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Focusing on the most frequently used sections of the Medicare and Medicaid Acts, Medicare, and Medicaid Claims and Procedures guides you through the Medicare and Medicaid claims processes. Medicare topics discussed include: Persons eligible Providers of services HMOs Inpatient hospital services Extended care services Home health services Eligibility and enrollment procedures Administrative hearings Judicial review procedures Attorneys’ fees Medicaid topics include: State plan requirements Trust and transfer of assets Liens Estate planning and third-party liability Penalties and sanctions Fair hearing requirements Judicial review. This reference guide organizes laws, regulations, and court decisions in a practical, user-friendly fashion. Appendixes contain useful, time-saving practice aids including lists of Medicare forms, fiscal intermediaries, Medicare carriers, Medicare quality improvement organizations, and state medical assistance contacts.
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