Guide To Medicare Coverage Decision Making And Appeals
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Guide to Medicare Coverage Decision-making and Appeals by Eleanor D. Kinney Pdf
Effective negotiation is essential to the success of any law practice. To help you sharpen your negotiating skills for the challenges you face every day in your professional life, The Lawyer's Guide to Negotiation is a book for lawyers written by lawyers that is uniquely designed to make winning at the negotiating table the norm rather than a hit-or-miss proposition. By following the practical, no-nonsense principles and tactics outlined in this easy-to-read, common-sense guide, you ll find out how to consistently get what you want out of any negotiating session.
The Affordable Care Act and Medicare in Comparative Context by Eleanor D. Kinney Pdf
This book provides a comprehensive and approachable overview of Medicare under the Affordable Care Act. The author illustrates how the ACA addresses the long-term fiscal and demographic challenges facing Medicare, as well as the potential for Medicare to become a single-payer system.
EBOOK: Health Care Coverage Determinations: An International Comparative Study by Timothy Jost Pdf
"A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.
The Law of Health Care Finance and Regulation by Mark A. Hall,Nicholas Bagley,David Orentlicher,Mary Anne Bobinski Pdf
The Law of Health Care Finance and Regulation is based on Part III, “Institutions, Providers, and the State,” of parent book Health Care Law and Ethics and adds additional coverage of a variety of issues that have shaped health care finance law. Integrating public health, financial and ethical issues, this casebook uses compelling case law, clear notes and comprehensive background information to illuminate the complex and dynamic field of health care law. Key Features: Based on material in Part III of the popular parent book, “Institutions, Providers, and the State,” along with coverage of duty to treat, hospital liability, managed care liability, and regulating access to drugs. Includes cases and material not found in the parent book on: • Judicial and administrative review of Medicare decisions. Certificate of need laws. Review immunity. Integrates public health and ethics issues and features clear notes that provide context, smooth transitions between cases, and background information. Website provides background materials, updates of important events, additional relevant topics and links to other resources on the Internet.
Health Care Law and Ethics by Mark A. Hall,David Orentlicher,Mary Anne Bobinski,Nicholas Bagley,I. Glenn Cohen Pdf
Health Care Law and Ethics, Ninth Edition offers a relationship-oriented approach to health law—covering the essentials, as well as topical and controversial subjects. The book provides thoughtful and teachable coverage of every aspect of health care law. Current and classic cases build logically from the fundamentals of the patient/provider relationship to the role of government and institutions in health care. The book is adaptable to both survey courses and courses covering portions of the field. Key Features: New authors Nick Bagley and Glenn Cohen Incorporated anticipated changes to the Affordable Care Act More current cases and more streamlined notes, including ones on medical malpractice, bioethics, and on finance and regulation More coverage of “conscientious objection” and “big data” - Discussion of new “value based” methods of physician payment - Expanded coverage of “fraud and abuse” Current issues in public health (e.g., Ebola, Zika) and controversies in reproductive choice (e.g., Hobby Lobby) Coverage of cutting-edge genetic technologies (e.g., gene editing and mitochondrial replacement)
United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : Unknown Page : 136 pages File Size : 48,9 Mb Release : 2000 Category : Law ISBN : PSU:000046297921
106-1 Hearing: Medicare Coverage Decisions and Beneficiary Appeals, Serial 106-23, April 22, 1999 by United States. Congress. House. Committee on Ways and Means Pdf
Disentitlement? by Timothy S. Jost,Timothy Stoltzfus Jost Pdf
No developed nation relies exclusively on the private sector to finance health care for citizens. This book begins by exploring the deficiencies in private health insurance that account for this. It then recounts the history and examines the legal character of America's public health care entitlements - Medicare, Medicaid, and tax subsidies for employment-related health benefits. These programs are increasingly embattled, attacked by those advocating privatization (replacing public with private insurance); individualization (replacing group and community-based insurance with approaches based on individual choice within markets); and devolution (devolving authority over entitlements to state governments and to private entities). Jost critically analyzes this movement toward disentitlement. He also examines the primary models for structuring health care entitlements in other countries - general taxation-funded national health insurance and social insurance - and considers what we can learn from these models. The book concludes by describing what an American entitlement-based health care system could look like, and in particular how the legal characteristics of our entitlement programs could be structured to support the long-term sustainability of these vital programs.
Protecting American Health Care Consumers by Eleanor D. Kinney Pdf
DIVA contribution to health care studies and administrative law which offers a humane and practical alternative to the current process of reviewing consumer health care complaints./div
Author : Kathleen Scully-Hayes,Daniel A. Cody Publisher : American Bar Association Page : 436 pages File Size : 49,9 Mb Release : 2007 Category : Law ISBN : 1590318277
A Practical Guide to Medicare Appeals by Kathleen Scully-Hayes,Daniel A. Cody Pdf
A Practical Guide to Medicare Appeals describes the steps necessary to successfully resolve appeals of all types of Medicare determinations. Co-authored by a CMS hearing officer and a private practitioner with years of Medicare appeals experience, this book will walk practitioners through every step of the very confusing and sometimes self-contradictory rules so that appeals can be decided on their merits rather than barred for procedural rules violations.
William A. Kaplin,Barbara A. Lee,Neal H. Hutchens,Jacob H. Rooksby
Author : William A. Kaplin,Barbara A. Lee,Neal H. Hutchens,Jacob H. Rooksby Publisher : John Wiley & Sons Page : 1120 pages File Size : 53,7 Mb Release : 2019-04-02 Category : Education ISBN : 9781119271895
The Law of Higher Education, A Comprehensive Guide to Legal Implications of Administrative Decision Making by William A. Kaplin,Barbara A. Lee,Neal H. Hutchens,Jacob H. Rooksby Pdf
Your must-have resource on the law of higher education Written by recognized experts in the field, the latest edition of The Law of Higher Education, Vol. 2 offers college administrators, legal counsel, and researchers with the most up-to-date, comprehensive coverage of the legal implications of administrative decision making. In the increasingly litigious environment of higher education, William A. Kaplin and Barbara A. Lee’s clear, cogent, and contextualized legal guide proves more and more indispensable every year. Two new authors, Neal H. Hutchens and Jacob H Rooksby, have joined the Kaplin and Lee team to provide additional coverage of important developments in higher education law. From hate speech to student suicide, from intellectual property developments to issues involving FERPA, this comprehensive resource helps ensure you’re ready for anything that may come your way. Includes new material since publication of the previous edition Covers Title IX developments and intellectual property Explores new protections for gay and transgender students and employees Delves into free speech rights of faculty and students in public universities Expands the discussion of faculty academic freedom, student academic freedom, and institutional academic freedom Part of a 2 volume set If this book isn’t on your shelf, it needs to be.
United States. Health Care Financing Administration
Author : United States. Health Care Financing Administration Publisher : Unknown Page : 6 pages File Size : 41,6 Mb Release : 1993 Category : Hospice care ISBN : MINN:31951D01035074B
Master Medicare Guide by Wolters Kluwer Law & Business Pdf
The 2015 Master Medicare Guide is packed with timely and useful information to help you stay on top of one of the most complex programs administered by the federal government. The 2015 Edition includes: Over 500 explanation summaries for all aspects of the Medicare program coverage, eligibility, reimbursement, fraud and abuse, and administration Highlights of the Protecting Access to Medicare Act of 2014 (P.L. 113-93) and the Improving Medicare Post-Acute Care Transformation Act of 2014 (P.L. 113-185)""; the most recent physician fee schedule reimbursement fix; A focus on the continuing implementation of the Affordable Care Act as it relates to Medicare, including accountable care organizations and a tighter link between the quality of health care and Medicare reimbursement All discussions include cross-references to relevant laws, regulations, CMS manual sections, administrative and judicial decisions, and more!
