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CCH® Medicare and Medicaid Guide

Your core Medicare and Medicaid reference.

The CCH Medicare and Medicaid Guide is the leading resource covering reimbursement for health care services and compliance with billing rules. It provides the key data you need, along with expert guidance on how to use that knowledge to your best advantage. The Guide presents all of this important information in an easy-to-use format—a feature synonymous with CCH health law products.

Expert review of compliance law, plus procedures for securing payment or appealing payment denials
The Guide walks you through all of Medicare and Medicaid, providing you thorough explanations of complex rules regarding reimbursement, prospective payment, eligibility, coverage and more. It discusses the correct procedures for obtaining payment as well as working with Medicare contractors and federal and state agencies.

Latest court decisions
In addition to current versions of Medicare and Medicaid law and regulations, the Guide also provides the latest court decisions and administrative decisions from the Centers for Medicare and Medicaid Services and other federal agencies. This allows you to review new developments that may have ramifications for your clients.

Annotations
Included with these explanations are annotations summarizing the issues and outcomes of any pertinent cases, decisions, laws and regulations—expanding on their meaning so you can further study their application to topics of special importance to you.

Submit your forms with confidence
Successful results all lead back to properly completing your paperwork and documentation. The Internet version of the Guide includes worksheets for new cost reporting forms, along with instructions to help you report data correctly each time.

Comprehensive, yet easy-to-reference
The Guide provides separate topical indexes, finding tables and case tables, which allow to you to look up information in a number of ways quickly and easily. The Internet version of the Guide also includes CCH's exclusive Quick Links table, a look-up feature allowing you to easily find what you need without having to scroll through lists of multiple documents.

Local Coverage Determinations (LCDs)
The Internet version of the Guide contains the Local Coverage Determinations (LCDs) in full text, searchable by intermediaries and carriers.

Expert state-by-state coverage
Why pore through state Medicaid plans when the Guide can point you directly to what you need? The Guide includes unique Medicaid charts that summarize and compare eligibility criteria, services covered and basis-to-pay for each individual state. You're able to easily gather material from what would otherwise entail reviewing thousands of pages, all in one concise format.

Available in Internet, CD-ROM or print formats
We offer the CCH Medicare and Medicaid Guide in either a 6-volume print edition, a 2-disc CD-ROM set, or online using our award-winning CCH Internet Research Network™. The online option allows you to employ our advanced search engine features.

The Internet version of the CCH Medicare and Medicaid Guide features SmartRelate™:

  • Instantly links CCH explanations to related laws and regulations, federal register issuances, administrative rulings, CMS transmittals, program memoranda and more
  • Automatically links similar documents to your current research findings so you can get more information about your research topic
  • If additional related information is available links will appear at the top of your document and also within the text of the document

To learn more about the CCH Medicare and Medicaid Guide, speak with your CCH Account Rep today.

For a FREE TRIAL to the CCH Medicare and Medicaid Guide, speak with your CCH Account Rep today.
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TOPICS COVERED:

  • Allowable Provider Costs
  • Compliance
  • Cost Apportionment and Cost Finding
  • End-Stage Renal Disease Services
  • Financing and Appeals
  • Fraud and Abuse
  • Managed Care and Medicare Advantage
  • Medicaid State Plan Summaries
  • Medicare and Medicaid Law and Related Public Laws
  • Medicare and Medicaid Regulations
  • Medicare Billing Instructions
  • Medicare Cost Reporting Forms
  • Medicare Coverage Decisions and Exclusions
  • Medicare Coverage Lists
  • Medicare Eligibility, Services and Payment
  • Medicare— Parts A and B
  • Medicare Prospective Payment Systems
  • Part D Prescription Drug Benefit
  • Payments to Physicians and Suppliers
  • Payments to Providers, Provider Appeals Procedures, Audits
  • Provider Agreements, Conditions of Participation
  • Provider-Based Physicians
  • Requirements for Payment, Waiver of Liability

The Guide includes:

  • Explanations of proper reimbursement procedures
  • Instructions for filling out forms plus samples
  • The full text of laws and regulations
  • The full text of court and administrative decisions
  • Case annotations
  • Local Coverage Determinations (LCDs) in full text documents (electronic only)
  • The full text of CMS Program Manuals and Durable Medical Equipment Manuals (electronic only)
  • ...And more