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  • Welcome and Housekeeping  (David Lipschutz, Moderator) 
  • Litigation Update   (Ali Bers)
    • Jimmo (Improvement standard)
      • Court order for additional education issued August 18, 2016
    • Exley (formerly Lessler) (ALJ Delay Case)
      • Settlement approved August 1, 2016
    • Sherman (Lower level Medicare appeals)
      • Defendant’s motion to dismiss denied, class certification granted August 8, 2016
    • Bremby (Per se skilled services)
      • Coverage of injections granted after remand, plaintiff continues to object to rationale
    • Other cases:
      • Barrows (formerly Bagnall) (Observation)
      • Ryan (Prior favorable homebound determination)
      • Lodge (Medically necessary oral health care)
  • Home Health Benefit – Diminishing Access to Care (Judy Stein and Kathy Holt) 
    • Overview of Benefit – In Law and In Practice
    • Recent Policy Changes
      • Recent proposed rule
      • Pre-claim review
  • Medicare Administrative Appeals Process (David Lipschutz)
    • Overview of recent proposed rule
    • Legislative proposals
  • Administration on Community Living Grant – For Medicare Beneficiaries Under age 65 (Kathy Holt)
  • General Medicare Q&A (Moderator)
  • Wrap-up  (Moderator)
    • Keep informed: Myths and Truths, other information and updates on the Center’s Website
    • Next Call

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