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How to Use Medicare and Medicaid Guide

How to Use the Medicare and Medicaid Guide

Volume 1

The CCH Medicare and Medicaid Guide provides in- formation on the programs established by Titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Reporting covers all aspects of these two federal laws. The material covered includes not only the federal laws, regulations, and subsidiary material issued by the various federal agencies responsible for the administration of these programs, but also federal court decisions and decisions of various administrative agencies, reports to Congress on Medicare and Medicaid from the Government Account- ability Office and the HHS Office of Inspector General, and other pertinent materials.

Finding Lists: Volume 1 contains aids for locating information in the subject divisions, organized by type: Medicare finding lists, Medicaid finding lists, PRRB finding lists. Finding Lists (Medicare) HHS Departmental Appeals Board Decisions GAO Reports HCFA/CMS Rulings Program Memoranda Office of Inspector General Reports Operational Policy Letters Pamphlets—Special Reports Medicare Case Table

What a print and internet subscription includes

Print subscribers receive information about the Medicare and Medicaid programs via weekly Reports. This cur- rent information is coordinated with the basic contents of the loose-leaf Guide. Internet subscribers have access to the same weekly updated information as well as the latest cases and rulings in the Daily Document Updates (DDU) publication.

Medicaid (Finding Lists) Topical Index Case Table Finding Lists

Finding Lists (PRRB) Topical Index of PRRB Decisions PRRB Cross-Reference Table PRRB Decisions by Provider Name

A print subscription includes the following:

Loose-leaf volumes

Subscribers receive six loose-leaf volumes containing more than 9,000 pages of text, explanations, policy decisions, etc., arranged by topic and indexed for continuing reference. e Guide groups together major topics in separate divisions, identified by guide cards with printed “tabs” indicating the topics treated in each division.

  • e subject divisions, their order, and the volumes in which

they are located, are as follows:

Medicare Part A Coverage Entitlement to Part A Benefits—Inpatient Hospital Ser- vices—Extended Care Services—Home Health Services— Hospice Services

Medicare Part B Coverage Eligibility, Enrollment, and Period of Coverage— Benefits

Part B Payments General Limits and Payment Rules—Reasonable Charge Payment Method—Other Payment Rules Physician Fee Schedule

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