Medicare and Medicaid News

This new edition of Medicare Explained provides a detailed explanation of Hospital Insurance Benefits for the Aged and Disabled (Part A) and Supplementary Medical Insurance Benefits Program for the Aged and Disabled (Part B), as well as explanations of the Medicare Advantage program (Part C) and the prescription drug benefit (Part D).

In addition, this book provides legislative and regulatory analysis on the Medicare Advantage Program, Exclusions from Medicare, Miscellaneous provisions (e.g. role of state agencies and fiscal intermediaries, role of Medicaid, Peer Review Program, Medigap Insurance, Fraud and Abuse Penalties, etc). Also, analysis of payment rules and claims and appeals is covered.

This book provides 2008 legislative and regulatory changes that impact Medicare Part A, B and the Medicare Advantage programs as well as the Prescription Drug Benefit. Guidance issued by the Centers for Medicare and Medicaid Service (CMS) used to administer these programs is also used.