Medicare Hearing Health Care Enhancement Act of 2011

Medicare Physician Payment Reform; in general. HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012; all provisions. HR 452 - Medicare Decisions and Accountability Act of 2011; all provisions. S 668 - Healthcare Bureaucrats Elimination Act; all provisions. HR 2140/S. 3242 - Medicare Hearing Health Care Enhancement Act; all provisions. Policy guidance regarding how patients enrolled in Medicare may obtain reimbursement for covered services provided by physicians who choose not to enroll in Medicare and bill their patients directly; in general. Proposed Rule - "Medicare, Medicaid, Children's Heatlh Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests", 42 CFR Parts 402 and 403 [CMS-5060-P] RIN 0938-AR33; in general. HR 5 - The Protecting Access to Healthcare (PATH) Act; all provisions. Agency Information Collection Activities: Prosposed Collection; Comment Request [CMS-10421]. Budget Control Act and Sequestration - provisions relating to Medicare physician payment. CMS Proposed Rule: Medicare and Medicaid Programs; Electronic Health Record Incentive ProgramStage 2 - provisions relating to the Stage 2 of meaningful use objectives and measures that must be met by eligible professionals (EPs)2 to ensure receipt of the financial incentives and avoid the penalties specified by the American Recovery and Reinvestment Act of 2009 (ARRA).

Client expense: $150,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

Medicare Physician Payment Reform; in general. HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012; all provisions. HR 452 - Medicare Decisions and Accountability Act of 2011; all provisions. S 668 - Healthcare Bureaucrats Elimination Act; all provisions. HR 2140 - Medicare Hearing Health Care Enhancement Act; all provisions. Policy guidance regarding how patients enrolled in Medicare may obtain reimbursement for covered services provided by physicians who choose not to enroll in Medicare and bill their patients directly; in general. Proposed Rule - Medicare, Medicaid, Childrens Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests, 42 CFR Parts 402 and 403 [CMS-5060-P] RIN 0938-AR33; in general. HR 5 - The Protecting Access to Healthcare (PATH) Act; all provisions. Physician Fee Schedule Proposed Rule for calendar year 2013; all provisions. Agency Information Collection Activities: Proposed Collection; Comment Request [CMS-10421].

Client expense: $120,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

H.R. 2140, S. 3242, The Medicare Hearing Health Care Enhancement Act, all sections relating to amending title XVIII of the Social Security Act to provide Medicare Beneficiaries greater choice with regard to accessing hearing health services and benefits and direct access to audiology services.

Client expense: $131,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2140, The Medicare Hearing Health Care Enhancement Act, all sections relating to amending title XVIII of the Social Security Act to provide Medicare Beneficiaries greater choice with regard to accessing hearing health services and benefits and direct access to audiology services.

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Physician Payment Reform; in general. HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012; all provisions HR 452 - Medicare Decisions and Accountability Act of 2011; all provisions. S 668 - Healthcare Bureaucrats Elimination Act; all provisions. HR 2140 - Medicare Hearing Health Care Enhancement Act; all provisions. Policy guidance regarding how patients enrolled in Medicare may obtain reimbursement for covered services provided by physicians who choose not to enroll in Medicare and bill their patients directly; in general. Proposed Rule - Medicare, Medicaid, Childrens Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests, 42 CFR Parts 402 and 403 [CMS-5060-P] RIN 0938-AR33; in general. HR 5 - The Protecting Access to Healthcare (PATH) Act; all provisions. Physician Fee Schedule Proposed Rule for calendar year 2013; all provisions. Agency Information Collection Activities: Proposed Collection; Comment Request [CMS-10421].

Client expense: $150,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

Medicare Physician Payment Reform; in general. HR 1256 - Medicare Physician Payment Transparency and Assessment Act; all provisions. Medicare Physician Payment Advisory Commission March 2011 Report to Congress: Medicare Payment Policy. S 756 - Medicare Data Access for Transparency and Accountability Act; all provisions. S 848 - a bill to provide for the development of reports based on Medicare data, data that is publicly available, or private data that is provided by a requesting entity in order to improve the quality and efficiency of health care. Medicare Physician Supervision Requirement for CPT 31579 & 92511. Proposed Rule - Accountable Care Organizations; all provisions. HR 452 - Medicare Decisions and Accountability Act of 2011; all provisions. S 668 - Health Care Bureaucrats Elimination Act; all provisions. HR 2140 - Medicare Hearing Health Care Enhancement Act of 2011; all provisions. HR 1700/S 1042 - Medicare Patient Empowerment Act; all provisions. HR 1476 - Integrity in Medicare Advanced Diagnostics Imaging Act of 2011; all provisions. Medicare Payment Advisory Commission June 2011 Report to Congress; all provisions. 2011 Medicare physician fee schedule; all provisions. Continued funding for Graduate Medical Education (GME); in general. Centers for Medicare and Medicaid Services program changes re: tobacco cessation quitline services for Medicaid beneficiaries and expansion for Medicaid coverage of tobacco cessation servicse for pregnant women. Medicare Payment Advisory Commission (MedPAC) - proposed changes to Medicare physician payment system. Changes to supervision level for CPT code 92511 (Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy) and code 92511 (Nasopharyngoscopy with endoscope). Medicare and Medicaid Programs; Reform of Hospital and Critical Access Hospital Conditions of Participation [CMS-3244-P]. HR 3630 - Temporary Payroll Tax Cut Continuation Act of 2011; all provisions and amendments.

H.R. 2140, The Medicare Hearing Health Care Enhancement Act, all sections relating to amending title XVIII of the Social Security Act to provide Medicare Beneficiaries greater choice with regard to accessing hearing health services and benefits and direct access to audiology services.

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2140, The Medicare Hearing Health Care Enhancement Act, all sections relating to amending title XVIII of the Social Security Act to provide Medicare Beneficiaries greater choice with regard to accessing hearing health services and benefits and direct access to audiology services.

Client expense: $125,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Physician Payment Reform; in general. HR 1256 - Medicare Physician Payment Transparency and Assessment Act; all provisions. Medicare Physician Payment Advisory Commission March 2011 Report to Congress: Medicare Payment Policy. S 756 - Medicare Data Access for Transparency and Accountability Act; all provisions. S 848 - A bill to provide for the development of reports based on Medicare data, data that is publicly available, or private data that is provided by a requesting entity in order to improve the quality and efficiency of health care. Medicare Physician Supervision Requirement for CPT 31579 & 92511. Proposed Rule - Accountable Care Organizations; all provisions. HR 452 - Medicare Decisions and Accountability Act of 2011; all provisions. HR 2140 - Medicare Hearing Health Care Enhancement Act of 2011; all provisions HR 1700/S 1042 - Medicare Patient Empowerment Act; all provisions. HR 1476 - Integrity in Medicare Advanced Diagnostic Imaging Act of 2011; all provisions. Medicare Payment Advisory Commission June 2011 Report to Congress; all provisions. 2011 Medicare physician fee schedule; all provisions. Continued funding for Graduate Medical Education (GME); in general. Centers for Medicare and Medicaid Services program changes re: tobacco cessation quitline services for Medicaid beneficiaries and expansion of Medicaid coverage of tobacco cessation services for pregnant women. Medicare Payment Advisory Commission (MedPAC) - proposed changes to Medicare physician payment system. Changes to supervision level for CPT code 92511 (Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy) and code 92511 (Nasopharyngoscopy with endoscope).

Client expense: $120,000 · Firm income: Not reported

HR 5- Help, Efficient, Accessible, Low Cost, Timely, Healthcare Act HR 2140 - Medicare Hearing Health Enhancement Act Debt Reduction Legislation: Joint Select Committee on Deficit Reduction - SGR, Medicare and Medicaid, Graduate Medical Education, Medical Liability Reform S. 6681/HR 452 - Legislation to Repeal the Independent Payment Advisory Board S. 1278 - A bill to ammend the IRS code to repeal the excise tax for indoor tanning services S. 1368/HR 2529 - Restricting Access to Medication Act Implementation of PL 111-148, Patient Protection and Affordable Care Act- no specific bill Medicare Physician Payment Reform no specific bill CMS - Proposed Rule on Medicare Program Payment Policies under the Physician Fee Schedule and other revisions to Part B for CY 2012 (CMS - 1524-P) CMS - Availability of Mediare Data for Performance Measurment - (CMS - 5059-P) CMS - Methods for Assuring Access to Coverd Medicaid Services (CMS - 2328-P) CMS - Proposed Changes to the Electronic Prescribing (eRX) Incentive Program (RIN 0938-AR00) CMS - Home Health Care - Physician Face to Face Encounters Defensive Medicine and Medical Malpractice Reform no specific bill

Client expense: $60,000 · Firm income: Not reported

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

HR 5- Help, Efficient, Accessible, Low Cost, Timely, Healthcare Act HR 2140 - Medicare Hearing Health Enhancement Act Debt Reduction Legislation: Joint Select Committee on Deficit Reduction - SGR, Medicare and Medicaid, Graduate Medical Education, Medical Liability Reform S. 6681/HR 452 - Legislation to Repeal the Independent Payment Advisory Board S. 1368/HR 2529 - Restricting Access to Medication Act Defensive Medicine and Medical Malpractice Reform no specific bill Implementation of PL 111-148, Patient Protection and Affordable Care Act- no specific bill Medicare Physician Payment Reform no specific bill CMS - Proposed Rule on Medicare Program Payment Policies under the Physician Fee Schedule and other revisions to Part B for CY 2012 (CMS - 1524-P) CMS - Availability of Mediare Data for Performance Measurment - (CMS - 5059-P) CMS - Methods for Assuring Access to Coverd Medicaid Services (CMS - 2328-P) CMS - Proposed Changes to the Electronic Prescribing (eRX) Incentive Program (RIN 0938-AR00) CMS - Home Health Care - Physician Face to Face Encounters

Client expense: $60,000 · Firm income: Not reported

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

HR 5- Help, Efficient, Accessible, Low Cost, Timely, Healthcare Act HR 1700 - Medicare Patient Empowerment Act HR 2140 - Medicare Hearing Health Enhancement Act Debt Ceiling Legislation: Medicare SGR and Medicaid CMS - Home Health Care - Physician Face to Face Encounters S. 248 - Empowering States to Innovate Act Defensive Medicine and Medical Malpractice Reform no specific bill Implementation of PL 111-148, Patient Protection and Affordable Care Act- no specific bill Medicare Physician Payment Reform no specific bill CMS: Proposed rules on the Medicare Program: Medicare Shared Savings Program Accountable Care Organizations 42 CFR Part 425v (CMS1345P} RIN 0938AQ22

Client expense: $60,000 · Firm income: Not reported

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

HR 5- Help, Efficient, Accessible, Low Cost, Timely, Healthcare Act HR 1700 - Medicare Patient Empowerment Act HR 2140 - Medicare Hearing Health Enhancement Act Debt Ceiling Legislation: Medicare SGR and Medicaid CMS - Home Health Care - Physician Face to Face Encounters S. 248 - Empowering States to Innovate Act Defensive Medicine and Medical Malpractice Reform no specific bill Implementation of PL 111-148, Patient Protection and Affordable Care Act- no specific bill Medicare Physician Payment Reform no specific bill CMS: Proposed rules on the Medicare Program: Medicare Shared Savings Program Accountable Care Organizations 42 CFR Part 425v (CMS1345P} RIN 0938AQ22

Client expense: $60,000 · Firm income: Not reported

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

H.R. 452, Medicare Decisions Accountability Act of 2011: Repealing the Independent Payment Advisory Board H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting H. R. 2140, Medicare Hearing Health Care Enhancement Act: Scope of Practice for Adiologists S. 668, Health Care Bureaucrats Elimination Act: Repealing the Independent Payment Advisory Board S. 1042, Medicare Patient Empowerment Act: Medicare private contracting No Bill: Medicare physician payment reform No Bill: Medicare cuts to imaging services

Client expense: $50,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 452, Medicare Decisions Accountability Act of 2011: Repealing the Independent Payment Advisory Board H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting H. R. 2140, Medicare Hearing Health Care Enhancement Act: Scope of Practice for Adiologists S. 668, Health Care Bureaucrats Elimination Act: Repealing the Independent Payment Advisory Board S. 1042, Medicare Patient Empowerment Act: Medicare private contracting No Bill: Medicare physician payment reform No Bill: Medicare cuts to imaging services

Client expense: $50,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1700, Medicare Patient Empowerment Act, all provisions S. 1042, Medicare Patient Empowerment Act, all provisions H.R. 1543, Improving Access to Medicare Coverage Act of 2011, all provisions H.R. 452, Medicare Decisions Accountability Act of 2011, all provisions S. 668, Health Care Bureaucrats Elimination Act, all provisions S. 848, Consumer Information Enhancement Act of 2011, all provisions S. 856, Medicare Spending Transparency Act of 2011, all provisions S. 756, Medicare Data Access for Transparency and Accountability Act, all provisions S. 1286, Trade Adjustment Assistance Extension Act of 2011, provisions relating to imaging cuts H.R. 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 2140, Medicare Hearing Health Care Enhancement Act of 2011, all provisions S. 1251, Medicare and Medicaid FAST Act, all provisions H.R. 1159, To repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests, all provisions H.R. 1186, To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, all provisions H.R. 674, To amend the Internal Revenue Code of 1986 to repeal the imposition of 3 percent withholding on certain payments made to vendors by government entities, all provisions Medicare program - Emergency Medical Treatment and Active Labor Act (EMTALA) Medicare program - Shared Savings Program Medicare program - Accountable Care Organizations Medicare program - Program Integrity Medicare program - Physician payment reform/alternative payment models Medicare program - Delivery reform Medicare program - Sustainable Growth Rate (SGR) permanent repeal Medicare program - Enrollment Medicare program - Medicare Economic Index (MEI) Medicare program - Regulatory relief Medicare program - Relative Value Update Committee (RUC) Medicare program - Independent Payment Advisory Board (IPAB) Medicare program - Claims Data Release Medicare program - E-prescribing Medicare program - Electronic Health Records (EHR)/certification of EHRs Medicare program - HIPAA (5010 and ICD-10) Medicare program - Privacy Medicare program - Alignment of quality measures Medicare program - Physician signature requirements for clinical lab tests Medicare program - Meaningful Use Medicare program - Physician Compare Medicare program - Recovery Audit Contractors (RACs) Medicare program - Payment for psychiatric services Medicare program - Health Information Technology Medicare program - Imaging cuts Medicaid program - Access

Medicare Physician Payment Reform; in general. HR 1256 - Medicare Physician Payment Transparency and Assessment Act; all provisions. Medicare Physician Payment Advisory Commission March 2011 Report to Congress: Medicare Payment Policy. S 756 - Medicare Data Access for Transparency and Accountability Act; all provisions. S 848 - A bill to provide for the development of reports based on Medicare data, data that is publicly available, or private data that is provided by a requesting entity in order to improve the quality and efficiency of health care. Medicare Physician Supervision Requirement for CPT 31579 & 92511. Proposed Rule - Accountable Care Organizations; all provisions. HR 452 - Medicare Decisions and Accountability Act of 2011; all provisions. HR 2140 - Medicare Hearing Health Care Enhancement Act of 2011; all provisions. HR 1700/S 1042 - Medicare Patient Empowerment Act; all provisions. HR 1476 - Integrity in Medicare Advanced Diagnostic Imaging Act of 2011; all provisions. Medicare Payment Advisory Commission June 2011 Report to Congress; all provisions.

Client expense: $120,000 · Firm income: Not reported