The 2008 Medicare Handbook is the indispensable resource you need to clearly understand - and be able to advise on - Medicare's confusing rules and regulations. It has been prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., a private, non-profit organization devoted to helping elders and people with disabilities obtain necessary healthcare. These experienced attorneys and healthcare professionals address - from the beneficiary's perspective - 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; Co-insurance, premiums, penalties; Coverage criteria for each of the programs; Problem areas of concern for the advocate; Grievance and appeals procedures. For each topic, you'll find an extensive selection of case citations, checklists, worksheets, and other practice tools designed to assist in obtaining coverage for clients, while minimizing research and drafting time. The 2008 Edition has been updated to include coverage of: Increased payments to Medicare Advantage (MA) plans and MA plan proliferation, including greater market penetration of Private Fee for Service (PFFS) plans and Special Needs Plans (SNPs); New rules for hospital discharge notices and expedited appeals; Implementing the 2007 income-based Part B deductible increase; Practical problems arising from the transfer of the Medicare administrative law judge (ALJ) function from the Social Security Administration (SSA) to the Department of Health and Human Services; Ongoing problems with the implementation of the Medicare Part D prescription drug benefit.

Medicare Handbook, 2008 Edition

Judith A. Stein

Alfred J. Chiplin

Family Law

Aspen Publishers, Inc.

The 2010 Medicare Handbook is the indispensable resource you need to clearly understand - and be able to advise on - Medicare's confusing rules and regulations. It has been prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., a private, non-profit organization devoted to helping elders and people with disabilities obtain necessary healthcare. These experienced attorneys and healthcare professionals address - from the beneficiary's perspective - 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   Co-insurance, premiums, penalties   Coverage criteria for each of the programs   Problem areas of concern for the advocate   Grievance and appeals procedures    For each topic, you'll find an extensive selection of case citations, checklists, worksheets, and other practice tools designed to assist in obtaining coverage for clients, while minimizing research and drafting time.   The 2010 Medicare Handbook has been updated to include coverage of:    Re-bidding under the competitive bidding for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) as re-introduced in the fall of 2009   Understanding the strengths and weaknesses of the variety of SNPs available under the Medicare Advantage program (Medicare Part C)   Continued efforts on educating beneficiaries about their rights, particularly with respect to moving from one care setting to another   Developments in the Medicare Hospice Care Benefit, including in-the-home hospice care as opposed to hospice in a skilled nursing facility   Ongoing problems with the implementation of the Medicare Part D prescription drug benefit, including providing good information about how to appeal the denial of coverage of drugs not on a plan's formulary

Medicare Handbook, 2010 Edition

Business & Money

Insurance

Aspen Publishers

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Books by Alfred J. Chiplin