en
Pages : 60
Book Description
Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.
106-1 Hearing: Medicare Coverage Decisions and Beneficiary Appeals, Serial 106-23, April 22, 1999
Author: United States. Congress. House. Committee on Ways and MeansPublisher:
ISBN:
Category :
Languages : en
Pages : 140
Book Description
Model Rules of Professional Conduct
Author: American Bar Association. House of DelegatesPublisher: American Bar Association
ISBN: 9781590318737
Category : Law
Languages : en
Pages : 216
Book Description
The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
Medicare Laboratory Payment Policy
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309183618
Category : Medical
Languages : en
Pages : 261
Book Description
Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.