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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
latest Medicare guidelines from a source you can trust - the 2012
Edition of Medicare Handbook.
Prepared by experts from the Center for Medicare Advocacy, Inc.,
Medicare Handbook covers the issues you need to provide
effective planning advice or advocacy services, including:
Medicare eligibility and enrollment
Medicare-covered services, deductibles, and co-payments
Co-insurance, premiums, and penalties
Federal coordinated care issues
Grievance and appeals procedures
Face-to-face encounter requirements for home health and hospice care
Medicare Handbook also provides you with coverage rules
for:
Obtaining Medicare-covered services
Prescription drug benefit and the Low-Income Subsidy (LIS)
The Medicare Advantage Program
Durable Medical Equipment (DME)
Preventive services
Appealing coverage denials
and an understanding of:
The Medicare Secondary Payer Program (MSP)
The Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
(DMEPOS) Competitive Acquisition Program
Income-related premiums for Parts B and D
The 2012 Medicare Handbook provides important information
about the relationship of private insurance to the Medicare program.
Other changes discussed include:
Hospital notices
Current physical, speech, and occupational therapy payment caps
Payments to, and reliance upon, managed care plans (Medicare Advantage)
Protections for individual
Title: Medicare Handbook 2012 Edition
Publisher: Aspen Publishers
Publication Date: 2011
Binding: paperback
Condition: Good
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