AHLA Medicare Law (Cornerstone Series) (AHLA Members)
Select a format
Select subscription type
Terms & conditions
Subscribers receive the product(s) listed on the Order Form and any Updates made available during the annual subscription period. Shipping and handling fees are not included in the annual price.
Subscribers are advised of the number of Updates that were made to the particular publication the prior year. The number of Updates may vary due to developments in the law and other publishing issues, but subscribers may use this as a rough estimate of future shipments. Subscribers may call Customer Support at 800-833-9844 for additional information.
Subscribers may cancel this subscription by: calling Customer Support at 800-833-9844; emailing firstname.lastname@example.org; or returning the invoice marked "CANCEL".
If subscribers cancel within 30 days after the product is ordered or received and return the product at their expense, then they will receive a full credit of the price for the annual subscription.
If subscribers cancel between 31 and 60 days after the invoice date and return the product at their expense, then they will receive a 5/6th credit of the price for the annual subscription. No credit will be given for cancellations more than 60 days after the invoice date. To receive any credit, subscriber must return all product(s) shipped during the year at their expense within the applicable cancellation period listed above.
If you are not an AHLA member and would like to purchase this book, click here.
The American Health Law Association is pleased to bring you the Third Edition of Medicare Law. Our tremendous thanks go to Editor-in-Chief Thomas W. Coons and author experts Rodney A. Johnson, Emily Jane Cook, John R. Hellow, David W. Hilgers, Elizabeth T. Thomas, Matthew Philip Utecht, Kathleen Ann Peterson, Anne W. Hance, Gary Scott Davis, Adam J. Rogers, Donald H. Romano, Robert L. Roth, William T. Mathias, and James F. Flynn. Their work, like that of the previous author Terry Coleman, leads you through the Medicare maze, from a discussion about the program's structure, to the critically important aspects of benefits, coverage, and eligibility.
Coverage includes in depth examination and discussion of:
- Payment for hospital services, including PPS and PPS-exempt hospitals
- Hospital payment methods
- The DRG system
- The urban/rural distinctions
- Outlier payments
- The physician fee schedule
- Cost reimbursement
- Prohibited acts under the Anti-Kickback and Stark Laws
- Administrative and judicial appeals processes; and
- The new incentive payment programs
This is the road map to a thorough understanding of Medicare, whether you are just beginning the journey or are continuing to learn about this complex and important aspect of healthcare law. Best of all, it is organized to facilitate an understanding of the program and provides citations to the underlying portions of the statute, regulations and manuals.
eBooks, CDs, downloadable content, and software purchases are non-cancellable, nonrefundable and nonreturnable. Click here for more information about LexisNexis eBooks. The eBook versions of this title may feature links to Lexis+® for further legal research options. A valid subscription to Lexis+® is required to access this content.
Published December, 2012.
Table of contents
About the American Health Law Association
Recent Titles from Health Lawyers
About the Editor-in-Chief
About the Authors
Chapter 1 — Introduction
Chapter 2 — Benefits and Coverage Under Part A and Part B
Chapter 3 — Payment for Hospital Services
Chapter 4 — Payment for Physician Services
Chapter 5 — Payment for Other Items and Services
Chapter 6 — Prescription Drug Benefit
Chapter 7 — Medicare Advantage and PACE Plans
Chapter 8 — Cost Reimbursement
Chapter 9 — Conditions for Coverage and Payment
Chapter 10 — Billing, Payment, and Charges
Chapter 11 — Prohibited Acts and Penalties
Chapter 12 — Appeals and Reopenings
Chapter 13 — Incentive Payment Programs