Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
Total Pages: 192
Release: 2018-06-16
Genre:
ISBN: 9781721535422

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Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions of the Affordable Care Act that expand access to health coverage through improvements in Medicaid and coordination between Medicaid, CHIP, and Exchanges. This rule finalizes most of the remaining provisions from the "Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing; Proposed Rule" that we published in the January 22, 2013, Federal Register. This final rule continues our efforts to assist states in implementing Medicaid and CHIP eligibility, appeals, and enrollment changes required by the Affordable Care Act. This book contains: - The complete text of the Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Section 1557 of the Affordable Care Act

Section 1557 of the Affordable Care Act
Author: American Dental Association
Publisher: American Dental Association
Total Pages: 60
Release: 2017-05-24
Genre: Medical
ISBN: 1941807712

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Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.

Annual Report on Medicare

Annual Report on Medicare
Author: United States. Health Care Financing Administration
Publisher:
Total Pages: 260
Release: 1980
Genre: Health insurance
ISBN:

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Medicare Law

Medicare Law
Author:
Publisher:
Total Pages: 516
Release: 2012
Genre: Health insurance
ISBN: 9780769855240

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Health Care Fraud and Abuse

Health Care Fraud and Abuse
Author: Aspen Health Law Center
Publisher:
Total Pages: 156
Release: 1998
Genre: Business & Economics
ISBN:

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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.

Health Services for American Indians

Health Services for American Indians
Author: United States. Public Health Service. Office of the Surgeon General
Publisher:
Total Pages: 364
Release: 1957
Genre: Health Services
ISBN:

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The Promise of Assistive Technology to Enhance Activity and Work Participation

The Promise of Assistive Technology to Enhance Activity and Work Participation
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 503
Release: 2017-09-01
Genre: Medical
ISBN: 030945784X

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The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.

Beyond Fair Hearings

Beyond Fair Hearings
Author: Beth Stevens
Publisher:
Total Pages: 62
Release: 2001
Genre:
ISBN:

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This report presents the findings from a 'Study of Medicaid Fair Hearing Adaptations', which assists in identifying, describing, and understanding innovative attempts by states to make Medicaid grievance and appeal procedures more effective.

A Practical Guide to Medicare Appeals

A Practical Guide to Medicare Appeals
Author: Kathleen Scully-Hayes
Publisher: American Bar Association
Total Pages: 436
Release: 2007
Genre: Law
ISBN: 9781590318270

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A Practical Guide to Medicare Appeals describes the steps necessary to successfully resolve appeals of all types of Medicare determinations. Co-authored by a CMS hearing officer and a private practitioner with years of Medicare appeals experience, this book will walk practitioners through every step of the very confusing and sometimes self-contradictory rules so that appeals can be decided on their merits rather than barred for procedural rules violations.