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Master Medicare Guide, 2019 Edition by Wolters Kluwer Editorial Staff

Master Medicare Guide, 2020 Edition

By Wolters Kluwer Editorial Staff


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The 2020 Master Medicare Guide is packed with timely and useful information for providers, attorneys, and consultants who need to stay on top of one of the most complex programs maintained by the federal government.

The 2020 Edition includes: Nearly 550 explanation summaries for all aspects of the Medicare program – coverage, eligibility, reimbursement, fraud and abuse, and administration.

These explanations reflect significant regulatory changes that went into effect in 2019, including –

  • The SUPPORT for Patient and Communities Act (P.L. 115-271) coverage changes, including those to opioid use disorder treatment services
  • Further implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) (P.L. 114-10) and the Bipartisan Budget Act of 2018 (P.L. 115-123)
  • Annual prospective payment updates for Medicare providers

All discussions include cross-references to relevant laws, regulations, CMS manual sections, administrative and judicial decisions, and more!

Previous Edition: Master Medicare Guide, 2019 Edition, ISBN: 9781543806656

Pages 1472
Last Updated 02/12/2020
Update Frequency Annually
Product Line Wolters Kluwer Legal & Regulatory U.S.
ISBN 9781543821192
SKU 10030052-0010
Table of Contents
  1. Medicare Part A Coverage
  2. Medicare Part B Coverage
  3. Medicare Part C Coverage
  4. Medicare Part D Coverage
  5. Financing and Administration
  6. Provider Agreements – Conditions of Participation
  7. Coverage Determinations and Exclusions
  8. Prospective Payment Systems
  9. Other Payment Systems
  10. Part B Payments—General
  11. Part B Payments—Fee Schedules
  12. Program Integrity
  13. Fraud and Abuse
  14. Claims Filing
  15. Claims Appeals
  16. HIPAA
  17. HITECH
  18. Appendices
  19. Topical Index