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Medicare Explained has been prepared for Medicare beneficiaries and others who need a relatively thorough explanation of the Medicare program with particular emphasis on services covered in institutional settings and services provided by physicians and suppliers. Published annually, Medicare Explained includes changes made during 2012 by law and regulation amendments and updates to program manuals issued by the Centers for Medicare and Medicaid Services (CMS). Medicare Explained includes: Analysis of legislative, regulatory and agency guidance issuance on available benefits Exclusions from Medicare The administration of the Medicare program Medicare payment rules under Parts A, B, C, and D Details on the process for submitting beneficiary claims as well as the appeals process The 2013 Edition has been updated to include: Expanded discussion of accountable care organizations Updated discussions of health care reform impact on reimbursement systems for 2013 Expanded discussion of new quality of care initiatives
Updated annually, this book provides concise easy-to-read descriptions of the Medicare and Medicaid federal health insurance programs for the aged, disabled and indigent. Includes legislative changes that affect all parts of Medicare, including Medicare Advantage and the prescription drug benefit. Updates to this edition include: Medicare and Medicaid program highlights for 2012, including PPACA changes Medicare deductibles and copayments for 2012 New Part B premium information and explanation of new calculation method for the premiums Changes to enrollment in new 5-star Medicare Advantage and prescription drug plans explained
"Medicare Explained "has been prepared for Medicare beneficiaries and others who need a relatively thorough explanation of the Medicare program with particular emphasis on services covered in institutional settings and services provided by physicians and suppliers. Published annually, "Medicare Explained "includes changes made during 2013 by law and regulation amendments and updates to program manuals issued by the Centers for Medicare and Medicaid Services (CMS). "Medicare Explained" includes: Analysis of legislative, regulatory and agency guidance issuance on available benefits Exclusions from Medicare The administration of the Medicare program Medicare payment rules under Parts A, B, C, and D Details on the process for submitting beneficiary claims as well as the appeals process The "2014 Edition" has been updated to include: Updated discussions of health care reform impact on reimbursement systems for 2014 Expanded discussion of quality of care initiatives Updated discussion of inpatient hospital reimbursement and outpatient services