The "Understanding Medicare: Provider Handbook" offers an introductory overview of the Medicare system, covering key terms, concepts, and processes. It serves as a starting point for understanding Medicare, however is not a designed to be a comprehensive guide, and while the handbook aims to provide accurate information, it is not a substitute for legal advice, and the legislation governing Medicare remains the primary reference. The relevant legal documents can be accessed through the Federal Register of Legislation.
The handbook is designed to help healthcare professionals build a solid fundamental knowledge of Medicare functions and principles. It covers:
• Medicare fundamentals
- Medicare programs
- Medicare and hospitals
- Medicare Safety Nets
• The Medicare Benefits Schedule (MBS)
- Key components
- MBS rules and requirements
• Medicare claiming
- Patient claiming
- Bulk billing
- Administrative requirements
- Submitting claims
- Incorrect payments
• Benefit claims
• MBS Online
• Where to get help and support