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UPDATED 2009 EDITION
AVAILABLE FROM ASPEN PUBLISHERS
Medicare
Handbook
by Alfred J. Chiplin, Jr., Judith A. Stein
To order, call 1-800-638-8437
or click
here to be linked with Aspen Publishers
The 2009 Medicare Handbook is the indispensable resource
you need to clearly understand - and be able to advise on -
Medicare's confusing rules and regulations. It has been prepared by
an outstanding team of experts from the Center for Medicare
Advocacy, Inc., a private, non-profit organization devoted to
helping elders and people with disabilities obtain necessary
health care. These experienced attorneys and health care professionals
address - from the beneficiary's perspective - 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
- Co-insurance, premiums, penalties
- Coverage criteria for each of the programs
- Problem areas of concern for the advocate
- Grievance and appeals procedures
For each topic, you'll find an extensive selection of case
citations, checklists, worksheets, and other practice tools designed
to assist in obtaining coverage for clients, while minimizing
research and drafting time.
The 2009 Edition has been updated to include coverage of:
- Understanding new hospital notices
- Understanding current physical, speech, and occupational
therapy payment caps
- Increasing payments to, and reliance upon managed care plans
(Medicare Advantage)
- Protections for individuals with low incomes, including the
extension of the Qualified Individual (QI) program
- Elimination of Medicare Part D late enrollment penalties
paid by subsidy eligible individuals; judicial review of
decisions of the Commissioner of Social Security under the
Medicare Part D Low-Income Subsidy program; and Medicare
enrollment assistance
- Extension of exceptions process for therapy caps
Table of Contents
- An Introduction to Medicare Coverage and Appeals
- Hospital Coverage
- Skilled Nursing Facility Coverage
- Home Health Coverage
- Hospice Coverage
- Medicare Part B: Supplemental Medical Insurance
- Medicare Advantage: Coordinated Care Plans, Private
Fee-For-Service, and Other Delivery of Services Options
- Medigap Services
- Medicare's Relationship with Private Insurance
- Dual Eligibility: Issues for Medicare Beneficiaries Also
Eligible for Medicaid
- Prescription Drug Coverage
To order a copy of the Center's comprehensive Medicare Handbook
call 1-800-638-8437 or
click here to be linked with Aspen Publishers |