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How to Use Medicare and Medicaid Guide

3. Click the Search Tools button and verify or change the default settings: Search Method Maximum number of results returned (9999 is largest number that CCH will return) Sort by Relevancy (disabling will display results in publication order, as viewed in menu screens) Automatically incorporate synonyms using CCH esaurus Results display option Search by Date (for date-specific documents such as decisions and rulings ) Search in a Part of a Document (such as case-name) Document Type 4. Click the Search button.

Searching for a citation (document reference number)

  • 1.

    On a library tab, click the checkbox next to the item(s) you want to search.

  • 2.

    Click the Find by Citation button.

  • 3.

    Find appropriate citation format and type the citation into the box(es).

  • 4.

    Click the Search button to the left of that format.

Finding related documents

Click the last menu topic (small blue links at top of docu- ment) to view all nearby documents. If available – Click a ‘Smart Relate’ button to view related documents.

Starting a new search - Click Clear Search Navigating

  • 1.

    Between documents in publication order – Use ‘Nearby Documents’ commands: Previous or Next

  • 2.

    Between search results – use ‘Search Results’ commands: Previous or Next

  • 3.

    Back to Search Results List – Use ‘Search Results’ com- mand: Back to Search Results

  • 4.

    To your first key word within a document – First Search Term

Using the CD or Internet Guide

In addition to using the same tools available in the print guide, topical index, explanation references, and current developments, you have other time saving features.

Daily Document Updates provides a linkable list of the documents reported within the last 90 days. As new docu- ments are added to Daily Document Updates, links to these documents can be delivered to you through your e-mail each day via the Medicare and Medicaid Tracker program. From the My CCH tab, you can sign up for and customize the Tracker program.

What’s New contains links to the past 9 report letters.

Interactive Charts for DRG tables allow you to create a custom- ize chart for specific DRG topics. Smart Relate allows researchers to move from a CCH paragraph to related documents.

Smart Relate buttons look like this.

Searching using Boolean connectors narrows a search to ensure that the documents retrieved are more relevant to the issue.

Find by Citation permits researchers to quickly locate specific documents including CCH paragraphs, Cases and/or Agency documents, and manual sections using the document identi- fication number or cite.

Hierarchy of Primary Source Documents in the Medicare and Medicaid Guide

Law (USC)

Medicare and Medicaid Laws documents contain the full text of Social Security ActTitles II, XI, and XVIII, pertaining to Medicare, and Titles IV, XVI, XIX, pertaining to Medicaid. e role of the law is to set the broad outline of who is eligible to receive benefits distributed from the monies collected from the income of taxpay- ers and how health care providers are reimbursed for the services they render. e law takes precedence over all other documents including regulations and court decisions. e only time a law would be in question is if the Supreme Court determined that it was in conflict with the U.S. Constitution either by its language or by its application.

Regulation (CFR)

  • e Centers for Medicare and Medicaid Services (CMS) is respon-

sible for writing regulations that let affected parties know how they are to comply with the law. e process of getting regulations approved (or promulgated) is very lengthy both from a resource standpoint and approval standpoint. All proposed regulations must be published in the Federal Register and every citizen and/or interested group may comment on them. Once all comments are received, the regulations in their final form are finalized. Unlike the IRS for example, CMS does not write its regulations as a 1 to 1 correspondence to a Law section. In order to determine what regulation interprets what law section, the user would need to be within the explanations and note the authority cited. A Finding List exists for both proposed and finalized Federal Register Documents. In many cases, subscribers to the Guide in all media receive a separate pamphlet containing the Regulations; for example, the PPS Rates.

Court Decisions

  • e mission of the court is to determine if the law was correctly

interpreted and applied to the facts of the case. All levels of federal courts are reproduced in all media of the Guide. Court decisions are equal to the law in significance and above the regulations in authority. Subscribers to the print have cases inVolume 6. CD and internet subscribers have all reported cases from 1997 to present.

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