- 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
- Bipartisan Chronic Care Working Group Policy Options Document (December 2015)
- Medicare Appeals Bill Introduced in Senate
- Audit & Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015 (S.2368)
- Overview
- Audit & Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015 (S.2368)
- 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)
o Keep informed: Myths and Truths, other information and updates on the Center’s Website
o Next Call
REMINDER: Other information available at: https://www.medicareadvocacy.org/Projects/AdvocatesAlliance/AdvocatesAlliance.IssueBriefs.htm.