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  • Welcome and Housekeeping  (David Lipschutz, Moderator) 
  • Legislative Update (David Lipschutz)
  • Senate Finance Committee Releases Document for Comment
    • Bipartisan Chronic Care Working Group Policy Options Document (December 2015)
      • Overview
      • Comments due January 26, 2016
  • Medicare Appeals Bill Introduced in Senate
    • Audit & Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015 (S.2368)
      • Overview
  • Administrative Update   
  • Final Rule on DME (Kathy Holt)
    • Overview of CMS Final Rule for Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)   
  • Proposed Rule on Discharge Planning (Alfred Chiplin)
    • Overview of CMS proposed discharge planning requirements for Medicare-participating hospitals, Critical Access Hospitals (CAHs), and Home Health Agencies (HHAs)
  • Litigation Update   (Ali Bers)
    • Bagnall (Observation)
    • Lessler (ALJ Delay Case)
    • Jimmo (Improvement standard)
    • Hull and Olsen-Ecker (lower level Medicare appeals)
    • Ryan (prior favorable homebound determination)
    • Lodge (extreme dental care)
    • Bremby (per se skilled services)
  • General Medicare Q&A (Moderator)
  • Wrap-up  (Moderator)

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o   Next Call

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