- Welcome and Housekeeping (David Lipschutz, Moderator)
- Litigation Update (Gill Deford)
- Jimmo – Improvement standard
- Bagnall (Observation)
- Other litigation
- Re-Review of Previously Denied Claims Pursuant to the Jimmo Settlement (Ali Bers)
- Overview
- Claims Eligible for Review
- Deadlines and Request Form
- Overview
- Due Process and Medicare Appeals
- Denial rate of beneficiary appeals at lower levels of review (Gill Deford)
- Office of Medicare Hearings and Appeals (OMHA) (Margaret Murphy)
- Medicare Appellant Forum – (2/12/14)
- ALJ scheduling backlog
- Instructions/advice for beneficiary-initiated appeals
- Rights of Surviving Spouses to Appeal Medicare claims (Ali Bers)
- Pattern of surviving spouses (and others) being told by Medicare that they cannot appeal a deceased beneficiary’s Medicare claim unless they produce court documentation of their authority to represent the estate
- Legislative Update: The Federal Budget and Medicare (David Lipschutz)
- Short-Term Medicare “Doc Fix” Passed (Physician payment, or “SGR”)
- Extenders: QI program and therapy cap exceptions process
- Other provisions
- Dueling Budgets: President Obama v. House Budget Chairman Paul Ryan
- Short-Term Medicare “Doc Fix” Passed (Physician payment, or “SGR”)
- Regulatory Update
- CMS’ Final FY2015 Call Letter (David Lipschutz)
- Medicare Advantage payment rates
- Other provisions
- Windsor and Medicare Enrollment (Alfred Chiplin)
- Pursuant to the Windsor decision (Supreme Court DOMA decision), the Dept. of Health and Human Services (HHS) has issued updated eligibility and enrollment guidance for same sex couples
- CMS’ Final FY2015 Call Letter (David Lipschutz)
- General Medicare Q&A (Moderator)
- Wrap-up (Moderator)
- Keep informed: Myths and Truths, other information and updates on the Center’s Website
- Next Call
REMINDER: other information available at: