Medicare and Medicaid Claims and Procedures, 4th

This reference guides you through Medicare and Medicaid claims processes. The authors concentrate on the most frequently used sections of the Medicare and Medicaid Acts. 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, trust and transfer of assets, liens, estate planning and third party liability, penalties and sanctions, fair hearing requirements, and judicial review. Appendices contain useful, timesaving practice aids.