NATIONAL MEDICARE ADVOCATES ALLIANCE CALL
Monday, July 11th, 2016 – 2:00 P.M., Eastern Time
Call-in Number: 1 (888) 206-2266
Pass Code: 9874704
NOTE: We ask people calling from the same location to gather around one telephone.
This frees up lines and holds down costs.
Please ensure your line is on MUTE for the duration of the call until the Q&A portion of the Agenda.
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PROPOSED MEDICARE APPEALS RULE & OTHER ISSUES
− AGENDA –
- Welcome and Housekeeping (David Lipschutz, Moderator)
- News re John A. Hartford Project (Judy Stein)
- Proposed Rule to Revise Medicare Administrative Appeals Process (David Lipschutz)
- Scope of Proposed Rule and Outline of Concerns
- 81 Fed Reg 43790 (July 5, 2016)
- Comments due August 29, 2016
- Scope of Proposed Rule and Outline of Concerns
- Observation Status (Toby Edelman)
- Advocacy update
- NOTICE Act and MOON Notice – effective August 2016
- Medicare Coverage Expansion Updates (Kata Kertesz)
- Oral health care
- Momentum for medically necessary oral health coverage
- Push for coverage of preventive/routine services
- Audiology
- June 23, 2016 press and advocates briefing
- Oral health care
- Proposed Rule: DME Access for Dually Eligible People (Kata Kertesz)
- Proposed ESRD Rule
- 81 Fed Reg 42801(June 30, 2016) – see Section IX. Access to Care Issues for DME, page 42864-5
- https://www.federalregister.gov/articles/2016/06/30/2016-15188/medicare-program-end-stage-renal-disease-prospective-payment-system-coverage-and-payment-for-renal
- Comments due August 23, 2016
- Administration on Community Living Grant – For Medicare Beneficiaries Under age 65 (Kathy Holt)
- Litigation Update (Ali Bers)
- Jimmo (Improvement standard)
- Hearing on Motion for Resolution of Non-Compliance with the Settlement Agreement held May 26, 2016
- Exley (formerly Lessler) (ALJ Delay Case)
- Settlement preliminarily approved
- Barrows (formerly Bagnall) (Observation)
- Discovery on protected property interest issue; summary judgment briefing
- Other cases
- Sherman (Lower level Medicare appeals)
- Ryan (Prior favorable homebound determination)
- Lodge (Medically necessary oral health care)
- Bremby (Per se skilled services)
- Jimmo (Improvement standard)
- 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: