- 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)
- Jimmo (Improvement standard)
- 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
REMINDER: Other information available at: https://www.medicareadvocacy.org/Projects/AdvocatesAlliance/AdvocatesAlliance.IssueBriefs.htm.