Rural Hospital Protection Act

CMS Inpatient Prospective Payment System rule re: proposed hospital payment rates; CMS Inpatient Prospective Payment System - exclusion of provider taxes as an allowable expense by CAHs; Urban Medicare Dependent Hospital payment improvements (H.R.2574); Permanent medicare doctor payment fix; Direct physician supervision of hospital outpatient services (H.R. 6376) cost reporting treatment of provider taxes (H.R. 6346)

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4872, the Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 1106: physician-owned hospitals and self-referral; Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States; Section 1202: Payments to primary care physicians. H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice, and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 6001: physician-owned hospital and self-referral; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3403: Medicare Commission; Section 3128: Method II billing; Section 3025: hospital readmissions provision; Section 3124: extension of Medicare Dependent Hospital program; Section 3137: Section 508 reclassification; Section 9007: non profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: primary care provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: expansion of Medicaid, CHIP; Sections 1311-1343: CO-OPs and Exchanges; Section 3022: accountable care organizations; Section 3023: hospital bundling provision. S. 1585 and H.R. 3151, involving payment to Critical Access Hospitals for Certified Registered Nurse Anesthetist services, entire bills. H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, provisions involving hospitals and physicians, including: delay for six months a 21% Medicare pay cut for physicians, provision relating to hospital billing for outpatient therapeutic services and the 72 hour rule. H.R. 5712, the Physician Payment and Therapy Relief Act of 2010, entire bill. H.R. 4994, the Medicare and Medicaid Extenders Act of 2010, entire bill. H.R. 6130, Strengthening Medicare Anti-Fraud Measures Act of 2010, entire bill. H.R. 6376, To amend title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services, entire bill. H.R. 6346, the Rural Hospital Protection Act, entire bill. Regulatory Issues: 2011 Outpatient Prospective Payment System proposed and final rule, focusing on provisions affecting physicians and hospitals including: Physician supervision of outpatient therapeutic service; Cancer hospital adjustment; OPPS Quality Data; Graduate Medical Education provisions; Expanding the Multiple Procedure Payment Reduction (MPRR); and Physician self-referral prohibition. 2011 ESRD PPS and ESRD quality payment program proposed and final rules. CMS' Meaningful Use proposed and final rules, including ONC's certification requirements and process rules: entire rules. 2011 Inpatient prospective payment system proposed and final rules (including supplemental rule): entire rules. 2011 Physician Fee Schedule proposed and final rule, provisions relating to physician and hospital payment, including the temporary delay in the Medicare physician payment cut and the primary care incentive payments and the HPSA bonus payments for surgeons. 2011 Home Health PPS proposed and final rule, provisions relating to hospitals, hospice and physicians including the face-to-face encounter requirement. Other issues: The Deficit Commission Report, including proposals that relate to hospitals and physicians. Medicare and Medicaid Recovery Audit Contractor programs. Telemedicine and radiology issues affecting hospitals and physicians, including CMS' CR 6733. Internal Revenue Service (IRS) Request for Comments Regarding Additional Requirements for Tax-Exempt Hospitals Included in the Health Reform Law, entire notice. Hospitals and GPOs. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters.

Client expense: $42,323 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.4213 - American Jobs and Closing Tax Loopholes Act of 2010, Title II, provisions related to Federal Medical Assistance Percentages. CMS-1498- Proposed Changes to the LTCH PPS (and IPPS) for Fiscal Year 2011. HR 6346 rural hospital protection act

Client expense: Not reported · Firm income: $10,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE