Medicare And Medicaid Claims And Procedures
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Medicare Physician Guide
Author | : Health and Human Services Department |
Publisher | : Centers for Medicare & Medicaid Services |
Total Pages | : 0 |
Release | : 2010-02-04 |
Genre | : Medicare |
ISBN | : 9780160846076 |
This guide is a general summary that explains certain aspects of the Medicare Program, but is not a legal document.
Medicaid Eligibility Quality Control
Author | : United States. Social and Rehabilitation Service |
Publisher | : |
Total Pages | : 460 |
Release | : 1975 |
Genre | : Medicaid |
ISBN | : |
Medicare and Medicaid Claims and Procedures
Author | : Harvey L. McCormick |
Publisher | : |
Total Pages | : 428 |
Release | : 1986 |
Genre | : Health insurance |
ISBN | : |
Care Without Coverage
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 213 |
Release | : 2002-06-20 |
Genre | : Medical |
ISBN | : 0309083435 |
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Improving the Medicare Market
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 384 |
Release | : 1996-11-01 |
Genre | : Medical |
ISBN | : 0309175364 |
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
SAS Programming with Medicare Administrative Data
Author | : Matthew Gillingham |
Publisher | : SAS Institute |
Total Pages | : 272 |
Release | : 2014-05-01 |
Genre | : Computers |
ISBN | : 162959153X |
SAS Programming with Medicare Administrative Data is the most comprehensive resource available for using Medicare data with SAS. This book teaches you how to access Medicare data and, more importantly, how to apply this data to your research. Knowing how to use Medicare data to answer common research and business questions is a critical skill for many SAS users. Due to its complexity, Medicare data requires specific programming knowledge in order to be applied accurately. Programmers need to understand the Medicare program in order to interpret and utilize its data. With this book, you'll learn the entire process of programming with Medicare data—from obtaining access to data; to measuring cost, utilization, and quality; to overcoming common challenges. Each chapter includes exercises that challenge you to apply concepts to real-world programming tasks. SAS Programming with Medicare Administrative Data offers beginners a programming project template to follow from beginning to end. It also includes more complex questions and discussions that are appropriate for advanced users. Matthew Gillingham has created a book that is both a foundation for programmers new to Medicare data and a comprehensive reference for experienced programmers. This book is part of the SAS Press program.
Health Care Fraud and Abuse
Author | : Aspen Health Law Center |
Publisher | : |
Total Pages | : 156 |
Release | : 1998 |
Genre | : Business & Economics |
ISBN | : |
Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.