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Social Security and Medicare Answer Book provides the specific guidance you need so you can ensure your clients receive maximum benefit under the law. Get answers to vital questions such as: How has the Social Security Administration revised the disability determination process? What is the amount of an individual's Social Security benefit? Does my client need insurance to supplement Medicare? Does Medicare cover long-term care? What level of retirement income will be needed to supplement Social Security? At what point are benefits lost if an individual continues to work beyond retirement age? and many more! Social Security and Medicare Answer Book contains separate, in-depth sections devoted to: Social Security: You'll find detailed explanations of the types of benefits available, who qualifies, how to apply, and what to do if you are denied benefits. You'll learn how to calculate benefits and when and how benefits may be lost. Medicare Part A: You'll find detailed explanations of the coverage and rules for each of the categories covered under Part A, namely, inpatient hospital care, skilled nursing facilities, home health services, and hospice care. Medicare Part B: You'll get full details on the specific services covered under Part B, including outpatient and partial hospitalization, home health services, nurse-midwife services, dental/eye care services, mental health services, and prescription drugs. Medicare Advantage: Sometimes called Medicare Part C (formerly Medicare + Choice), you'll get in-depth explanations of the expanded range of choices potentially available to Medicare beneficiaries including provider-sponsored organizations, private fee-for-service plans, and medical savings accounts. Medicare Part D: Learn the details of the best known feature of the sweeping Medicare reforms providing For The voluntary prescription drug program. Social Security and Medicare Answer Book has been updated to include: A detailed discussion of the changes enacted by the Medicare Improvements for Patients and Providers Act of 2008, The federal stimulus legislation (the American Recovery and Reinvestment Act of 2009), recent regulations, and developments since the Part D prescription drug benefit went into effect A discussion of the present and projected financial condition of Social Security and Medicare, including a discussion of the data contained in the 2009 Trustees' Reports An outline of recent reform proposals designed to improve both the financial position of Social Security and Medicare And The efficiency and quality of services provided under Medicare New questions about the Recovery Audit Contractor (RAC) Program and more!

Tabla de contenidos provista por Syndetics

• Introduction
• Social Security
• Medicare
• The Financial Condition of Social Security
• The Financial Condition of Medicare
• The Outlook for the Future
• Reform Proposals
• How Big Is the Social Security Financing Problem?
• Recent Developments
• 1 Overview of the Social Security System
• Function and Operation of the Social Security System
• Social Security Benefits
• 2 Coverage Under the Social Security Act
• Overview of Coverage
• Defining Employer and Employee
• Self-Employment Coverage
• Officers, Directors, Partners, and Stockholders
• Life Insurance Agents
• Members of the U.S. Uniformed Armed Forces
• State and Local Government Employees
• Domestic Workers
• 3 Social Security Taxes and Earnings
• Tax and Income Apportionment
• Employers and Employees
• Wages
• Domestic Workers
• Tips
• Self-Employment Income
• 4 Benefits Programs
• Retirement Benefits
• Disability Benefits
• Benefits for Dependents
• 5 Application for Benefits and Proof of Entitlement
• Application for Benefits
• Calculating Benefit Payment Amounts
• Evidence for Benefits
• 6 Entitlement for Disability
• Determining Disability
• Evidentiary Requirements
• Resumed Employment and Benefit Termination
• Ticket to Work Act
• 7 Payment of Benefits
• Calculation of Benefits
• Maximum Family Benefit
• Procedures for Payment of Benefits
• 8 Administrative Review Process
• Hearing Before an Administrative Law Judge
• Representatives' Fees
• Review by the Appeals Council
• Review by Federal District Court
• 9 Loss of Benefits
• Retirement Test
• Excess Earnings
• Recipients of Dependent's or Survivor's Benefits
• Earnings of Insurance Agents
• 10 Introduction to Medicare
• How Medicare Works
• The Four Parts of Medicare
• Coverage and Claims
• 11 Eligibility for Medicare
• Part A
• Part B
• 12 Medicare Secondary Payer Rules
• Other Insurance
• Group Health Plans
• 13 Medicare Claims and Appeals
• General Rules
• Rules Relating to Part A Claims
• Rules Relating to Part B Claims
• Rules Relating to Medicare HMOs
• Rules Relating to Medicare Advantage Organizations
• Additional Requirements Under ERISA
• Rules Under the 2003 Medicare Legislation
• Revised Rules Under the 2005 CMS Regulations
• General Rules Under the 2005 CMS Regulations
• Initial Determinations
• ALJ Hearings
• Medicare Appeals Council Review
• The Recovery Audit Contractor (RAC) Program
• Claims and Appeals Under the Medicare Advantage Program (Part C of Medicare)
• Claims and Appeals Under the Medicare Prescription Drug Program (Part D of Medicare)
• 14 Medicare Financing
• Financing of Medicare Part A
• Financing of Medicare Part B
• 15 Benefits Under Medicare Part A
• Inpatient Hospital Care
• Skilled Nursing Facility Care
• Home Health Services
• Hospice Care
• 16 Benefits Under Medicare Part B
• Specific Services Covered
• Other Services
• Paying