Understanding the Medicare appeals process

Article Abstract:

This article examines the appeal rights of care providers under Medicare parts A, B, and C. Topics addressed include how to appeal when Medicare denies a claim or decides that it has overpaid a provider.

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Highlights of the Medicare Balanced Budget Refinements Act of 1999

Article Abstract:

This article examines the benefits of the Medicare Balanced Budget Refinements Act of 1999 for practitioners of physical therapy, which lifted the $1,500 limit on physical therapy services in all hospital and medical care settings for two years. The provisions of the law are detailed.

Statistical Data Included, Hospitals, Physical therapy

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Home health payment under Medicare Part B: an update

Article Abstract:

This article details the actions of the American Physical Therapy Association to help physical therapists who find it difficult to receive payments under Medicare Part B for services provided to recently discharged home health plan patients. How the Health Care Financing Administration's final rule on the home health agency prospective payment system has impacted physical therapists is addressed.

Political activity, Home care services, American Physical Therapy Association

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