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Schedule
This program will be formatted as a traditional two and a half day in-person program - we are excited for attendees to connect and network in person.
AHLA is committed to providing a safe and healthy environment for program participants and staff. AHLA has adopted preventative measures to reduce the potential spread of the COVID-19 virus, including proof of vaccine, and is following guidance provided by the US Centers for Disease Control and local authorities. Attendees are also expected to do their part and abide by AHLA’s Duty of Care.
Full Agenda |
Faculty Information |
Printable Room Assignment Sheet |
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5:00-6:30 pm |
Registration and Check-In |
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7:00-5:30 pm | ||||
Registration and Check-In |
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8:00-9:30 am | ||||
1. Fundamentals of Medicare Parts A-D (not repeated) Stephanie M. Hoffmann Alison Hollender Kathryn A. Roe |
2. Year in Review (not repeated) R. Ross Burris Hilary Isacson |
3. The Changing Medicaid Program - A Panel of State Medicaid Directors (not repeated) Michael H. Cook Karen Kimsey Jay Ludlam Allison L. Taylor |
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9:30-10:00 am | ||||
Networking and Coffee Break, sponsored by Toyon Associates Inc. | ||||
10:00 am-12:00 pm GENERAL SESSION | ||||
10:00-10:20 am 10:25-11:15 am 11:15 am-12:00 pm |
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12:00-1:00 pm | ||||
Lunch on your own | ||||
1:15-2:30 pm | Extended Sessions |
7. Introduction to Medical Coding for Payment Lawyers |
8. Advancing Accountability and Equity through Payment and Care Delivery |
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9. What Is an Overpayment Really? Overpayment Investigations, Refunds, and False Claims Act Exposure In the Wake of Escobar |
10. The Changing Face of the Medicaid Program: A Review of Recent Trends in State Medicaid Waivers |
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11. Provider-Based Status, Under Arrangements, Enrollment, and Related Medicare Requirements Danielle Adams Andrew D. Ruskin Lawrence W. Vernaglia |
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2:30-3:00 pm | ||
Networking and Coffee Break, sponsored by Toyon Associates Inc. This event is included in the program registration. Attendees and faculty are welcome. |
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3:00-4:00 pm |
12. Medicaid State of Mind–Fundamentals of America’s Most Critical Coverage Source |
13. The Biden Health Policy Agenda in 2022: What to Expect |
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14. Promoting Children’s Health Through The Medicaid Program |
15. Medicare Litigation Update |
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16. Just When You Thought You Knew all the Acronyms: 340B Program Overview and Trending Topics Amanda Nagrotsky Barbara S. Williams |
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4:30-5:30 pm |
17. Medicare and Medicaid: A View from the Hill |
18. Original Medicare DSH Payment |
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19. Medicare Graduate Medical Education Reimbursement: Overview and Recent Policy Changes |
20. Federal Physician Self-Referral Law: Applying the Most Current Regulations and Guidance |
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21. Telemedicine Reimbursement and Compliance Challenges: COVID and Post COVID Haider D. Andazola Marti Arvin |
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5:30-6:30 pm | ||
Networking Reception, sponsored by Government Data Services This event is included in the program registration. Attendees and faculty are welcome. |
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7:00-4:30 pm | ||||
Registration and Check-In |
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7:00-8:15 am | ||||
Continental Breakfast This event is included in the program registration. Attendees and faculty are welcome. |
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8:15-9:30 am | Extended Sessions |
22. Hot Topics in Provider Enrollment: Where are We? |
23. Current and Emerging Issues in Rural Medicare Policy |
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24. Hospital Inpatient Prospective Payment Systems Update |
25. How Much Deference Do Courts Give to CMS These Days |
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26. CMS/OIG Administrative Enforcement: Case Study/CARES Provider Relief Reporting and Audit Defense Julie Burns Joseph V. Geraci Kirk Sripinyo Judith A. Waltz |
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10:00-11:00 am |
27. Current Issues in Medicaid Supplemental Payments and Financing |
28. Collaborating in Patient Care: Evolving Roles, Rules, and Realities for Physicians, Nonphysician Practitioners (NPPs) and Auxiliary Personnel |
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29. It Still Don’t Mean A Thing If It Ain’t Got Jurisdiction: Jurisdictional Issues Arising in Cases Before the Provider Reimbursement Review Board and Federal Courts |
30. Legal Ethics: Attorneys' Use of Emails, Social Media, Texting |
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31. Hot Topics in Fraud and Abuse Robert Kaufman Laura Laemmle-Weidenfeld Lisa Re Augustine M. Ripa |
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11:00-11:30 am | ||
Networking and Coffee Break, sponsored by Toyon Associates Inc | ||
11:30 am-12:30 pm |
32. Medicare Changes of Ownership (CHOWs) |
33. Medicare and Medicaid Managed Care: Reimbursement and Program Integrity Challenges |
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34. Can the Physician Fee Schedule Be Saved? Updates And The Road Ahead for the Medicare Physician Fee Schedule and Quality Payment Program |
15. Medicare Litigation Update |
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20. Federal Physician Self-Referral Law: Applying the Most Current Regulations and Guidance (repeat) Danielle Sloane Lisa O. Wilson |
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12:30-1:30 pm | ||
Lunch on your own |
1:45-2:45 pm |
35. PRRB Appeals–The View from the Board Chair |
36. Medicaid Litigation |
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14. Promoting Children’s Health Through The Medicaid Program |
21. Telemedicine Reimbursement and Compliance Challenges: COVID and Post COVID |
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29. It Still Don’t Mean A Thing If It Ain’t Got Jurisdiction: Jurisdictional Issues Arising in Cases Before the Provider Reimbursement Review Board and Federal Courts (repeat) Jocelyn Beer Kenneth R Marcus |
3:15-4:30 pm | Extended Sessions |
37. Medicare Appeals: Soup to Nuts |
38. Hospital Outpatient Prospective Payment Systems Update |
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39. Measuring Changes to Uncompensated Care DSH |
9. What Is an Overpayment Really? Overpayment Investigations, Refunds, and False Claims Act Exposure In the Wake of Escobar |
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25. How Much Deference Do Courts Give to CMS These Days (repeat) Sven C. Collins Joel L. McElvain |
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4:30-5:30 pm | ||
Networking Reception This event is included in the program registration. Attendees and faculty are welcome. |
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7:00-12:30 pm | ||||
Registration and Check-In |
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7:00-8:00 am | ||||
Continental Breakfast This event is included in the program registration. Attendees and faculty are welcome. |
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8:00-9:15 am | Extended Sessions |
40. PRRB Appeals: Current Topics |
10. The Changing Face of the Medicaid Program: A Review of Recent Trends in State Medicaid Waivers |
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11. Provider-Based Status, Under Arrangements, Enrollment, and Related Medicare Requirements |
26. CMS/OIG Administrative Enforcement: Case Study/CARES Provider Relief Reporting and Audit Defense |
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39. Measuring Changes to Uncompensated Care DSH (repeat) Fred A. Fisher K. Michael Nichols Mark Polston |
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9:45-10:45 am |
16. Just When You Thought You Knew all the Acronyms: 340B Program Overview and Trending Topics |
19. Medicare Graduate Medical Education Reimbursement: Overview and Recent Policy Changes |
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30. Legal Ethics: Attorneys' Use of Emails, Social Media, Texting |
31. Hot Topics in Fraud and Abuse |
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34. Can the Physician Fee Schedule Be Saved? Updates And The Road Ahead for the Medicare Physician Fee Schedule and Quality Payment Program (repeat) Cynthia Brown Sidney S. Welch |
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11:15-11:45 am |
41. Diagnostic Imaging Update |
42. 340B Program Medicaid/Medicare Reimbursement Issues |
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43. Clinical Lab Update: What Happened in 2021 and Where Things are Headed in 2022 |
44. Remote Monitoring Services: Making Sense of RPM, RTM, and Beyond |
12:00-12:30 pm |
45. Bone Marrow Transplants and CAR T-Cell Therapies; Medicare Cost Reporting Implications and Reimbursement |
42. 340B Program Medicaid/Medicare Reimbursement Issues |
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43. Clinical Lab Update: What Happened in 2021 and Where Things are Headed in 2022 |
44. Remote Monitoring Services: Making Sense of RPM, RTM, and Beyond |
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In-Person Program Format
How It Works
- We will offer in-depth breakout sessions where speakers and attendees can interact and collaborate with each other in-person.
- We consider the health and safety of all those onsite at in-person programs our top priority. AHLA will follow guidance and requirements issued by the CDC as well as by state and local government and are working with the hotel to ensure your health and safety as we transition back to in-person programming.
- All attendees, who register for the in-person program, will be required to commit to our Duty of Care agreeing to follow the protocols we establish and monitor their own health for the health and safety of all.
- On March 22, to minimize crowding, we are offering extended time for registration. We have adopted a new onsite registration system by providing seamless, touchless check-in, onsite badge printing, and safety supplies to all attendees to use while in attendance.
- Built-in extended time between sessions for moving from room to room, networking with colleagues, and personal breaktime.
- Socially distanced seating arrangements in breakout rooms, regular cleaning in and around meeting spaces, and appropriate signage/floor decals to reinforce spatial distancing and other safety reminders.
- The program sessions will be recorded. Recordings of the presentations, along with the materials will be available for purchase after the program for those that are unable to attend in person. More information on our ePrograms.
Benefits of the In-Person Program
- After a year of virtual programming, you will finally be able to step out from behind your computer and network face-to-face with other health law professionals.
- Interact with colleagues at in-depth breakout sessions.
Thank You to Our Institute on Medicare and Medicaid Payment Issues Sponsors
If your organization is interested in sponsoring AHLA's Institute on Medicare and Medicaid Payment Issues, please contact Valerie Eshleman.