Alliance Agenda

Welcome and Housekeeping  (David Lipschutz, Moderator)  Administrative Update    Proposed Requirements of Participation for Nursing Facilities (Toby Edelman) Overview of Proposed Rule - 80 Fed. Reg. 41267 (July 16, … [Read more...] about September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator)  Legislative Update    Senate Finance Committee Addresses Medicare Appeals System (David Lipschutz & Judith Stein) Hearing on April 28, 2015 re: … [Read more...] about June 2015 – Reforming Medicare’s Appeal System & Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator)  Legislative/Budget Update    Medicare physician payment (Sustainable Growth Rate, or SGR) (David Lipschutz) House passed SGR bill – review of what … [Read more...] about April 2015 – The Potential Impact of the “Doc Fix” & Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator) Litigation Update   (Ali Bers) Discussion of two recent litigation victories: Bagnall (Observation) – On 1/22/15, the 2nd Circuit Court of Appeals reversed the trial court’s dismissal … [Read more...] about February 2015 – Live to Fight Another Day: Bagnall, Lessler & Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator) Legislative Update: The Year Ahead: Overview (David Lipschutz) Legislative landscape in a new Congress Medicare physician payment (Sustainable Growth Rate, or SGR) – … [Read more...] about December 2014 – The Year Ahead and Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator) Legislative Update: The IMPACT Act of 2014 (David Lipschutz) Overview  – signed into law by President Obama on October 6, 2014, the Improving Medicare Post-Acute Care … [Read more...] about October 2014 – Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) and Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator) Changes to Medicare’s Quality Improvement Organizations (QIOs) (Alfred Chiplin and Terry Berthelot) Overview of QIO restructuring to separate the beneficiary complaint review … [Read more...] about August 2014 – Restructuring of Medicare’s Quality Improvement Organizations (QIOs) and Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator) Medicare’s Coverage of Capped Rental Items During Part A Institutional Stays: Losing Access to Speech Generating Devices (SGDs) (Alfred Chiplin) Overview of Medicare coverage … [Read more...] about June 2014 – Medicare Coverage of Speech Generating Devices During Part A Stays & Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator) Litigation Update   (Gill Deford) Jimmo – Improvement standard Bagnall (Observation) Other litigation Re-Review of Previously Denied Claims … [Read more...] about April 2014 – Ongoing Medicare Appeals Concerns and Other Issues

Welcome and Housekeeping  (David Lipschutz, Moderator) Presentation:  Re-Review of Previously Denied Claims Pursuant to the Jimmo Settlement (Gill Deford) Overview Claims Eligible for Review Deadlines and Request … [Read more...] about February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues