CCH Adds Medicare Reimbursement Books to Understanding Series

(RIVERWOODS, ILL., May 10, 2005) – CCH INCORPORATED (CCH), a leading health care publisher and solutions provider, has released three new volumes in its Understanding series: Understanding Reimbursement for Skilled Nursing Facilities,Understanding Medicare Reimbursement to Small and Rural Hospitals and Understanding and Optimizing Medicare Cost Reporting. The series presents complex compliance and reimbursement information in an easy-to-understand style, giving hospitals, skilled nursing facilities and other providers the expert answers they need to receive full reimbursement for their services. (For more information or to order, call 1-800- 248-3248 or visit the CCH online store at

“Having a staff that understands the ins and outs of Medicare and Medicaid programs is an essential first step for any organization that participates in them,” said Wendy Wuchek, managing editor for CCH. “The Understanding series gives hands-on reimbursement professionals the exact tools they need to ensure their facilities receive the reimbursement to which they are entitled.”

Skilled Nursing Facilities, Rural Hospitals, Cost Reporting

Each book in the CCH Understanding Series contains best practices, checklists, flow charts outlining key processes and examples to help clarify more complicated situations, as well as a list of acronyms, a glossary of key terms and applicable primary source documents. The series is comprised of the following three new books:

  • Understanding Reimbursement for Skilled Nursing Facilities is a thorough guide to coverage and conditions of participation under the Skilled Nursing Facility Prospective Payment System (SNF PPS). Individual chapters detail SNF conditions of participation, Medicare coverage criteria, the SNF PPS Resident Classification System, SNF PPS per diem federal rates, SNF consolidated billing requirements, swing-bed facilities and medical review of SNF services.
  • Understanding Medicare Reimbursement to Small and Rural Hospitals focuses on payment systems for hospitals with special Medicare status. The book covers geographic classification and the Prospective Payment System (PPS) and devotes individual chapter-specific requirements and payment rules for rural referral centers, Medicare-dependent hospitals and sole community hospitals. In addition to addressing the issues for small and rural hospitals paid under PPS, Understanding Medicare Reimbursement to Small and Rural Hospitals includes a chapter on critical access hospitals (CAHs) that provides a detailed discussion of the requirements to be classified as a CAH, cost-based payment method under which CAHs are paid and other rules that apply specifically to CAHs .
  • Understanding and Optimizing Medicare Cost Reporting is a detailed yet understandable discussion of Medicare cost reporting for Prospective Payment System hospitals. Chapters cover the general rules of cost reporting, cost report reimbursement for PPS approved teaching hospitals, disproportionate share hospital adjustments, Medicare bad debts, settlement data, and tips for a successful audit. The goal of this book is to provide background, tips and tools to optimize the cost reporting process and effectively use the cost report as an internal financial tool.

About the Understanding Series

These three new books are part of CCH’s Understanding desk reference series designed to present complicated information regarding reimbursement and compliance issues relative to Medicare and Medicaid programs in a useful, “plain English” format.

Previously published books in the series are: Understanding Provider-Based Status; Understanding Reimbursement for Investigational Drugs and Devices; Understanding the Medicare Claims Appeals Process; Understanding Medicare Provider Payment Systems; Understanding the History of Provider Reimbursement Manual Policy; and Understanding the Medicare Cost Report Appeals Process.

Availability and Pricing

Each book in the Understanding Series is between 180 and 220 pages. For more information or to order, call 1-800-248-3248 or visit the CCH online store at Reimbursement for Skilled Nursing Facilities is $99.95; Understanding Medicare Reimbursement to Small and Rural Hospitals $79.95; Understanding and Optimizing Medicare Cost Reporting is $99.95. Quantity discounts are available. The cost for the three-book bundle is $249. Applicable tax, shipping and handling is in addition. Quantity discounts are available.


CCH INCORPORATED is a leading provider of health care law information and software ( Headquartered in Riverwoods, Ill., CCH was founded in 1913 and has served more than four generations of professionals and their clients. CCH is a Wolters Kluwer company ( and, with Aspen Publishers, is part of the Wolters Kluwer Legal unit.

Wolters Kluwer is a leading multinational publisher and information services company. Wolters Kluwer has annual revenues (2004) of €3.3 billion, employs approximately 18,400 people worldwide and maintains operations across Europe, North America and Asia Pacific. Wolters Kluwer is headquartered in Amsterdam, the Netherlands. Its depositary receipts of shares are quoted on the Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices.



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