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Medicare and Medicaid Claims and Procedures, 4th

Product details:

Brand: Thomson West
Copyright: 2005-2021
ISBN: 9781731993441
Publication Frequency: Updated as changes in the law dictate
Update format: N/A

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Medicare and Medicaid Claims and Procedures, 4th


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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.