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  • 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 is and is not in the bill for beneficiaries
      • Senate takes the bill up now …
    • Dueling Budgets: Overview of House and Senate, Republican and Democratic Budgets and Medicare (Kata Kertesz)
  • Administrative/Other Updates 
    •    CMS issues Final CY 2016 Call Letter: Overview (David Lipschutz)
  • Advocacy Update: Observation Status (Terry Berthelot)
    • Observation Status bills reintroduced in new Congress (H.R. 1571/S. 843)
    • Update on strategy concerning handling individual appeals
  • Litigation Update   (Ali Bers)
    • Bagnall (Observation)
    • Lessler (ALJ Delay Case)
    • Jimmo (Improvement standard)
      • Discussion: Jimmo Council – strategies for implementation (Judy Stein)
    • Haro (Medicare Secondary Payer Recovery)
    • Hull (lower level Medicare appeals)
    • Ryan (prior favorable homebound determination)
  • 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: https://www.medicareadvocacy.org/Projects/AdvocatesAlliance/AdvocatesAlliance.IssueBriefs.htm

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