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  • 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 of the complaint and remanded the case to district court to proceed on due process claims
    • Lessler (ALJ Delay Case) – On 1/29/15, defendant’s motion to dismiss was denied
  • Update on Other Litigation
    • Jimmo (Improvement standard)
    • Haro (Medicare Secondary Payer Recovery)
    • Hull (lower level Medicare appeals)
    • Ryan (prior favorable homebound determination)
  • Legislative/Budget Update (David Lipschutz)
    • The President’s Proposed FY2016 Budget: Impact on Medicare
  • Medicare physician payment (Sustainable Growth Rate, or SGR) – action required by end of March 2015
  • Administrative/Other Updates
    • Home Health Face-to-Face Requirements (Wey-Wey Kwok)
    • MedPAC proposals on site-neutral payments, observation status (Toby Edelman)
  • Advocacy Update: Observation Status (Terry Berthelot)
    • Strategy concerning handling individual appeals
  • Director’s Update (Judy Stein)
  • 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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