Medicare+Choice

Medicare+Choice

Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment

Publisher:

Published: 1999

Total Pages: 188

ISBN-13:

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Buck's 2020 HCPCS Level II E-Book

Buck's 2020 HCPCS Level II E-Book

Author: Elsevier

Publisher: Saunders

Published: 2020-02-03

Total Pages: 489

ISBN-13: 0323694578

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For fast, accurate, and efficient coding, pick this practical HCPCS reference! Buck's 2020 HCPCS Level II provides an easy-to-use guide to the latest HCPCS codes. It helps you locate specific codes, comply with coding regulations, manage reimbursement for medical supplies, report patient data, code Medicare cases, and more. Spiral bound, this full-color reference simplifies coding with Netter's Anatomy illustrations and ASC (Ambulatory Surgical Center) payment and status indicators. UNIQUE! Current Dental Terminology (CDT) codes from the American Dental Association (ADA) offer one-step access to all dental codes. UNIQUE! Full-color Netter's Anatomy illustrations enhance your understanding of specific coding situations by helping you understand anatomy and physiology. Easy-to-use format optimizes reimbursement through quick, accurate, and efficient coding. At-a-glance code listings and distinctive symbols make it easy to identify new, revised, and deleted codes. Full-color design with color tables helps you locate and identify codes with speed and accuracy. Jurisdiction symbols show the appropriate contractor to be billed when submitting claims to Medicare carriers and Medicare Administrative Contractors (MACs). Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System to ensure accurate reporting and appropriate reimbursement. Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators address reimbursement for durable medical equipment, prosthetics, orthotics, and supplies. Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other Food and Drug Administration (FDA) approved drugs. Age/sex edits identify codes for use only with patients of a specific age or sex. Quantity symbol indicates the maximum allowable units per day per patient in physician and outpatient hospital settings, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. The American Hospital Association Coding Clinic(R) for HCPCS citations provide a reference point for information about specific codes and their usage. Physician Quality Reporting System icon identifies codes that are specific to PQRS measures. NEW! Updated 2020 HCPCS code set ensures fast and accurate coding, with the latest Healthcare Common Procedure Coding System codes to comply with current HCPCS standards.


GAO Documents

GAO Documents

Author: United States. General Accounting Office

Publisher:

Published: 1986

Total Pages: 198

ISBN-13:

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Catalog of reports, decisions and opinions, testimonies and speeches.


Medicare Handbook

Medicare Handbook

Author: Judith A. Stein

Publisher: Wolters Kluwer

Published: 2012-11-27

Total Pages: 988

ISBN-13: 1454810459

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To provide effective service in helping clients understand how they are goingto be affected by health care reform and how to obtain coverage, pursue anappeal, or plan for long-term care or retirement, you need the latest Medicareguidelines from a source you can trust - the 2013 Edition ofMedicare Handbook .Prepared by experts from the Center for Medicare Advocacy, Inc.,Medicare Handbook covers the issues you need to provide effectiveplanning advice or advocacy services, including:Medicare eligibility and enrollmentMedicare-covered services, deductibles, and co-paymentsCo-insurance, premiums, and penaltiesFederal coordinated care issuesGrievance and appeals proceduresFace-to-face encounter requirements for home health and hospice careMedicare Handbook also provides you with coverage rules for:Obtaining Medicare-covered servicesPrescription drug benefit and the Low-Income Subsidy (LIS)The Medicare Advantage ProgramDurable Medical Equipment (DME)Preventive servicesAppealing coverage denialsand an understanding of:The Medicare Secondary Payer Program (MSP)The Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)Competitive Acquisition ProgramIncome-related premiums for Parts B and DThe 2013 Edition has been updated to include information andstrategies necessary to incorporate ACA provisions on behalf of people in needof health care.In addition, the 2013 Medicare Handbook will also help advocatescontest limited coverage under private Medicare Part C plans (MedicareAdvantage) and understand initiatives to reduce overpayments to MedicareAdvantage.Other Medicare developments discussed in the 2013 Medicare Handbookinclude:Implementation of important provisions of the Affordable Care ActBeneficiary rights, when moving from one care setting to anotherDevelopments in the Medicare Home Health and Hospice BenefitsAdditional information regarding preventive benefitsContinued changes in Medicare coverage for durable medical equipment