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Medicare Part A Coverage | |
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Entitlement to Part A Hospital Insurance | |
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Deductibles and Coinsurance | |
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Inpatient Hospital Services | |
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Covered Inpatient Hospital Services | |
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Limitations on Coverage | |
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Skilled Nursing Facility Services | |
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Covered SNF Services | |
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Limitations on Coverage | |
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Home Health Services | |
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Conditions of Coverage for Home Health Services | |
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Covered Home Health Services | |
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Limitations on Home Health Coverage | |
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Hospice Services | |
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Medicare Part B Coverage | |
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Eligibility, Enrollment, Coverage Period | |
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Benefits Under the Part B Program | |
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Beneficiary Cost Sharing | |
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Medicare Part C Coverage | |
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Medicare Part D Coverage | |
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Financing And Administration | |
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Government Financing | |
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Administration of the Medicare Program | |
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Medicare Contractors | |
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Quality Improvement Organizations | |
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Quality Improvement Initiatives | |
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Experiments and Demonstrations | |
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Private Insurance Health Plans | |
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Provider Agreements-Conditions Of Participation | |
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Provider Agreements | |
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Conditions of Participation Hospitals | |
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Critical Access Hospitals | |
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Psychiatric Hospitals | |
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Skilled Nursing Facilities | |
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Home Health Agencies | |
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Comprehensive Outpatient Rehabilitation Facilities | |
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Hospice Programs | |
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Providers of Outpatient Physical Therapy or Speech Pathology Services | |
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Laboratories | |
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Portable X-Ray Service Suppliers | |
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Organ Procurement Organizations | |
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End-Stage Renal Disease Facilities | |
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Rural Health Centers and FQHCs | |
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Ambulatory Surgical Centers | |
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Mammography Facilities | |
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Coverage Determinations And Exclusions | |
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National and Local Coverage Determinations | |
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Exclusions from Coverage | |
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Prospective Payment Systems Inpatient Hospital Pps | |
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Hospital Outpatient PPS | |
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Inpatient Rehabilitation Facility PPS | |
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Outpatient Rehabilitation Facility PPS | |
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Long-Term Care Hospital PPS | |
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Psychiatric Hospitals and Units PPS | |
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End-Stage Renal Disease Program | |
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Ambulatory Surgical Centers | |
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Hospice | |
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Home Health PPS | |
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Skilled Nursing Facility PPS | |
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Federally Qualified Health Center PPS | |
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Other Payment Systems | |
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Critical Access Hospitals | |
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Alternative Payment Systems | |
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Part B Payments | |
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General Limits and Payment Rules | |
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Reasonable Charge Payment Method | |
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Other Payment Rules | |
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Physician Fee Schedule | |
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Special Payment Issues | |
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Facility-Based Physicians | |
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Other Health Care Practitioners | |
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Cost Report And Claims Appeals | |
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Cost Report Appeals | |
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Claims Appeals | |
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Determinations and Appeals | |
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Medicare Claims Appeals | |
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Judicial Proceedings and Other Legal Processes | |
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Cost Reports | |
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Allowable Costs | |
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Appendices | |
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Topical Index | |