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To provide effective service in helping clients 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.
The 2014 Edition offers expert guidance on:
- Health Care Reform
- Prescription Drug Coverage
- Enrollment and Eligibility
- Medigap Coverage
- Medicare Secondary Payer Issues
- Grievance and Appeals
- Home Health Care
- Managed Care Plans
- Hospice Care
- 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 on 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 nursing and therapy services for my chronic condition?
- And more!
The 2014 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 where advocacy problems arise, and those areas in which coverage has been reduced or denied
- And more!
;This 2014 Edition includes updated information on:
- The Medicare Prescription Drug Program (Medicare Part D)
- Implementation of important provisions of the ACA
- Beneficiary rights when the beneficiary moves from one care setting to another
- Developments in the Medicare Home Health and Hospice benefits
- Preventive benefits
- Continued changes in Medicare coverage for durable medical equipment, prosthetics, orthotics, and supplies
- Medicare and the ACA's insurance marketplaces
- Medicare and coverage of chronic conditions
- The problems "observation services" can cause in coverage
