Medicare Explained, 2016 Edition (Health Law Professional)

Medicare Explained, 2016 Edition (Health Law Professional)

Medicare Explained has been prepared for Medicare beneficiaries and others who need a relatively thorough explanation of the Medicare program with particular emphasis on services covered in institutional settings and services provided by physicians and suppliers.</p><p>Published annually, Medicare Explained includes changes made during 2015 by law and regulation amendments and updates to program manuals issued by the Centers for Medicare and Medicaid Services (CMS).</p>Medicare Explained includes:</p><ul><li>Analysis of legislative, regulatory, and agency guidance issuance on available benefits</li><li>Medicare coverage and exclusions</li><li>The administration of the Medicare program</li><li> Medicare payment rules under Parts A, B, C, and D</li><li>Details on the process for submitting beneficiary claims as well as the appeals process</li></ul></p>The 2016 Edition has been updated to include:</p><ul><li>Updated discussions of health care reform impact on reimbursement systems for 2016</li><li>Discussion of quality of care initiatives</li><li>Updated discussion of hospital and physician reimbursement and outpatient services</li></ul></p>