Hospice Evaluation and Legitimate Payment Act

Medicare reimbursement for hospice services. S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to hospice services under Medicare. H.R. 8, the American Taxpayer Relief Act as it relates to sequestration and hospice reimbursement under Medicare.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8, American Taxpayer Relief Act of 2012, entire bill with focus on Title VI and Title X. H.R. 6575, Medicare Audit Improvement Act, entire bill. H.R. 6611, Patient Access to Drugs in Shortage Act of 2012, entire bill. H.R. 1543 and S. 818, Improving Access to Medicare Coverage Act of 2011, entire bill. H.R. 6684, Spending Reduction Act of 2012, entire bill with focus on Title II and Title VII. H.R. 4872, 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 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; 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; Section 6401-6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions; Section 3141: Changes to the Rural Floor of the Hospital Wage Index. H.R. 2674, 340B Program Improvement Act, entire bill. S. 722 and H.R. 3506, Hospice Evaluation and Legitimate Payment Act, entire bills. S. 778, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. H.R. 3859 and S. 1680, Rural Hospital and Provider Equity (R-HOPE) Act of 2012, entire bills. H.R. 5943 and S. 2620, Rural Hospital Access Act of 2012, entire bills. H.R. 3630, Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201, Physician payment update. Section 2202: Ambulance Add-ons; Section 2203: Medicare payment for outpatient therapy services; Section 2204: Work geographic Adjustment; Part 3--Offsets, Section 2223: Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Section 2213: Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3630, Middle Class Tax Relief and Job Creation Act of 2012, entire bill. Other issues: 2013 Outpatient Prospective Payment System rule, entire rule. 2013 Inpatient Prospective Payment System rule, entire rule. 2013 Physician Fee Schedule rule, entire rule. Proposals surrounding the Sustainable Growth Rate (SGR) and deficit/debt reduction as related to hospitals and physicians. Accountable Care Organizations and the Innovation Center's demonstration programs. Medicare and Medicaid Recovery Audit Contractor programs. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters. Medical Liability Reform. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Hospital wage index reform, including Section 3137(b) of the Affordable Care Act. Implementation of the state health insurance exchanges. 2013 Inpatient Rehab rule, entire rule. 2013 LTCH rule, entire rule Hospice Quality Reporting Program. 2013 Home Health rule, entire rule. Dual Eligible Demonstration Programs.

Proclamation request relating to National Hospice Month (EOP), Medicare reimbursement for hospice services, S722/HR3506 the Hospice Evaluation and Legitimate Payment Act, HR 8 American Taxpayer Relief Act as it relates to hospice reimbursement, S. 1560 the Nursing Home Resident Pain Relief Act. Concurrent Care Demonstration Project, hospice payment reform, dual eligible demonstration project, general hospice issues.

Client expense: $264,414 · Firm income: Not reported

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

Medicare reimbursement for hospice services, S722/HR3506 the Hospice Evaluation and Legitimate Payment Act, HR 8 American Taxpayer Relief Act as it relates to hospice reimbursement, S. 1560 the Nursing Home Resident Pain Relief Act. Concurrent Care Demonstration Project, hospice payment reform, dual eligible demonstration project, general hospice issues.

Client expense: $264,414 · Firm income: Not reported

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

Medicare reimbursement for hospice services, S722/HR3506 the Hospice Evaluation and Legitimate Payment Act, HR 8 American Taxpayer Relief Act as it relates to hospice reimbursement, S. 1560 the Nursing Home Resident Pain Relief Act. Concurrent Care Demonstration Project, hospice payment reform, dual eligible demonstration project, general hospice issues.

Client expense: Not reported · Firm income: Not reported

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

Proclamation request relating to National Hospice Month (EOP), Medicare reimbursement for hospice services, S722/HR3506 the Hospice Evaluation and Legitimate Payment Act, HR 8 American Taxpayer Relief Act as it relates to hospice reimbursement, S. 1560 the Nursing Home Resident Pain Relief Act. Concurrent Care Demonstration Project, hospice payment reform, dual eligible demonstration project, general hospice issues.

Client expense: Not reported · Firm income: Not reported

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

Hospice Evaluation and Legitimate Payment Act - S.722; HR 3506 Any federal legislation or agency regulations impacting federal payments for home health care and hospice services

Client expense: $247,900 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

See addendum page. H.R. 3506 - The HELP Hospice Act: CU is neutral on this bill. H.R. 3269 - Diagnostic Imaging Services Access Protection Act of 2011: CU lobbied in support of this bill. H.R. 6490 - The Medicare DMEPOS Marketing Pricing Program Act: CU Is neutral on this bill. H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011: CU is neutral on this bill. HR 3506 - Hospice Evaluation and Legitimate Payment Act: CU is neutral on this bill. Lobbied on reauthorization and funding for Assistive Technology Act Programs.

Client expense: $115,014 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE

S. 659/H.R. 6059, Home Health Care Access Protection Act of 2012. S. 501, Fostering Independence Through Technology Act of 2011. S. 227/H.R. 2267, Home Health Care Planning Improvement Act of 2011. H.R. 3859, Rural Hospital and Provider Equity Act of 2012, sections 11, 13, and 16. P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. S. 722/H.R. 3506, Hospice Evaluation and Legitimate Payment Act. H.R. 452, Medicare Decisions Accountability Act of 2011. S. 668, Health Care Bureaucrats Elimination Act. Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) (draft legislation). S. 1680, Craig Thomas Rural Hospital and Provider Equity Act of 2011, sections 12, 13, 15, and 19. H.R. 5, Protecting Access to Healthcare Act, sections 201 and 202. H.Con.Res. 112, FY2013 Budget Resolution, provisions related to Medicare and Medicaid/payment for home health and hospice.

Client expense: $400,000 · Firm income: Not reported

Concurrent care demonstration project; hospice payment reform; HELP Hospice Act (S. 722, HR 3506); dual eligible demonstration project; general hospice issues.

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Concurrent care demonstration project; hospice payment reform; HELP Hospice Act (S. 722, HR 3506); dual eligible demonstration project; general hospice issues.

Client expense: Not reported · Firm income: $40,000

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

H.R. 1543 and S. 818, Improving Access to Medicare Coverage Act of 2011, entire bill. H.R. 6365, the National Security and Job Protection Act of 2011, entire bill. 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, the 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 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; 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; Section 6401-6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions. H.R. 2674, 340B Program Improvement Act, entire bill. S. 722 and H.R. 3506, Hospice Evaluation and Legitimate Payment Act, entire bills. S. 778, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. H.R. 3285, Medicare Equity Extension Act, entire bill. H.R. 3630, Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201, Physician payment update. Section 2202: Ambulance Add-ons; Section 2203: Medicare payment for outpatient therapy services; Section 2204: Work geographic Adjustment; Part 3--Offsets, Section 2223: Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Section 2213: Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3859 and S. 1680, The Rural Hospital and Provider Equity (R-HOPE) Act of 2012, entire bills. H.R. 3630, The Middle Class Tax Relief and Job Creation Act of 2012, entire bill. H.R. 5943 and S. 2620, the Rural Hospital Access Act of 2012, entire bills. H.R. 2461, Physician Pathology Services Continuity Act of 2011, entire bill. H.R. 2104, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011, entire bill. 2013 Outpatient Prospective Payment System proposed rule, entire rule. 2013 Inpatient Prospective Payment System final rule, entire rule. 2013 Physician Fee Schedule proposed rule, entire rule. Other issues: Proposals surrounding the Sustainable Growth Rate (SGR) and deficit/debt reduction as related to hospitals and physicians. Accountable Care Organizations and the Innovation Center's demonstration programs. Medicare and Medicaid Recovery Audit Contractor programs. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters. Medical Liability Reform. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Hospital wage index reform, including Section 3137(b) of the Affordable Care Act. Implementation of the state health insurance exchanges. 2013 Inpatient Rehab rule, entire rule. 2013 LTCH rule, entire rule Hospice Quality Reporting Program. 2013 Home Health rule, entire rule. Dual Eligible Demonstration Programs.

Hospice Evaluation and Legitimate Payment Act - S.722; HR 3506 Any federal legislation or agency regulations impacting federal payments for home health care and hospice services

Client expense: $249,600 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

Medicare reimbursement for hospice services. S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to hospice services under Medicare.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement for hospice services. S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to hospice services under Medicare.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3506/S. 722, the Hospice Evaluation and Legitimate Payment (HELP) Hospice Act; S. 1560, S. 1560, the Nursing Home Resident Pain Relief Act; nursing home and hospice issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HELP Hospice Act, S. 722 and H.R. 3506; hospice in the nursing home issues; S. 1560, the Nursing Home Resident Pain Relief Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3506 - Hospice Evaluation and Legitimate Payment Act S.722 - Hospice Evaluation and Legitimate Payment Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 722, H.R. 3506, the HELP Hospice Act; S. 1560, the Nursing Home Rsident Pain Relief Act; hospice dual eligibles issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HELP Hospice Act, S. 722 and H.R. 3506, hospice and dual eligible issues; S. 1560, Nursing Home Resident Pain Relief Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 659/H.R. 6059, Home Health Care Access Protection Act of 2012. S. 501, Fostering Independence Through Technology Act of 2011. S. 227/H.R. 2267, Home Health Care Planning Improvement Act of 2011. H.R. 3859, Rural Hospital and Provider Equity Act of 2012, sections 11, 13, and 16. P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. S. 722/H.R. 3506, Hospice Evaluation and Legitimate Payment Act. H.R. 452, Medicare Decisions Accountability Act of 2011. Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) (draft legislation). S. 1680, Craig Thomas Rural Hospital and Provider Equity Act of 2011, sections 12, 13, 15, and 19. H.R. 5, Protecting Access to Healthcare Act, sections 201 and 202. H.Con.Res. 112, FY2013 Budget Resolution, provisions related to Medicare and Medicaid/payment for home health and hospice.

Client expense: $270,000 · Firm income: Not reported

Concurrent care demonstration project; hospice payment reform; HELP Hospice Act (S. 722, HR 3506); general hospice issues.

Client expense: Not reported · Firm income: $40,000

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

Medicare reimbursement for hospice services. S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to hospice services under Medicare.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement for hospice services. S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to hospice services under Medicare.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Hospice Evaluation and Legitimate Payment Act - S.722; HR 3506 Any federal legislation or agency regulations impacting federal payments for home health care and hospice services

Client expense: $257,800 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

S. 722, H.R. 3506 the HELP Hospice Act; S. 1560 the Nursing Home Resident Pain Relief Act; hospice dual eligibles issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HELP Hospice Act, S. 722 and HR 3506; hospice and dual eligible issues; S. 1560, Nursing Home Resident Pain Relief Act

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

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: Independent Payment Advisory Board; 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; Section 6401-6402, Program Integrity Provisions; Section 6501-6503, 6505, 6508, Medicaid Program Integrity Provisions. H.R. 2674, 340B Program Improvement Act, entire bill. S. 722 and H.R. 3506, Hospice Evaluation and Legitimate Payment Act, entire bills. S. 778, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. H.R. 3285, Medicare Equity Extension Act, entire bill. H.R. 3630, Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201. Physician payment update; Section 2202. Ambulance add-ons; Section 2203. Medicare payment for outpatient therapy services; Section 2204. Work geographic adjustment. Part 3--Offsets, Section 2223, Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Sec. 2213. Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3859 and S.1680, The Rural Hospital and Provider Equity (R-HOPE) Act of 2012, entire bills. H.R. 3630, The Middle Class Tax Relief and Job Creation Act of 2012, entire bill. H.R. 2461, Physician Pathology Services Continuity Act of 2011, entire bill. S. 3187, the FDA Safety and Innovation Act, entire bill. H.R. 5651, FDA Reform Act, entire bill. S. 2516, Food and Drug Administration Safety and Innovation Act, entire bill. H.R. 5943 and S. 2620, the Rural Hospital Access Act of 2012, entire bills. H.R. 876, Registered Nurse Safe Staffing Act of 2011, entire bill. H.R. 4966, Sequester Replacement Act of 2012, entire bill. H.R. 3839, the Drug Shortage Prevention Act, entire bill. H.R. 2245, the Preserving Access to Lifesaving Medications Act, entire bill. S. 1734, Generating Antibiotic Incentives Now Act of 2011, entire bill. 2012 Outpatient Prospective Payment System rule, focusing on provisions affecting physicians and hospitals including: policies related to the physician supervision of outpatient therapeutic services and hospital value-based purchasing program. 2012, 2013 Inpatient prospective payment system rules: entire rules. 2012 Hospice wage index proposed rule, entire rule. Changes to Hospital CoPs, entire rule. Reporting and Returning Medicare Overpayments, entire rule. Other issues: "Super Committee" deliberations related to S. 365, Budget Control Act of 2012. Proposals involving the Sustainable Growth Rate (SGR) formula. The Deficit Commission Report and President's 2013 budget proposal, including proposals that involve Medicare and Medicaid payments to hospitals. 2011 March CBO proposal to eliminate the CAH, SCH, MDH programs. Accountable Care Organizations regulations and the Innovation Center's demonstration programs. Medicare and Medicaid Recovery Audit Contractor programs. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters. Medical Liability Reform. Medicare and Medicaid Electronic Health Record Payment Incentive Programs (Meaningful Use), including the release of the Stage 2 Meaningful Use regulation. Hospital wage index reform, including Section 3137(b) of the Affordable Care Act. Implementation of state health insurance exchanges.

HR3506 S722 Comments on "Ohio's Capitated Financial Alignment Demonstration Proposal for Medicare-Medicaid Enrollees

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), 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: Independent Payment Advisory Board; 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; Section 6401-6402, Program Integrity Provisions; Section 6501-6503, 6505, 6508, Medicaid Program Integrity Provisions. H.R. 2674, 340B Program Improvement Act, entire bill. S. 722 and H.R. 3506, Hospice Evaluation and Legitimate Payment Act, entire bills. S. 778, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. S. 1680, Craig Thomas Rural Hospital and Provider Equity Act of 2011, entire bill. H.R. 3285, Medicare Equity Extension Act, entire bill. H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011, TITLE IIITEMPORARY EXTENSION OF HEALTH PROVISIONS, including: Sec. 301. Medicare physician payment update; Sec. 302. 2-month extension of MMA section 508 reclassifications; Sec. 303. Extension of Medicare work geographic adjustment floor; Sec. 304. Extension of exceptions process for Medicare therapy caps; Sec. 305. Extension of payment for technical component of certain physician pathology services; Sec. 306. Extension of ambulance add-ons; Sec. 307. Extension of physician fee schedule mental health add-on payment; Sec. 308. Extension of outpatient hold harmless provision. H.R. 3630, Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201. Physician payment update; Section 2202. Ambulance add-ons; Section 2203. Medicare payment for outpatient therapy services; Section 2204. Work geographic adjustment. Part 3--Offsets, Section 2223, Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Sec. 2213. Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3859, The Rural Hospital and Provider Equity (R-HOPE) Act of 2012, entire bill. H.R. 452, The Medicare Decisions Accountability Act, entire bill. H.R. 3839, The Drug Shortage Prevention Act, entire bill. H.R. 2245, Preserving Access to Life-Saving Medications Act of 2011, entire bill. S. 1734, Generating Antibiotic Incentives Now Act of 2011, entire bill. H.R. 5, Protecting Access to Healthcare Act, entire bill. Senate HELP and House Energy & Commerce discussion drafts regarding drug shortages and FDA reauthorization legislation. H.R. 3630, The Middle Class Tax Relief and Job Creation Act of 2012, entire bill. 2011-12 Outpatient Prospective Payment System rules, focusing on provisions affecting physicians and hospitals including: policies related to the physician supervision of outpatient therapeutic services and physician self-referral prohibition; hospital value-based purchasing program. 2011 and 2012 Inpatient prospective payment system rules: entire rules. 2012 Physician Fee Schedule rule, entire rule. 2012 Hospice wage index proposed rule, entire rule. Changes to Hospital CoPs, entire rule. Reporting and Returning Medicare Overpayments, entire rule. Other issues: "Super Committee" deliberations related to S. 365, Budget Control Act of 2012. Proposals involving the Sustainable Growth Rate (SGR) formula. The Deficit Commission Report and President's 2013 budget proposal, including proposals that involve Medicare and Medicaid payments to hospitals. 2011 March CBO proposal to eliminate the CAH, SCH, MDH programs. Accountable Care Organizations regulations and the Innovation Center's demonstration programs. Medicare and Medicaid Recovery Audit Contractor programs. Telemedicine and radiology issues affecting hospitals and physicians, including the credentialing and privileging process for Telemedicine services. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters. Medical Liability Reform. Medicare and Medicaid Electronic Health Record Payment Incentive Programs (Meaningful Use), including the release of the Stage 2 Meaningful Use regulation. Hospital wage index reform, including Section 3137(b) of the Affordable Care Act. State health insurance exchanges. Hospital Part A and Part B Rebilling demonstration program. ICD-10 implementation issues. Transmittal 72 involving rehabilitation and respiratory care services under the hospital conditions of participation.

Concurrent care demonstration project; hospice payment reform; HELP Hospice Act (S. 722, HR 3506).

Client expense: Not reported · Firm income: $40,000

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

S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to Medicare reimbursement for hospice services. Medicare payment for hospice services. H.R. 3630, Middle Class Tax Relief and Job Creation Act, related to Medicare reimbursement for hospice care.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to Medicare reimbursement for hospice services. Medicare payment for hospice services. H.R. 3630, Middle Class Tax Relief and Job Creation Act, related to Medicare reimbursement for hospice care.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 3859: Rural Hospital and Provider Equity Act of 2012 -- Sections 11, 13, and 16 P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology S. 722/H.R. 3506: The Hospice Evaluation and Legitimate Payment Act -- All sections H.R. 452: The Medicare Decisions Accountability Act -- All sections Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) -- DRAFT legislation S. 1680: The Craig Thomas Rural Hospital and Provider Equity Act of 2011 Sections 12, 13, 15, and 19 H.R. 3630/P.L. 112-96: Middle Class Tax Relief and Jobs Creation Act of 2012 -- lobbied on Medicare payments for home health and hospice H.R. 5: Protecting Access to Healthcare Act -- Title II -- Sections 201 and 202 H.Con.Res. 112: FY2013 Budget Resolution -- Sections related to Medicare and Medicaid/payment for home health and hospice

Client expense: $290,000 · Firm income: Not reported

Hospice Evaluation and Legitimate Payment Act - S.722; HR 3506 Any federal legislation or agency regulations impacting federal payments for home health care and hospice services; Legislation to increase the federal debt ceiling

Client expense: $323,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

S. 722 HR 3506

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 1041 (Bill to repeal competitive acquisition program for DME) All sections P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology S. 722/H.R. 3506: The Hospice Evaluation and Legitimate Payment Act -- All sections H.R. 452: The Medicare Decisions Accountability Act -- All sections Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) -- DRAFT legislation S. 1680: The Craig Thomas Rural Hospital and Provider Equity Act of 2011 Sections 12, 13, 15, and 19 H.R. 3765/P.L. 112-78: Temporary Payroll Tax Cut Continuation Act of 2011 lobbied on Medicare payments for home health and hospice

Client expense: $330,000 · Firm income: Not reported

Concurrent care demonstration project; hospice reimbursement and payment reform; hospice face to face requirement; HELP Hospice Act (S. 722, HR 3506).

Client expense: Not reported · Firm income: $40,000

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

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: Independent Payment Advisory Board; 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; Section 6401-6402, Program Integrity Provisions; Section 6501-6503, 6505, 6508, Medicaid Program Integrity Provisions. CRNA Payment Issues, including S. 1585 and H.R. 3151, involving payment to Critical Access Hospitals for Certified Registered Nurse Anesthetist services, entire bills from 111th Congress. H.R. 2674, 340B Program Improvement Act, entire bill. S. 722 and H.R. 3506, Hospice Evaluation and Legitimate Payment Act, entire bills. S. 778, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. S. 1680, Craig Thomas Rural Hospital and Provider Equity Act of 2011, entire bill. H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011, TITLE IIITEMPORARY EXTENSION OF HEALTH PROVISIONS, including: Sec. 301. Medicare physician payment update; Sec. 302. 2-month extension of MMA section 508 reclassifications; Sec. 303. Extension of Medicare work geographic adjustment floor; Sec. 304. Extension of exceptions process for Medicare therapy caps; Sec. 305. Extension of payment for technical component of certain physician pathology services; Sec. 306. Extension of ambulance add-ons; Sec. 307. Extension of physician fee schedule mental health add-on payment; Sec. 308. Extension of outpatient hold harmless provision. H.R. 3630, Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201. Physician payment update; Section 2202. Ambulance add-ons; Section 2203. Medicare payment for outpatient therapy services; Section 2204. Work geographic adjustment. Part 3--Offsets, Section 2223, Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Sec. 2213. Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3630 with Reid amendment 1465, Temporary Payroll Tax Cut Continuation Act of 2011, Title III, Section 301. Medicare physician payment update; Section 302. 2-month extension of MMA section 508 reclassifications; Section 303. Extension of Medicare work geographic adjustment floor. Section 304. Extension of exceptions process for Medicare therapy caps. Section 305. Extension of payment for technical component of certain physician pathology services; Sec. 306. Extension of ambulance add-ons; Sec. 307. Extension of physician fee schedule mental health add-on payment; Sec. 308. Extension of outpatient hold harmless provision. H.R. 3285, Medicare Equity Extension Act, entire bill. 2011-12 Outpatient Prospective Payment System rules, focusing on provisions affecting physicians and hospitals including: policies related to the physician supervision of outpatient therapeutic services and physician self-referral prohibition; hospital value-based purchasing program. 2011 and 2012 Inpatient prospective payment system rules: entire rules. 2012 Physician Fee Schedule rule, entire rule. 2012 Hospice wage index proposed rule, entire rule. 2012 Inpatient Rehabilitation Facility prospective payment system rule, entire rule. 2012 Skilled Nursing Facility prospective payment system rule, entire rule. 2012 End-Stage Renal Disease prospective payment system rule, entire rule. 2012 Home Health prospective payment system rule, entire rule. Physician e-prescribing program rules, entire rule. Changes to Hospital CoPs, entire rule. Medicaid DSH Audit Rule, entire rule. HRSA rulemaking process involving MUP/As and HPSAs. Other issues: "Super Committee" deliberations related to S. 365, Budget Control Act of 2012. Proposals involving the Sustainable Growth Rate (SGR) formula. The Deficit Commission Report and President's budget proposals, including proposals that involve Medicare and Medicaid. 2011 March CBO proposal to eliminate the CAH, SCH, MDH programs. Accountable Care Organizations regulations and the Innovation Center's demonstration programs. Medicare and Medicaid Recovery Audit Contractor programs. Telemedicine and radiology issues affecting hospitals and physicians, including the credentialing and privileging process for Telemedicine services. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters. 2011 HHS National Patient Safety Initiative and the Partnership for Patients. Medical Liability Reform. Medicare and Medicaid Electronic Health Record Payment Incentive Programs (Meaningful Use). Hospital wage index reform, including Section 3137(b) of the Affordable Care Act. State health insurance exchanges. Critical Access Hospital respite program and hospitality rules. Drug Shortages. Hospital Part A and Part B Rebilling demonstration program.

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 1041 (Bill to repeal competitive acquisition program for DME) All sections P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology S. 722/H.R. 3506: The Hospice Evaluation and Legitimate Payment Act -- All sections H.R. 452: The Medicare Decisions Accountability Act -- All sections Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) -- DRAFT legislation S. 1680: The Craig Thomas Rural Hospital and Provider Equity Act of 2011 Sections 12, 13, 15, and 19 H.R. 3765/P.L. 112-78: Temporary Payroll Tax Cut Continuation Act of 2011 lobbied on Medicare payments for home health and hospice

Client expense: $330,000 · Firm income: Not reported

Hospice Evaluation and Legitimate Payment Act - S.722; HR 3506 Any federal legislation or agency regulations impacting federal payments for home health care and hospice services; Legislation to increase the federal debt ceiling

Client expense: $375,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to Medicare reimbursement for hospice services. Medicare payment for hospice services. H.R. 3630, Temporary Payroll Tax Cut Continuation Act, related to Medicare reimbursement for hospice care.

Client expense: Not reported · Firm income: $37,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 722 / H.R. 3506, Hospice Evaluation and Legitimate Payment (HELP) Act, as it relates to Medicare reimbursement for hospice services. Medicare payment for hospice services. H.R. 3630, Temporary Payroll Tax Cut Continuation Act, related to Medicare reimbursement for hospice care.

Client expense: Not reported · Firm income: $37,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 722, HR 3506 - the HELP Hospice Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3506 and S 722 the HELP Hospice Act Hospice in the Nursing Home Payments Hospice Market Basket

Client expense: Not reported · Firm income: $7,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE