Medicare Coverage Decisions And Beneficiary Appeals

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Medicare Coverage Decisions and Beneficiary Appeals

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher : Unknown
Page : 140 pages
File Size : 43,6 Mb
Release : 2000
Category : Law
ISBN : STANFORD:36105050124010

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Medicare Coverage Decisions and Beneficiary Appeals by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf

106-1 Hearing: Medicare Coverage Decisions and Beneficiary Appeals, Serial 106-23, April 22, 1999

Author : United States. Congress. House. Committee on Ways and Means
Publisher : Unknown
Page : 140 pages
File Size : 54,9 Mb
Release : 2000
Category : Electronic
ISBN : MINN:31951P00469234H

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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

Guide to Medicare Coverage Decision-making and Appeals

Author : Eleanor D. Kinney
Publisher : Unknown
Page : 250 pages
File Size : 44,9 Mb
Release : 2002
Category : Business & Economics
ISBN : STANFORD:36105063212604

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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 Medicare Handbook

Author : Anonim
Publisher : Unknown
Page : 44 pages
File Size : 46,8 Mb
Release : 1988
Category : Health insurance
ISBN : MINN:31951D01015437D

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The Medicare Handbook by Anonim Pdf

Improving the Medicare Market

Author : Institute of Medicine,Committee on Choice and Managed Care: Assuring Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries
Publisher : National Academies Press
Page : 384 pages
File Size : 54,7 Mb
Release : 1996-11-01
Category : Medical
ISBN : 9780309175364

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Improving the Medicare Market by Institute of Medicine,Committee on Choice and Managed Care: Assuring Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries Pdf

Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Medicare Coverage Decisions and Beneficiary Appeals

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher : Unknown
Page : 136 pages
File Size : 43,6 Mb
Release : 2000
Category : Law
ISBN : PSU:000046297921

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Medicare Coverage Decisions and Beneficiary Appeals by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf

Medicare Hospice Benefits

Author : United States. Health Care Financing Administration
Publisher : Unknown
Page : 6 pages
File Size : 40,8 Mb
Release : 1993
Category : Hospice care
ISBN : MINN:31951D01035074B

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Medicare Hospice Benefits by United States. Health Care Financing Administration Pdf

Medicare & You

Author : Anonim
Publisher : Unknown
Page : 108 pages
File Size : 48,8 Mb
Release : 2006
Category : Health insurance
ISBN : 1422305082

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Medicare & You by Anonim Pdf

How to Win Medicare Appeals

Author : David D. Mullens
Publisher : Unknown
Page : 280 pages
File Size : 41,8 Mb
Release : 2020
Category : Administrative procedure
ISBN : 1641055987

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How to Win Medicare Appeals by David D. Mullens Pdf

"This book is about how to successfully fight for the payment of medically reasonable and necessary services when Medicare erroneously denies payment, or when Medicare erroneously demands a repayment of overpayment"--

EBOOK: Health Care Coverage Determinations: An International Comparative Study

Author : Timothy Jost
Publisher : McGraw-Hill Education (UK)
Page : 295 pages
File Size : 49,7 Mb
Release : 2004-12-16
Category : Medical
ISBN : 9780335225996

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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 Affordable Care Act and Medicare in Comparative Context

Author : Eleanor D. Kinney
Publisher : Cambridge University Press
Page : 487 pages
File Size : 50,7 Mb
Release : 2015-07-20
Category : Health & Fitness
ISBN : 9781107110557

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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.

Essential Health Benefits

Author : Institute of Medicine,Board on Health Care Services,Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans
Publisher : National Academies Press
Page : 256 pages
File Size : 47,6 Mb
Release : 2012-01-17
Category : Medical
ISBN : 9780309219174

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Essential Health Benefits by Institute of Medicine,Board on Health Care Services,Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans Pdf

In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.

Protecting American Health Care Consumers

Author : Eleanor D. Kinney
Publisher : Duke University Press
Page : 298 pages
File Size : 54,7 Mb
Release : 2002-05-08
Category : Medical
ISBN : 0822328763

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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

Elder Law Portfolio

Author : Harry S. Margolis
Publisher : Wolters Kluwer
Page : 3766 pages
File Size : 53,5 Mb
Release : 1995-12-31
Category : Law
ISBN : 9780735549449

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Elder Law Portfolio by Harry S. Margolis Pdf

In-depth, timely, and practical coverage of key issues in elder law practice. Written by outstanding elder law experts, this unique publication is the first place to look for detailed answers to pressing questions concerning Medicaid, long-term care planning, healthcare issues, trusts, powers, and guardianship -- every facet of today's elder law practice. Each portfolio has distinctive title and author. The series includes 28 portfolios to date.

Medicare Handbook, 2019 Edition (IL)

Author : Stein, Chiplin
Publisher : Wolters Kluwer
Page : 832 pages
File Size : 49,9 Mb
Release : 2018-12-26
Category : Electronic
ISBN : 9781543800456

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Medicare Handbook, 2019 Edition (IL) by Stein, Chiplin Pdf

To provide effective service in helping people understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the most current information from a source you can trust - Medicare Handbook. This is the indispensable resource for clarifying Medicare's confusing rules and regulations. Prepared by an outstanding team of experts from the Center for Medicare Advocacy, it addresses 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; coinsurance, premiums, penalties; coverage criteria for each of the programs; problem areas of concern for the advocate; grievance and appeals procedures. The 2019 Edition of Medicare Handbook offers expert guidance on: Medicare Enrollment and Eligibility Medicare Coverage in all Care-Settings Medicare Coverage for People with Chronic Conditions Medicare Home Health Coverage and Access to Care Prescription Drug Coverage Medicare Advantage Plans Medicare Appeals Health Care Reform And more! In addition, Medicare Handbook will help resolve the kinds of questions that arise on a regular basis, such as: How do I appeal a denial of services? What steps do I need to take in order to receive Medicare covered home health care? What are the elements of Medicare's appeal process for the denial of coverage of an item, service, or procedure? Does my state have to help me enroll in Medicare so that I can get assistance through a Medicare Savings Program? When should I sign up for a Medigap plan? If I am enrolled in Medicare, do I have to buy health insurance in the insurance marketplace created by the Affordable Care Act? Is it true that I have to show medical improvement in order to get Medicare for my nursing and therapy services? And more! The 2019 Medicare Handbook is the indispensable resource that provides: Extensive discussion and examples of how Medicare rules apply in the real world Case citations, checklists, worksheets, and other practice tools to help in obtaining coverage for clients, while minimizing research and drafting time Practice pointers and cautionary notes regarding coverage and eligibility questions when advocacy problems arise, and those areas in which coverage has often been reduced or denied And more! Note: Online subscriptions are for three-month periods. Previous Edition: Medicare Handbook, 2018 Edition ISBN 9781454884224