Publisher's Synopsis
<p> <b><i>Medicare Explained </i></b>has been prepared for Medicare beneficiaries and others who need a relatively thorough explanation of the Medicare program with particular emphasis on services covered in institutional settings and services provided by physicians and suppliers. Published annually, <b><i> Medicare Explained</i></b> includes changes made during 2011 by law and regulation amendments and updates to program manuals issued by the Centers for Medicare and Medicaid Services (CMS). </p> <p> <b><i>Medicare Explained </i></b>includes: </p> <ul> <li> Analysis of legislative, regulatory and agency guidance issuance on the available benefits </li> <li> Exclusions from Medicare </li> <li> The administration of the Medicare program </li> <li> Medicare payment rules under Parts A, B, C, and D </li> <li> Details on the process for submitting beneficiary claims as well as the appeals process </li> </ul> <p> The 2012 Edition has been updated to include: </p> <ul> <li> Expanded discussion of accountable care organizations </li> <li> Explanations of new annual election period and "blended benchmark" for Medicare Advantage plan payments </li> <li> Updated discussions of health care reform impact on reimbursement systems for 2012 </li> <li> Explanations of new requirements for quality improvement organizations </li> </ul> <p> </p>
