| Summary: | Medicare and Medicaid claims and procedures guides you step-by-step through the Medicare and Medicaid claims processes, from initial claim to administrative and judicial appeals of claim denials. The author has made a complex topic eminently understandable, concentrating on the most frequently used sections of the Medicare and Medicaid Acts. Laws, regulations, and court decisions are organized in a practical, user-friendly fashion. Topics discussed under Medicare include persons eligible, providers of services, HMOs, inpatient hospital services, extended care services, home health services, eligibility and enrollment procedures, administrative hearings, judicial review procedures, and attorneys fees. Topics under Medicaid include information on state plan requirements, trusts and transfer of assets, liens, estate planning and third party liability, penalties and sanctions, fair hearing requirements, and judicial review. Appendices contain useful, time saving practice aids.
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