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how to cite medicare policy manual

by Rickey Keebler Published 2 years ago Updated 1 year ago
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Provide publication information for the manual. After the title, include the name of the company or organization that produced the manual. Place a comma after the company or organization's name, then list the year the manual was published.

Full Answer

How do you cite the Centers for Medicare and Medicaid Services?

*Note: For well-known agency abbreviations (EPA, NIH) you can use the agency abbreviation in your in-text citation. The important principle is that your in-text reference should point seamlessly to your Reference List entry. When in doubt, spell it out. Centers for Medicare & Medicaid Services. (December, 2020).

Where can I find the Medicare Policy Manual for therapy services?

(Rev.255, Issued: 01-25-19, Effective: 01- 01- 19, Implementation: 02-26-19) A comprehensive knowledge of the policies that apply to therapy services cannot be obtained through manuals alone. The most definitive policies are Local Coverage Determinations found at the Medicare Coverage Database www.cms.hhs.gov/mcd.

How do you cite a manual in a paper?

However, most citation methods don't have a format specifically for manuals, so you have to think about who produced it and what it's for. Since manuals are typically produced by corporations to describe how to use their products, cite the manual as a report from the company. [1]

Where can I find the Medicare program integrity manual?

This database can be accessed at www.cms.hhs.gov/mcd. See Pub.100-08, Medicare Program Integrity Manual, Chapter 3, Section 3.3, “Policies and Guidelines Applied During Review”, for instructions on submitting these lists to the MCD.

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Medicare Interactive

Your Bibliography: Medicare Interactive. 2016. Medicare Interactive. [online] Available at: <http://www.medicareinteractive.org/> [Accessed 22 March 2016].

Medicare.gov: the official U.S. government site for Medicare

Your Bibliography: Medicare.gov. 2016. Medicare.gov: the official U.S. government site for Medicare. [online] Available at: <http://medicare.gov> [Accessed 22 March 2016].

What is an admission order for Medicare Part A?

At the time that each Medicare Part A fee-for-service patient is admitted to an IRF, a physician must generate admission orders for the patient's care. These admission orders must be retained in the patient’s medical record at the IRF.

What happens if a beneficiary does not qualify for Medicare?

When a beneficiary has an effective election on file with CMS but does not have a condition that would qualify for Medicare Part A inpatient hospital or posthospital extended care services if the beneficiary were an inpatient of a hospital or a resident of a SNF that is not an RNHCI, then services furnished in an RNHCI are not covered by Medicare. A Medicare claim for services that were furnished to that beneficiary would be treated as a claim for noncovered services. If the beneficiary only needs assistance with activities of daily living, then the beneficiary's condition could not be considered as meeting the Medicare Part A requirements. Prior to submitting a claim to Medicare it is the responsibility of the RNHCI’s utilization review committee to determine that the beneficiary meets the Medicare Part A requirements.

What are nonmedical DME items?

The DME items include canes, crutches, walkers, commodes, a standard wheelchair, hospital beds, bedpans, and urinals. Those RNHCIs offering home services may order these items without a physician order and without compromising the beneficiary election for RNHCI care. The need for each item of DME ordered must be supported by the RNHCI patient’s plan of care for the home setting and the RNHCI nurses’ notes for home services. It must be noted that the benefit is applicable only to what we shall refer to as “nonmedical DME items” and does not include any of the related services provided by RNHCI staff members.

What are the exclusions for RNHCI?

The RNHCI home benefit must exclude the same services that are excluded from the home health benefit, which include: drugs and biologicals; transportation; services that would not be covered as inpatient services; housekeeping services; services covered under the End Stage Renal Disease program ; prosthetic devices; and medical social services provided to family members. These exclusions are defined at 42 CFR 409.49. Additionally, the RNHCI home benefit excludes the items or services provided by any HHA that is not an RNHCI; or any supplier, independent RNHCI nurse or aide that is working directly for a beneficiary rather than under arrangements with the RNHCI. Medicare requires a brief letter of intent from the provider in order to determine the number of RNHCIs that will be implementing the home service benefit.

What is RNHCI in Medicare?

Beneficiaries elect the RNHCI benefit if they are conscientiously opposed to accepting most medical treatment, since accepting such services would be inconsistent with their sincere religious beliefs. The Medicare home health benefit provides skilled nursing, physical therapy, occupational therapy, speech language pathology and home health aide services to eligible beneficiaries under a physician’s plan of care. The home health benefit also provides medical supplies, a covered osteoporosis drug and durable medical equipment (DME) while under a plan of care (see chapter 7).

What is a revocation of a RNHCI?

Revocation is the cancellation of the RNHCI election and can be achieved in two ways: either by submitting a written statement to the intermediary indicating the desire to cancel the election or by seeking nonexcepted medical care for which Medicare payment is sought.

Is a broken leg covered by Medicare?

A beneficiary was hospitalized for a non-covered service and broke a leg while in the hospital. Services related to care of the broken leg during this stay is a clear example of "not related to" services and are covered under Medicare.

Reports, Press Releases, Issue Briefs. Policy Briefs, etc

Author or Name of Group (If the group name has many layers, use the most specific agency as the author). The parent agencies will be listed as the publisher. Note: You can abbreviate agency names in-text, but do not abbreviate agency names in the list of references.

1st Example: Multi-layered agency

Sample report: Evaluation of Impacts to Underground Sources of Drinking Water by Hydraulic Fracturing of Coalbed Methane Reservoirs.

Reference List

Environmental Protection Agency. Report on the Environment. (2018, August). Acidity in Lakes and Streams. https://cfpub.epa.gov/roe/indicator.cfm?i=12

Reference List

McCully, C.P., Moyer, B.C., & Stewart, K.J. (2007, September). A Reconciliation between the Consumer Price Index and the Personal Consumption Expenditures Price Index. Bureau of Economic Analysis & Bureau of Labor Statistics. https://apps.bea.gov/papers/pdf/cpi_pce.pdf

Reference List

Environmental Protection Agency. Report on the Environment. (August, 2018). Acidity in Lakes and Streams. https://cfpub.epa.gov/roe/indicator.cfm?i=12

How to capitalize a manual?

Type the title of the manual in sentence case , capitalizing only the first word of the title and any proper nouns. Place a period at the end of the title unless the manual has a subtitle. For subtitles, place a colon after the title and then type the subtitle in sentence case with a period at the end.

How to start a works cited entry?

1. Start your Works Cited entry with the title of the manual in italics. Ordinarily, you would start any Works Cited entry with the name of the author. However, manuals typically don't have a named author, so you would start with the title of the manual instead.

What to do if a manual isn't paginated?

If the manual isn't paginated. Use a heading or section name instead to direct your readers to the area of the manual where the quoted material can be found. For example, if the Life Fitness manual wasn't paginated, you might use this parenthetical: (Life Fitness, 2006, Specifications section).

When writing a research paper, especially in a technical field, do you use a manual as a source

However, most citation methods don't have a format specifically for manuals, so you have to think about who produced it and what it's for.

Do you need a citation for a manual?

If you use the title of the manual in the text of your sentence and the manual isn't paginated, you don't need a citation at all. For example, you could write: "According to the iPad User Guide, Apple iPads have the capacity to replace a laptop for most basic uses.".

Can you count paragraphs in a manual?

You can also count the paragraphs in the manual and use a paragraph number (after the abbreviation "para."). Typically, this works better for manuals that are only a page or two long. Keep in mind that if you have to count the paragraphs, your readers will too. For example: (Life Fitness, 2006, para. 4).

How to cite a government report?

Often the author will be the government agency. If there is a specific report number available reference, include it in parentheses after the title.

What databases provide APA formatted references?

Tools like PsycINFO, Google Scholar, and other databases provide you with APA formatted references, but always remember to double-check them -- often there will be a couple details that need to be corrected.

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