Wolters Kluwer

Medicare Explained, 2016 Edition Wolters Kluwer

Medicare Explained 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, Medicare Explained includes changes made during 2015 by law and regulation amendments and updates to program manuals issued by the Centers for Medicare and Medicaid Services (CMS).

Medicare Explained includes:

Analysis of legislative, regulatory, and agency guidance issuance on available benefitsMedicare coverage and exclusionsThe administration of the Medicare program Medicare payment rules under Parts A, B, C, and DDetails on the process for submitting beneficiary claims as well as the appeals process

The 2016 Edition has been updated to include:

Updated discussions of health care reform impact on reimbursement systems for 2016Discussion of quality of care initiativesUpdated discussion of hospital and physician reimbursement and outpatient services