Medicare Explained

Book excerpt: 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. Medicare Explained includes: Analysis of legislative, regulatory, and agency guidance issuance on available benefit. Medicare coverage and exclusions. The administration of the Medicare program. Medicare payment rules under Parts A, B, C, and D. Details on the process for submitting beneficiary claims as well as the appeals process.