Medicare Audiology Services Enhancement Act of 2015
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Medicare Audiology Services Enhancement Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers; include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare.
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Filing registrants (4)
2016 · fourth_quarter · Medicare/Medicaid
Medicare physician payment reform, in general. Implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Audiology-related legislation, in general. H.R. 1116, the "Medicare Audiology Services Enhancement Act of 2015," all provisions. Flexibility of the Meaningful Use Program, in general. Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). H.R. 2519, the "Audiology Patient Choice Act of 2015," all provisions. Regulatory approaches that allow Qualified Clinical Data Registries to meet quality requirements under MACRA and Meaningful Use and addressing unfair data blocking policies. Communications assessing interoperability for the Medicare Access and CHIP Reauthorization Act (MACRA), which directs the Secretary of the U.S. Department of Health and Human Services (HHS) to establish metrics to determine if and to what extent interoperability has been achieved. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re: Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models. Opposition to the provision in the Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule (PFS) proposed rule for calendar year (CY) 2017 to collect all data for all 10- and 90-day global services from all practitioners who perform these services, rather than from a representative sample of practitioners, which was required by The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Comments in support of the Centers for Medicare and Medicaid Services (CMS) restoring the Refinement Panel to serve as the relative value appeals process that was appropriately in place prior to 2011. Comments re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017. Comments re: CY 2017 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1656-P. Comments expressing concern about the quasi-qualified entity provisions of the final rule, Medicare Program: Expanding Uses of Medicare Data by Qualified Entities." Comments/concerns regarding efforts to require Qualified Clinical Data Registries (QCDRs) to consolidate one or more of their proposed non-PQRS quality measures with (a) existing, traditional PQRS quality measures, (b) other non-PQRS measures proposed by other QCDRs, or (c) non-PQRS measures proposed by the QCDR. Comments re: CMS-5517-FC - Medicare Program: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models for use of QCDRs and certified electronic health record technology (CEHRT) for reporting measures under the Quality performance category. Comments re: "Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models," published in the Federal Register on November 4, 2016. Comments re: CY 2017 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1656-FC and IFC, published in the Federal Register as a final notice on November 14, 2016, addressing: 1.) Additional Comprehensive Ambulatory Payment Classifications (C-APCs); 2.) Procedures Assigned to New Technology APC Groups for CY 2017; and 3.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act for 2014 (PAMA). Repeal of the Independent Payment Advisory Board (IPAB); in general.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Congress.gov source codes: H11100, H11100-A
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $200,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office
2016 · fourth_quarter · Medicare/Medicaid
H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surroungind Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
Client expense: $290,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
2016 · fourth_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services;revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare.
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Medicare physician payment reform, in general. Implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Audiology-related legislation, in general. H.R. 1116, the "Medicare Audiology Services Enhancement Act of 2015," all provisions. Flexibility of the Meaningful Use Program, in general. Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). H.R. 2519, the "Audiology Patient Choice Act of 2015," all provisions. Regulatory approaches that allow Qualified Clinical Data Registries to meet quality requirements under MACRA and Meaningful Use and addressing unfair data blocking policies. Communications assessing interoperability for the Medicare Access and CHIP Reauthorization Act (MACRA), which directs the Secretary of the U.S. Department of Health and Human Services (HHS) to establish metrics to determine if and to what extent interoperability has been achieved. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re: Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models. Opposition to the provision in the Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule (PFS) proposed rule for calendar year (CY) 2017 to collect all data for all 10- and 90-day global services from all practitioners who perform these services, rather than from a representative sample of practitioners, which was required by The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Comments in support of the Centers for Medicare and Medicaid Services (CMS) restoring the Refinement Panel to serve as the relative value appeals process that was appropriately in place prior to 2011. Comments re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017. Comments re: CY 2017 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1656-P. Comments expressing concern about the quasi-qualified entity provisions of the final rule, Medicare Program: Expanding Uses of Medicare Data by Qualified Entities."
Client expense: $190,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office
2016 · third_quarter · Medicare/Medicaid
H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surroungind Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
Client expense: $280,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
2016 · third_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services;revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare.
Client expense: $32,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
Medicare physician payment reform, in general. Implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Audiology-related legislation, in general. H.R. 1116, the "Medicare Audiology Services Enhancement Act of 2015," all provisions. Flexibility of the Meaningful Use Program, in general. Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). H.R. 2519, the "Audiology Patient Choice Act of 2015," all provisions. Regulatory approaches that allow Qualified Clinical Data Registries to meet quality requirements under MACRA and Meaningful Use and addressing unfair data blocking policies. Communications assessing interoperability for the Medicare Access and CHIP Reauthorization Act (MACRA), which directs the Secretary of the U.S. Department of Health and Human Services (HHS) to establish metrics to determine if and to what extent interoperability has been achieved. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re: Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models.
Client expense: $130,000 · Firm income: Not reported
2016 · first_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2016 · second_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2016 · second_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 and efforts to repeal the SGR formula
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · first_quarter · Medicare/Medicaid
Medicare physician payment reform, in general. Implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Audiology-related legislation, in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, all provisions. Flexibility of the Meaningful Use Program, in general. Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). H.R. 2519, the Audiology Patient Choice Act of 2015, all provisions. Regulatory approaches that allow Qualified Clinical Data Registries to meet quality requirements under MACRA and Meaningful Use and addressing unfair data blocking policies.
Client expense: $130,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)
2016 · first_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2016 · first_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 and efforts to repeal the SGR formula
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · fourth_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. H.R. 628, the Steve Gleason Act of 2015 and other various issues related to ensuring access to speech-generating devices (SGDs) needed to supplement or replace speech or writing for individuals with severe speech impairments Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2015 · fourth_quarter · Medicare/Medicaid
Medicare physician payment reform; in general. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions. H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions. Audiology-related legislation; in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015. Repeal of the Independent Payment Advisory Board (IPAB); in general. H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions. Certification of electronic health records (EHRs); in general. Medicare Advantage "Network Adequacy"; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA). Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers. Comments re: funding of quality measures authorized under section 102 of the recently enacted Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, Public Law 114-10. H.R. 2519, Audiology Patient Choice Act of 2015; all provisions. Support for the appointment of a surgeon to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) created under the Medicare Access and CHIP Reauthorization Act (MACRA). Support for H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability Act or Flex IT 2 Act"; all provisions. Communications urging the Administration to "pause" implementation of Stage 3 Meaningful Use (MU) and reevaluate the program in light of pivotal changes to Medicare, including passage of the Medicare Access and Chip Reauthorization Act (MACRA). Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "CY 2016 Hospital Outpatient PPS Policy changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1633-P, published in the Federal Register as a proposed notice on July 8, 2015. Comments address 1.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 2.) Proposed New Technology APCs - Orthopedic Procedures. Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "Medicare Program; Revisions for Part B for CY 2016" published in the Federal Register as a proposed notice on July 15, 2015. Comments address 1.) 2016 Conversion Factor (CF); 2.) Practice Expense Issues; 3.) Potentially Misvalued Services Under the Fee Schedule; 4.) Improving Valuation of the Global Surgical Package; 5.) Improving Payment Accuracy for Primary Care and Care Management Services; 6.) Target for Relative Value Adjustments for Misvalued Services; 7.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 8.) Malpractice RVUs; 9.) Validating RVUs of Service; 10.) Valuing New, Revised, and Potentially Misvalued Codes; 11.) Valuation of Specific Codes; 12.) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 13.) Physicians Compare; 14.) Physician Payment, Efficiency, and Quality Improvements-Physician Quality Reporting System (PQRS); 15.) Value Based Modifier (VM) and Physician Feedback Reporting Program. H.R. 1919, the Steve Gleason Act of 2015; all provisions. S. 2425, the Patient Access and Medicare Protection Act; Section 4. Meaningful Use Incentive Program; in general. Physician-led, team-base care approach to healthcare models; in general. Comments regarding the Request for Information (RFI) on implementation of Alternative Payment Models (APMs) and Merit-Based Incentive Programs (MIPS) under the Medicare Access and Chip Reauthorization Act (MACRA). H.R. 2568, the Fair Medical Audits Act of 2015; all provisions. H.R. 2513, the Protecting Access, Competition, and Equity Act; all provisions. H.R. 3940, the Meaningful Use Hardship Relief Act of 2015; all provisions. Comments re: "Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and and other Revisions for Part B for CY 16" published in the Federal Register as a final rule with comment period on November 16, 2015, which address the following issues: 1) 2016 Conversion Factor (CF); 2) Practice Expense Issues; 3) Potentially Misvalued Services Under the Fee Schedule; 4) Improving Valuation of the Global Surgical Package; 5) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 6) Valuing New, Revised, and Potentially Misvalued Codes; 7) CY 2016 Interim Final Rule Codes; 8) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 9) Physician Compare; 10) Physician Payment, Efficiency, and Quality Improvements - Physician Quality Reporting System (PQRS); 11) Value Based Payment Modifier (VM) and Physician Feedback Reporting Program. Comments re: the "Medicare and Medicaid Programs; Electronic Health Record Incentive Program--Stage 3 and Modifications to Meaningful Use in 2015-2017; Final Rule" published in the Federal Register on Friday, October 16, 2015, which address the following issues: 1) the need for increased flexibility; 2) the lack of interoperability; 3) the need for 90-day reporting periods beyond the current year; and 4) the specific meaningful use criteria.
2015 · fourth_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 and efforts to repeal the SGR formula
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · third_quarter · Medicare/Medicaid
Medicare physician payment reform; in general. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions. H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions. Audiology-related legislation; in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015. Repeal of the Independent Payment Advisory Board (IPAB); in general. H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions. Certification of electronic health records (EHRs); in general. Medicare Advantage "Network Adequacy"; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA). Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers. Comments re: funding of quality measures authorized under section 102 of the recently enacted Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, Public Law 114-10. H.R. 2519, Audiology Patient Choice Act of 2015; all provisions. Support for the appointment of a surgeon to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) created under the Medicare Access and CHIP Reauthorization Act (MACRA). Support for H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability Act or Flex IT 2 Act"; all provisions. Communications urging the Administration to "pause" implementation of Stage 3 Meaningful Use (MU) and reevaluate the program in light of pivotal changes to Medicare, including passage of the Medicare Access and Chip Reauthorization Act (MACRA). Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "CY 2016 Hospital Outpatient PPS Policy changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1633-P, published in the Federal Register as a proposed notice on July 8, 2015. Comments address 1.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 2.) Proposed New Technology APCs - Orthopedic Procedures. Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "Medicare Program; Revisions for Part B for CY 2016" published in the Federal Register as a proposed notice on July 15, 2015. Comments address 1.) 2016 Conversion Factor (CF); 2.) Practice Expense Issues; 3.) Potentially Misvalued Services Under the Fee Schedule; 4.) Improving Valuation of the Global Surgical Package; 5.) Improving Payment Accuracy for Primary Care and Care Management Services; 6.) Target for Relative Value Adjustments for Misvalued Services; 7.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 8.) Malpractice RVUs; 9.) Validating RVUs of Service; 10.) Valuing New, Revised, and Potentially Misvalued Codes; 11.) Valuation of Specific Codes; 12.) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 13.) Physicians Compare; 14.) Physician Payment, Efficiency, and Quality Improvements-Physician Quality Reporting System (PQRS); 15.) Value Based Modifier (VM) and Physician Feedback Reporting Program. H.R. 1919, the Steve Gleason Act of 2015; all provisions.
2015 · third_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. H.R. 628, the Steve Gleason Act of 2015 and other various issues related to ensuring access to speech-generating devices (SGDs) needed to supplement or replace speech or writing for individuals with severe speech impairments Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2015 · third_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 and efforts to repeal the SGR formula
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · second_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. H.R. 628, the Steve Gleason Act of 2015 and other various issues related to ensuring access to speech-generating devices (SGDs) needed to supplement or replace speech or writing for individuals with severe speech impairments Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2015 · second_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 and efforts to repeal the SGR formula
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · second_quarter · Medicare/Medicaid
Medicare physician payment reform; in general. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions. H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions. Audiology-related legislation; in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015. Repeal of the Independent Payment Advisory Board (IPAB); in general. H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions. Certification of electronic health records (EHRs); in general. Medicare Advantage "Network Adequacy"; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA). Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers. Comments re: funding of quality measures authorized under section 102 of the recently enacted Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, Public Law 114-10. H.R. 2519, Audiology Patient Choice Act of 2015; all provisions.
Client expense: $170,000 · Firm income: Not reported
2015 · second_quarter · Medicare/Medicaid
Medicare payment and regulation of audiologists and audiological services including HR 1116, Medicare Audiology Services Enhancement Act of 2015 and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · second_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. H.R. 628, the Steve Gleason Act of 2015 and other various issues related to ensuring access to speech-generating devices (SGDs) needed to supplement or replace speech or writing for individuals with severe speech impairments Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2015 · first_quarter · Medicare/Medicaid
Medicare physician payment reform; in general. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions. H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions. Audiology-related legislation; in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015. Repeal of the Independent Payment Advisory Board (IPAB); in general. H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions. Certification of electronic health records (EHRs); in general. Medicare Advantage "Network Adequacy"; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA). Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers.
Client expense: $180,000 · Firm income: Not reported
2015 · first_quarter · Medicare/Medicaid
H.R. 775/S.539, the Medicare Access to Rehabilitation Services Act of 2015, as related to the Medicare Part B cap on outpatient therapy services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 and draft Senate legislation, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Value-Based Payment Modifier for audiology and speech-language pathology participation. Various issues related to the implementation of the IMPACT Act. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to prospective payment systems (PPS), including the Outpatient Prospective Payment System (OPPS) and PPS for post-acute care settings. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to CMS actions surrounding accountable care organizations. Various issues related to CMS actions surrounding the federally-facilitated marketplace. Various issues related to CMS actions surrounding Medicare Advantage as related to audiology and speech-language pathology. H.R. 628, the Steve Gleason Act of 2015 and other various issues related to ensuring access to speech-generating devices (SGDs) needed to supplement or replace speech or writing for individuals with severe speech impairments Various issues related to telehealth with regards to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).
2015 · first_quarter · Medicare/Medicaid
Medicare payment and regulation of audiologists and audiological services including HR 1116, Medicare Audiology Services Enhancement Act of 2015 and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · first_quarter · Medicare/Medicaid
Oppose H.R. 1116 Medicare Audiology Services Enhancement Act of 2015. This legislation amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers;include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 and efforts to repeal the SGR formula
Client expense: $85,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · first_quarter · Veterans
Opposition to H.R. 353/S. 564 Veterans' Access to Hearing Health Act of 2015- Authorizes the Secretary of Veterans Affairs (VA) to appoint licensed hearing aid specialists in the Veterans Health Administrator. Opposition to H.R. 1116 Medicare Audiology Services Enhancement Act of 2015 Support of S. 315 and House activities related to the Hearing Aid Assistance Tax Credit Act. This bill Amends the Internal Revenue Code to allow a tax credit of up to $500 in a taxable year for the purchase of a hearing aid Support of H.R. 1344- Early Hearing Detection and Intervention Act
Client expense: Not reported · Firm income: Not reported
2015 · first_quarter · Health Issues
Opposition to H.R. 353/S. 564 Veterans' Access to Hearing Health Act of 2015- Authorizes the Secretary of Veterans Affairs (VA) to appoint licensed hearing aid specialists in the Veterans Health Administrator. Opposition to H.R. 1116 Medicare Audiology Services Enhancement Act of 2015 Support of S. 315 and House activities related to the Hearing Aid Assistance Tax Credit Act. This bill Amends the Internal Revenue Code to allow a tax credit of up to $500 in a taxable year for the purchase of a hearing aid Support of H.R. 1344- Early Hearing Detection and Intervention Act
Client expense: Not reported · Firm income: Not reported
| Republican |
| OH |
| Billy Long | Republican | MO |
| Bobby L. Rush | Democratic | IL |
| Brett Guthrie | Republican | KY |
| Candice S. Miller | Republican | MI |
| Charles W. Dent | Republican | PA |
| Dan Benishek | Republican | MI |
| Danny K. Davis | Democratic | IL |
| David A. Trott | Republican | MI |
| David B. McKinley | Republican | WV |
| David Loebsack | Democratic | IA |
| David P. Joyce | Republican | OH |
| David Scott | Democratic | GA |
| Doug Collins | Republican | GA |
| Duncan Hunter | Republican | CA |
| G. K. Butterfield | Democratic | NC |
| Joe Wilson | Republican | SC |
| John R. Moolenaar | Republican | MI |
| John Shimkus | Republican | IL |
| Kevin Yoder | Republican | KS |
| Leonard Lance | Republican | NJ |
| Lou Barletta | Republican | PA |
| Mike Bishop | Republican | MI |
| Mike Pompeo | Republican | KS |
| Mimi Walters | Republican | CA |
| Patrick Meehan | Republican | PA |
| Peter J. Roskam | Republican | IL |
| Renee L. Ellmers | Republican | NC |
| Richard Hudson | Republican | NC |
| Robert J. Dold | Republican | IL |
| Rodney Davis | Republican | IL |
| Ryan A. Costello | Republican | PA |
| Susan W. Brooks | Republican | IN |
| Tim Murphy | Republican | PA |
| Tim Walberg | Republican | MI |
| Tom Marino | Republican | PA |
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office
Client expense: $240,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $290,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $210,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $270,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $210,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office
Client expense: $220,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $280,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)
Client expense: $280,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE