Descripciones mejoradas de Syndetics:

Social Security and Medicare Answer Book provides the specificguidance you need so you can ensure your clients receive maximum benefit underthe law. Get answers to vital questions such as:Does the health care reform legislation change the benefits under Part B?How has the Social Security Administration revised the disabilitydetermination 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 beyondretirement age?And many more!Social Security and Medicare Answer Book containsseparate, in-depth sections devoted to:Social Security: You'll find detailed explanations of the types ofbenefits available, who qualifies, how to apply, and what to do if you aredenied benefits. You'll learn how to calculate benefits and when and howbenefits may be lost.Medicare Part A: You'll find detailed explanations of the coverage andrules for each of the categories covered under Part A, namely, inpatienthospital care, skilled nursing facilities, home health services, and hospicecare.Medicare Part B: You'll get full details on the specific servicescovered under Part B, including outpatient and partial hospitalization, homehealth services, nurse-midwife services, dental/eye care services, mentalhealth 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 choicespotentially available to Medicare beneficiaries including provider-sponsoredorganizations, private fee-for-service plans, and medical savings accounts.Medicare Part D: Learn the details of the best known feature of thesweeping Medicare reforms providing for the voluntary prescription drugprogram.Social Security and Medicare Answer Book has been updated toinclude coverage of the following new developments and issues:The current financial status for Social Security and Medicare and the futureoutlook for bothChange in address of beneficiaryElectronic payment of benefitsVoluntary classification settlement programReduction of FICA taxes for 2012Voluntary tip reporting programsAccuracy and completeness of earnings recordSpecial monthly benefitsUpdated average monthly Social Security benefit paymentsDisability determination processTicket to Work program for disabled beneficiariesUpdated special minimum PIAComputation of the family maximumIndividuals cannot opt out of Medicare Part A without also rejecting SocialSecurity benefitsFiling claims for fee-for-service servicesUpdated details of recovery audit contractors (RACs)Financing of Medicare Part A and BAnd much 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
• 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
• Direct Sellers, Traveling Salespeople, and Commission Drivers
• Manufacturers' Representatives
• Life Insurance Agents
• Crews on Fishing Boats
• Railroad Employees
• Foreign Students and Other Nonimmigrant Aliens
• Members of the U.S. Uniformed Armed Forces
• Federal Government Employees
• Family Employment
• 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
• Survivor's Benefits
• The American Recovery and Reinvestment Act of 2009
• 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
• Persons Who Can Receive Payments
• Benefits Under Foreign Social Security Systems
• Procedures for Payment of Benefits
• The American Recovery and Reinvestment Act of 2009
• 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
• Obtaining Information
• 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
• Health Privacy
• Additional Requirements Under ERISA
• Rules Under the 2003 Medicare Legislation
• Revised Rules Under the 2005 and 2009 CMS Regulations
• General Rules Under the 2005 and 2009 CMS Regulations
• Initial Determinations
• ALJ Hearings
• Medicare Appeals Council Review
• The Recovery Audit Contractor (RAC) P