Author Description

This book 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, this book includes analysis of legislative, regulatory and agency guidance issuance on the available benefits; exclusions from Medicare; the administration of the Medicare program; and Medicare payment rules under Parts A, B, C, and D. The book also details the process for submitting beneficiary claims as well as the appeals process