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Institute on Medicare and Medicaid Payment Issues 2022

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

 


Tuesday, March 22, 2022

5:00-6:30 pm

Registration and Check-In

 


Wednesday, March 23, 2022

7:00-5:30 pm

Registration and Check-In

 
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
 
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
Welcome and Program Overview
Cynthia Y. Reisz, AHLA President
Emily J. Cook, Program Co-Chair
Andrew D. Ruskin, Program Co-Chair

10:25-11:15 am
General Counsel Corner
Gregory E. Demske
Daniel Barry

11:15 am-12:00 pm
Patient Centric Medicare and Medicaid Payment: The Unified Vision
Jon Blum
Emily J. Cook (Moderator), Andrew D. Ruskin (Moderator)

 
12:00-1:00 pm
Lunch on your own
 
1:15-2:30 pm | Extended Sessions

7. Introduction to Medical Coding for Payment Lawyers
(not repeated)

Michael D. Miscoe
Robert A. Pelaia

 

8. Advancing Accountability and Equity through Payment and Care Delivery
(not repeated)

Sara Cooperrider
Margia Corner
Erin Estey Hertzog

     

9. What Is an Overpayment Really? Overpayment Investigations, Refunds, and False Claims Act Exposure In the Wake of Escobar
Susan J.  Banks
B. Scott McBride

 

10. The Changing Face of the Medicaid Program: A Review of Recent Trends in State Medicaid Waivers
Leonardo Cuello
Marybeth Musumeci

 
11. Provider-Based Status, Under Arrangements, Enrollment, and Related Medicare Requirements
Danielle Adams
Andrew D. Ruskin
Lawrence W. Vernaglia
 
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.
 
3:00-4:00 pm

12. Medicaid State of Mind–Fundamentals of America’s Most Critical Coverage Source
(not repeated)
Caroline L. Farrell
Jeff J. Wurzburg

 

13. The Biden Health Policy Agenda in 2022: What to Expect
(not repeated)

Eric Zimmerman

     

14. Promoting Children’s Health Through The Medicaid Program​
Josh Greenberg

 

15. Medicare Litigation Update
Mimi H. Brouillette
Melissa Hart

 
16. Just When You Thought You Knew all the Acronyms: 340B Program Overview and Trending Topics
Amanda Nagrotsky
Barbara S. Williams
 
4:30-5:30 pm

17. Medicare and Medicaid: A View from the Hill​
(not repeated)
Stuart Portman

 

18. Original Medicare DSH Payment
(not repeated)

Stephanie Ann Webster

     

19. Medicare Graduate Medical Education Reimbursement: Overview and Recent Policy Changes
Tim Johnson
Lori Mihalich-Levin

 

20. Federal Physician Self-Referral Law: Applying the Most Current Regulations and Guidance
Danielle Sloane
Lisa O. Wilson

 
21. Telemedicine Reimbursement and Compliance Challenges: COVID and Post COVID
Haider D. Andazola
Marti Arvin
 
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.

 


Thursday, March 24, 2022

7:00-4:30 pm

Registration and Check-In

 
7:00-8:15 am
Continental Breakfast
This event is included in the program registration. Attendees and faculty are welcome.
 
8:15-9:30 am | Extended Sessions

22. Hot Topics in Provider Enrollment: Where are We?
(not repeated)

Louise M. Joy
Emily W. Towey
Jeanne L. Vance

 

23. Current and Emerging Issues in Rural Medicare Policy
(not repeated)

Ing-Jye Cheng
Benjamin C. Fee
Darci L. Graves
Sarah Heppner

     

24. Hospital Inpatient Prospective Payment Systems Update
(not repeated)
Emily Forrest
Marc Hartstein
Katrina Pagonis

 

25. How Much Deference Do Courts Give to CMS These Days
Sven C. Collins
Joel L. McElvain

 
26. CMS/OIG Administrative Enforcement: Case Study/CARES Provider Relief Reporting and Audit Defense
Julie Burns
Joseph V. Geraci
Kirk Sripinyo
Judith A. Waltz
 
10:00-11:00 am

27. Current Issues in Medicaid Supplemental Payments and Financing
(not repeated)

Barbara D. A. Eyman
Charles A. Luband

 

28. Collaborating in Patient Care: Evolving Roles, Rules, and Realities for Physicians, Nonphysician Practitioners (NPPs) and Auxiliary Personnel
(not repeated)

Timothy P. Blanchard

     

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
Joceylyn Beer
Kenneth R Marcus

 

30. Legal Ethics: Attorneys' Use of Emails, Social Media, Texting
Lynn M. Barrett

 
31. Hot Topics in Fraud and Abuse
Robert Kaufman
Laura Laemmle-Weidenfeld
Lisa Re
Augustine M. Ripa
 
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)
(not repeated)

Darlene Davis
Judy Wong Strobos

 

33. Medicare and Medicaid Managed Care: Reimbursement and Program Integrity Challenges
(not repeated)

Anthony H. Choe
Megan Tinker

     

34. Can the Physician Fee Schedule Be Saved? Updates And The Road Ahead for the Medicare Physician Fee Schedule and Quality Payment Program
Cynthia Brown
Sidney S. Welch

 

15. Medicare Litigation Update
(repeat)

Mimi H. Brouillette
Melissa Hart

 
20. Federal Physician Self-Referral Law: Applying the Most Current Regulations and Guidance
(repeat)

Danielle Sloane
Lisa O. Wilson
 
12:30-1:30 pm
Lunch on your own
 
1:45-2:45 pm

35. PRRB Appeals–The View from the Board Chair
(not repeated)

Clayton J. Nix

 

36. Medicaid Litigation
(not repeated)

Garrett F. Mannchen
Felicia Y. Sze

     

14. Promoting Children’s Health Through The Medicaid Program​
(repeat)

Josh Greenberg

 

21. Telemedicine Reimbursement and Compliance Challenges: COVID and Post COVID
(repeat)

Haider D. Andazola
Marti Arvin

 
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
(not repeated)

Hon. McArthur Allen
Meaghan A. Moriarty
Andrew Wachler

 

38. Hospital Outpatient Prospective Payment Systems Update
(not repeated)

Valerie Rinkle

     

39. Measuring Changes to Uncompensated Care DSH
Fred A. Fisher
K. Michael Nichols
Mark Polston

 

9. What Is an Overpayment Really? Overpayment Investigations, Refunds, and False Claims Act Exposure In the Wake of Escobar
(repeat)

Susan J. Banks
B. Scott McBride

 
25. How Much Deference Do Courts Give to CMS These Days
(repeat)

Sven C. Collins
Joel L. McElvain
 
4:30-5:30 pm
Networking Reception
This event is included in the program registration. Attendees and faculty are welcome.

 


Friday, March 25, 2022

7:00-12:30 pm

Registration and Check-In

 
7:00-8:00 am
Continental Breakfast
This event is included in the program registration. Attendees and faculty are welcome.
 
8:00-9:15 am | Extended Sessions

40. PRRB Appeals: Current Topics
(not repeated)

Christine Blowers
Leslie Demaree Goldsmith
Lisa Ogilvie-Bar

 

10. The Changing Face of the Medicaid Program: A Review of Recent Trends in State Medicaid Waivers
(repeat)
Leonardo Cuello
Marybeth Musumeci

     

11. Provider-Based Status, Under Arrangements, Enrollment, and Related Medicare Requirements
(repeat)

Danielle Adams
Andrew D. Ruskin
Lawrence W. Vernaglia

 

26. CMS/OIG Administrative Enforcement: Case Study/CARES Provider Relief Reporting and Audit Defense
(repeat)

Julie Burns
Joseph Geraci
Kirk Sripinyo
Judith A. Waltz

 
39. Measuring Changes to Uncompensated Care DSH
(repeat)

Fred A. Fisher
K. Michael Nichols
Mark Polston
 
9:45-10:45 am

16. Just When You Thought You Knew all the Acronyms: 340B Program Overview and Trending Topics
(repeat)

Amanda Nagrotsky
Barbara S. Williams

 

19. Medicare Graduate Medical Education Reimbursement: Overview and Recent Policy Changes
(repeat)

Tim Johnson
Lori Mihalich-Levin

     

30. Legal Ethics: Attorneys' Use of Emails, Social Media, Texting
(repeat)

Lynn M. Barrett

 

31. Hot Topics in Fraud and Abuse
(repeat)

Robert Kaufman
Laura Laemmle-Weidenfeld
Lisa Re
​Augustine M. Ripa

 
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
 
11:15-11:45 am

41. Diagnostic Imaging Update
(not repeated)

Thomas W. Greeson

 

42. 340B Program Medicaid/Medicare Reimbursement Issues
Emily J. Cook

     

43. Clinical Lab Update: What Happened in 2021 and Where Things are Headed in 2022
Jesse Berg

 

44. Remote Monitoring Services: Making Sense of RPM, RTM, and Beyond
Jacob Harper
Carol Yarbrough

 
12:00-12:30 pm

45. Bone Marrow Transplants and CAR T-Cell Therapies; Medicare Cost Reporting Implications and Reimbursement​
(not repeated)

Scott R. Bezjak

 

42. 340B Program Medicaid/Medicare Reimbursement Issues
(repeat)

Emily J. Cook

     

43. Clinical Lab Update: What Happened in 2021 and Where Things are Headed in 2022
(repeat)

Jesse Berg

 

44. Remote Monitoring Services: Making Sense of RPM, RTM, and Beyond
(repeat)

Jacob Harper
Carol Yarbrough


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.