Fair Medical Audits Act of 2015

Recovery audit contractor reform, including related provisions in HR 2568, the Fair Medical Audits Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare recovery audits; H.R. 2156 Medicare Audit Improvement Act of 2015; H.R. 2568, Fair Medical Audits Act of 2015; Audit and Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015 (AFIRM).

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Recovery audit contractor reform, including related provisions in HR 2568, the Fair Medical Audits Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 4442, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 2484, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 4499, Promoting Responsible Opioid Prescribing (PROP) Act of 2016, all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions S. 1913, Stopping Medication Abuse and Protecting Seniors Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015, provisions relating to payment and delivery reform H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 6, 21st Century Cures Act, provisions relating to Sunshine/transparency H.R. 293, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes, all provisions H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 2680, Mental Health Reform Act of 2016, all provisions H.R. 2646, Helping Families in Mental Health Crisis Act of 2015, all provisions S. 2511, Improving Health Information Technology Act, all provisions S. 2141, TRUST IT Act, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 4227, Medicare Advantage Bill of Rights Act of 2015, all provisions S. 2392, Medicare Advantage Bill of Rights Act of 2015, all provisions Medicare program: Meaningful Use Regulations/Electronic Health Records (EHRs) Medicare program: EHR interoperability and certification Medicare program: Electronic prior-authorization Medicare program: Independent Payment Advisory Board (IPAB) Repeal Medicare program: Graduate Medical Education Medicare program: Telemedicine Medicare program: Telehealth and remote patient monitoring services Medicare program: Chronic Care Medicare program: Diabetes Prevention Medicare program: Comprehensive care for joint replacement Medicare program: Medicare Part B Drug Pricing/Reimbursement Medicare program: Medicare Part B Drug Demonstration program Medicare program: Transitional care management Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA) implementation Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Merit-Based Incentive Payment System (MIPS) Medicare program: Value-Based Modifier (VBM) Medicare program: Quality Reporting Medicare program: Prescription drug diversion and abuse Medicare program: Physician data Medicare program: Unique Device Identifier inclusion on claim forms Medicare program: ACO Improvement Act Medicare program: Health data security Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program: Provider network adequacy and balance billing Medicare program: Sunshine/Open Payments Medicare program: Resource use Medicare program: Health Insurance Portability and Accountability Act (HIPAA) Medicare program: PECOS/Medicare enrollment Medicare and Medicaid programs: Alternative payment models Medicare and Medicaid programs: Home Blood Pressure Monitoring equipment Medicare and Medicaid programs: ICD-10 Medicare and Medicaid programs: Procedure coding Medicare and Medicaid programs: Behavioral health management

Client expense: $6,600,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2392 / H.R. 4227, the Medicare Advantage Bill of Rights Act of 2015). Support legislation to eliminate the Independent Payment Advisory Board (S.141/ H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Advocate on issues related to waste, fraud and abuse in Medicare Advocate for increased funding and reforms to Graduate Medical Education. Lobby Congress on improvements to Health Information Technology implementation. Lobby Congress in opposition to repeal of the in-office ancillary and physician services exception for anatomic pathology services. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Advocate on use and availability of health care data. Lobby in support of legislation to provide more flexibility in the Meaningful Use program (H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability (Flex IT 2) Act) Advocate for EHR interoperability and enhancements to the federal certification system for health information technology (S. 2141, Transparent Ratings on Usability & Security to Transform Technology Act of 2015 and S.2511, Improving Health Information Technology Act). Lobby in support of legislation to require the Secretary of Health and Human Services to issue guidance on the application of the Common Rule to clinical data registries (H.R. 965, Facilitating Participation in Clinical Data Registries Act of 2015). Support legislation to improve transparency and due process in the Medicare RAC audit and appeals process (H.R. 2568, Fair Medical Audits Act). Support legislation to reduce Medicare fraud and improve access to Death Master File, S. 1073, the Stopping Improper Payments to Deceased People Act. Advocate for improving disease management and care coordination for patients with chronic diseases Support preservation of the In Offices Ancillary Services Exemption under Stark Law regarding physician self-referral; respond to request for comment regarding possible changes to Stark Law.

Client expense: $444,057 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare recovery audits; H.R. 2156 Medicare Audit Improvement Act of 2015; H.R. 2568, Fair Medical Audits Act of 2015; Audit and Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015 (AFIRM).

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - response to RFI and proposed quality measurement plan HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act, Expand Meaningful Use Hardship Exceptions HR 2568 - Fair Medical Audits Prescription Drug Pricing - no specific bill

Client expense: $90,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS)

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - response to RFI and proposed quality measurement plan HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act S 320 - Medical Innovation Act - NIH funding Opioid Addiction issues S. 1455 - TREAT ACT, Recovery Enhancement for Addiction Act S. 480 - Reauthorization of NASPER - The National All Schedules Prescription Electronic Reporting Act S. 1392 Safer Prescribing of Controlled Substances Act HR 2805/S. 1134 - Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 DEA - change/classification of regulations regarding partial fill of prescriptions E Prescribing - schedule II drugs S. 524 - Comprehensive Addiction and Recovery Act of 2015 Draft CDC Guideline for Prescribing Opioids for Chronic Pain SAMHSA proposed rules re: confidentiality on alcohol and drug abuse patient records, 42 CFR, Part 2 Prescription Drug Pricing - no specific bill Funding for demonstration projects for access to pain specialists - no specific bill HR 4276/S. 2647 Behavioral Health Coverage Transparency Act HR 4599/S. 2578 - Reducing Unused Medications Act of 2016 - partial fill legislation Access to medically tailored food for low income people - no specific bill Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act, Expand Meaningful Use Hardship Exceptions HR 2568 - Fair Medical Audits Act of 2015 DEA Reclassification of marijuana to allow scientific research and study - no specific bill Banning Nuclear War - no specific bill S. 2624 - National Biomedical Research Act Gun Violence Research - no specific bill

Client expense: $90,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS)

H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 141, Protecting Seniors' Access to Medicare Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 169, Critical Access Hospital Relief Act of 2015, all provisions S. 258, Critical Access Hospital Relief Act of 2015, all provisions H.R. 2513, Promoting Access, Competition, and Equity (PACE) Act of 2015, all provisions S. 2153, Provider Payment Sunshine Act, all provisions S. 2425, Patient Access and Medicare Protection Act, all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions H.R. 3309, Flex-IT 2 Act, all provisions H.R. 976, Patient Access to Higher Quality Health Care Act of 2015, all provisions H.R. 1018, Patient Access to Disposable Medical Technology Act of 2015, all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions H.R. 169, Critical Access Hospital Relief Act of 2015, all provisions H.R. 3940, Meaningful Use Hardship Relief Act of 2015, all provisions S. 2141, Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015, all provisions S. 2368, Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H. R.2 - Medicare Access and CHIP Reauthorization Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 3770, End Surprise Billing Act of 2015, all provisions Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program: MACRA Implementation/Alternate payment models Medicare program: ACA implementation/Marketplace open enrollment Medicare program: Independent Payment Advisory Board Repeal (IPAB) Medicare program: Misvalued Codes Medicare program: Meaningful Use Regulations/Electronic Health Records Medicare program: Electronic Health Records (EHR) interoperability and certification Medicare program: Telehealth and Medicare coverage Medicare program: Sequestration Medicare program: Comprehensive Joint Replacement Initiative Medicare program: In-Office Ancillary Services Exception (IOASE) Medicare program: Merit-Based Incentive Payment System (MIPS) Medicare program: Value-Based Payment Modifier (VPM) Medicare program: Graduate Medical Education (GME) Medicare program: Meaningful Use/hardship exemptions and Stage 3 regulations Medicare program: Prescription Drug Diversion Medicare program: Physician data Medicare program: Clinical Diagnostic Laboratory Tests Payment System Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Drugs of Abuse Testing Medicare program: Program Integrity Medicare program: Recovery Audit Contracting (RAC) Medicare program: Mental health and HIPAA privacy law Medicare program: Chronic care Medicare program: Medicare Advantage/narrow networks Medicare program: Pre-diabetes Medicare program: Hypertension Medicare program: Drug pricing Medicare program: Relative Value Scale Update Committee (RUC) Medicaid program: Medicaid expansion Medicaid program: CPT Medicare and Medicaid programs: ICD-10

Client expense: $4,530,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

General background on recovery auditing; Issues related to recovery auditing under Medicare; Medicare appeals process; H.R. 2156, Medicare Audit Improvement Act of 2015; H.R. 2568, Fair Medical Audits Act of 2015; S. 2368, Audit & Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015; FY 2016 Labor HHS Appropriations

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2392 / H.R. 4227, the Medicare Advantage Bill of Rights Act of 2015). Support legislation to eliminate the Independent Payment Advisory Board (S.141/ H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Advocate on issues related to waste, fraud and abuse in Medicare Advocate for increased funding and reforms to Graduate Medical Education. Lobby Congress on improvements to Health Information Technology implementation. Lobby Congress in opposition to repeal of the in-office ancillary and physician services exception for anatomic pathology services. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Advocate on use and availability of health care data. Lobby in support of legislation to provide more flexibility in the Meaningful Use program and extend the 90 day reporting period for demonstration meaningful use in 2015 (H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act, H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability (Flex IT 2) Act), H.R. 3940, the Meaningful Use Hardship Relief Act of 2015 and S. 2425, Patient Access and Medicare Protection Act. Advocate for EHR interoperability and enhancements to the federal certification system for health information technology (S. 2141, Transparent Ratings on Usability & Security to Transform Technology Act of 2015 and S. 289, the American Cures Act. Lobby in support of legislation to require the Secretary of Health and Human Services to issue guidance on the application of the Common Rule to clinical data registries (H.R. 965, Facilitating Participation in Clinical Data Registries Act of 2015). Support legislation to improve transparency and due process in the Medicare RAC audit and appeals process (H.R. 2568, Fair Medical Audits Act). Support legislation to reduce Medicare fraud and improve access to Death Master File, S. 1073, the Stopping Improper Payments to Deceased People Act.

Client expense: $280,332 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 141, Protecting Seniors' Access to Medicare Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 169, Critical Access Hospital Relief Act of 2015, all provisions S. 258, Critical Access Hospital Relief Act of 2015, all provisions H.R. 2513, Promoting Access, Competition, and Equity (PACE) Act of 2015, all provisions S. 2153, Provider Payment Sunshine Act, all provisions S. 2425, Patient Access and Medicare Protection Act, all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions H.R. 3309, Flex-IT 2 Act, all provisions H.R. 976, Patient Access to Higher Quality Health Care Act of 2015, all provisions H.R. 1018, Patient Access to Disposable Medical Technology Act of 2015, all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions H.R. 169, Critical Access Hospital Relief Act of 2015, all provisions H.R. 3940, Meaningful Use Hardship Relief Act of 2015, all provisions S. 2141, Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015, all provisions S. 2368, Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H. R.2 - Medicare Access and CHIP Reauthorization Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 3770, End Surprise Billing Act of 2015, all provisions Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program: MACRA Implementation/Alternate payment models Medicare program: ACA implementation/Marketplace open enrollment Medicare program: Independent Payment Advisory Board Repeal (IPAB) Medicare program: Misvalued Codes Medicare program: Meaningful Use Regulations/Electronic Health Records Medicare program: Electronic Health Records (EHR) interoperability and certification Medicare program: Telehealth and Medicare coverage Medicare program: Sequestration Medicare program: Comprehensive Joint Replacement Initiative Medicare program: In-Office Ancillary Services Exception (IOASE) Medicare program: Merit-Based Incentive Payment System (MIPS) Medicare program: Value-Based Payment Modifier (VPM) Medicare program: Graduate Medical Education (GME) Medicare program: Meaningful Use/hardship exemptions and Stage 3 regulations Medicare program: Prescription Drug Diversion Medicare program: Physician data Medicare program: Clinical Diagnostic Laboratory Tests Payment System Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Drugs of Abuse Testing Medicare program: Program Integrity Medicare program: Recovery Audit Contracting (RAC) Medicare program: Mental health and HIPAA privacy law Medicare program: Chronic care Medicare program: Medicare Advantage/narrow networks Medicare program: Pre-diabetes Medicare program: Hypertension Medicare program: Drug pricing Medicare program: Relative Value Scale Update Committee (RUC) Medicaid program: Medicaid expansion Medicaid program: CPT Medicare and Medicaid programs: ICD-10

Client expense: $4,490,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) H.R. 3309 (Ellmers) The Further Flexibility in HIT Reporting and Advancing Interoperability Act - FLEX IT 2 ACT S. 2141 (Cassidy/Whitehouse) The Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015 S. 2425 Patient Access and Medicare Protection Act H.R. 2568 (Holding) The Fair Medical Audits Act of 2015 H.R. 2247 (Black) The ICD-10 Act H.R. 6 (Upton/DeGette) The 21th Century CURES Act H.R. 3081 (Nunes/Pallone) The Tele-Med Act of 2015 H.R. 2029 The Consolidated Appropriations Act of 2016. FY 2016 Omnibus Appropriations Bill. H.R. 2725 (Peters) 21st Century Care for Military and Veterans Act Medicare Budget Sequestration Cuts Medicare Graduate Medical Education Funding ICD-10 Implementation for Medicare and Medicaid Medicaid Recoupment for Radiological Service Payments The Medicare Access and Childrens Health Insurance Program Reauthorization Act (MACRA-H.R. 2) Implementation Regulation CMS 33311-P: Medicare and Medicaid Programs Electronic Health Record Incentive Program- Modifications to Meaningful Use 2015-2017 Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. CMS Regulations related to EHR Meaningful Use Stage 2 and Stage 3 Meaningful Use Stage 3 correspondence ICD-10 Coding Implementation and Grace Period Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 3 and Modifications to Meaningful Use in 2015-2017. CMS 3310 and 3311-FC. ICD-10 Diagnosis Coding Program. CMS 2328-FC: Medicaid Program; Methods for Assuring Access to Covered Medicaid Services. California Medicaid Waive 42 CFR Part 414: Request for Information. Implementation of Merit-Based Incentive Payment System, Promotion of Alternative Payment Models, and Incentive Payments for Participation in Eligible Alternative Payment Models. CMS 3321-NC.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Recovery audit contractor reform, including related provisions in HR 2568, the Fair Medical Audits Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare program integrity and issues related to Medicare recovery audit contracting including: Medicare Audit Improvement Act of 2015 (H.R. 2156); Fair Medical Audits Act of 2015 (H.R 2568); Audit and Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015 (AFIRM).

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization - comments on regulations re: quality measurements, technical support for small businesses, MIPS, APMS HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act S 320 - Medical Innovation Act - NIH funding Opioid Addiction issues S. 1455 - TREAT ACT, Recovery Enhancement for Addiction Act S. 1641 - The Jason Simcakoski Memorial Opioid Safety Act s. 480 - Reauthorization of NASPER - The National All Schedules Prescription Electronic Reporting Act - No specific bill S. 1392 Safer Prescribing of Controlled Substances Act HR 2085/S. 1134 - Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 HR 1462/S 799 - Protecting our Infants Act of 2015 - PL 114-91 Partial Fill legislation - no specific bill Funding for demonstration projects for access to pain specialists - no specific bill DEA - change/classification of regulations regarding partial fill of prescriptions E Prescribing - no specific bill S. 524 - Comprehensive Addiction and Recovery Act of 2015 S. 1134 - Heroin and Prescription Opioid Abuse Education and Enforcement Act Draft CDC Guideline for Prescribing Opioids for Chronic Pain Prescriber Education on the VA System draft legislation Prescription Drug Pricing - no specific bill Direct to Consumer Advertising - no specific bill Negotiating Prescription Drug Prices for Medicare and Medicaid - no specific bill Access to medically tailored food for low income people - no specific bill S 139/HR 209 - the Ensuring Access to Clinical Trials Act of 2015 - PL 114-63 Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act Opposition to Meaningful Use Stage III Rules HR 3940 - Meaningful Use Hardship Relief Act - PL 114-115 HR 2568 - Fair Medical Audits Act of 2015 DEA Reclassification of marijuana to allow scientific research and study

Client expense: $80,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization - comments on regulations re: quality measurements, technical support for small businesses, MIPS, APMS HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act Opposition to Meaningful Use Stage III Rules HR 3940 - Meaningful Use Hardship Relief Act - PL 114-115 HR 2568 - Fair Medical Audits Act of 2015 Prescription Drug Pricing - negotiating drug prices for Medicare and Medicaid - no specific bill HR 2568 - Fair Medical Audits HR 209/S. 1391 - Ensuring Access to Clinical Trials Act of 2015 - PL 114-63

Client expense: $80,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Issues related to Medicare recovery audits; H.R. 2156 Medicare Audit Improvement Act of 2015; H.R. 2568, Fair Medical Audits Act of 2015; Audit and Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015 (AFIRM); H.R. 2029.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding S. 2425, the Patient Access and Medicare Protection Act: Exemption from Stage 2 Medicare Electronic Record meaningful use program penalties. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2513, Protecting Access, Competition, and Equity Act: Expansion of physician ownership of high quality hospitals. H.R. 2568, Fair Medical Audits Act of 2015: Implement transparency and due process in the current RAC audit and appeals process. H.R.3292, Medicare IME Pool Act: Reduce graduate medical education funding H.R. 3940, Meaningful Use Hardship Relief Act: Exemption from Stage 2 Medicare Electronic Record meaningful use program penalties. Removing Barriers to Clinical Research Act: Medicare coverage of medical costs of Medicare patients participating in FDA-approved clinical trials. No bill: Modification and delay of Medicare's Electronic Health Record meaningful use program.

Client expense: $15,000 · Firm income: Not reported

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

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding S. 2425, the Patient Access and Medicare Protection Act: Exemption from Stage 2 Medicare Electronic Record meaningful use program penalties. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2513, Protecting Access, Competition, and Equity Act: Expansion of physician ownership of high quality hospitals. H.R. 2568, Fair Medical Audits Act of 2015: Implement transparency and due process in the current RAC audit and appeals process. H.R.3292, Medicare IME Pool Act: Reduce graduate medical education funding H.R. 3940, Meaningful Use Hardship Relief Act: Exemption from Stage 2 Medicare Electronic Record meaningful use program penalties. Removing Barriers to Clinical Research Act: Medicare coverage of medical costs of Medicare patients participating in FDA-approved clinical trials. No bill: Modifications and delay of Medicare Electronic Health Records meaningful use program

Client expense: $15,000 · Firm income: Not reported

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

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.

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

MACRA, Medicare Physician Fee Schedule, Recovery Audit Contractors process (H.R. 2568/Fair Medical Audits Act of 2015)

Client expense: Not reported · Firm income: Not reported

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

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) H.R. 3309 (Ellmers) The Further Flexibility in HIT Reporting and Advancing Interoperability Act - FLEX IT 2 ACT S. 2141 (Cassidy/Whitehouse) The Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015 H.R. 2568 (Holding) The Fair Medical Audits Act of 2015 H.R. 2247 (Black) The ICD-10 Act H.R. 6 (Upton/DeGette) The 21th Century CURES Act H.R. 3081 (Nunes/Pallone) The Tele-Med Act of 2015 H.R. 2725 (Peters) 21st Century Care for Military and Veterans Act Medicare Budget Sequestration Cuts Medicare Graduate Medical Education Funding ICD-10 Implementation for Medicare and Medicaid Medicaid Recoupment for Radiological Service Payments The Medicare Access and Childrens Health Insurance Program Reauthorization Act (MACRA-H.R. 2) Implementation Regulation CMS 33311-P: Medicare and Medicaid Programs Electronic Health Record Incentive Program- Modifications to Meaningful Use 2015-2017 Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. CMS Regulations related to EHR Meaningful Use Stage 2 and Stage 3 Meaningful Use Stage 3 correspondence ICD-10 Coding Implementation and Grace Period California Medicaid Waiver

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

General background on recovery auditing; issues related to recovery auditing under Medicare; Medicare appeals process; Audit & Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015; Fair Medical Audits Act of 2015 (H.R. 2568); Medicare Audit Improvement Act of 2015 (H.R. 2156)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks. Support legislation to eliminate the Independent Payment Advisory Board (S.141/ H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Advocate on issues related to waste, fraud and abuse in Medicare Advocate for increased funding and reforms to Graduate Medical Education. Lobby Congress on improvements to Health Information Technology implementation. Lobby Congress in opposition to repeal of the in-office ancillary and physician services exception for anatomic pathology services. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Advocate on use and availability of health care data. Lobby in support of legislation to provide more flexibility in the Meaningful Use program and extend the 90 day reporting period for demonstration meaningful use in 2015 (H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act and H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability (Flex IT 2) Act). Advocate for EHR interoperability with clinical data registries for quality improvement purposes in the 21st Century Cures Act (H.R. 6). Lobby in support of legislation to require the Secretary of Health and Human Services to issue guidance on the application of the Common Rule to clinical data registries (H.R. 965, Facilitating Participation in Clinical Data Registries Act of 2015). Support for legislation to enhance Medicare beneficiaries access to the physician of their choice (H.R. 1650, the Medicare Patient Empowerment Act). Support legislation to protect physicians and provide flexibility during the ICD-10 transition (H.R. 2126), the Cutting Costly Codes Act, (H.R. 2247), the Increasing Clarity for Doctors by Transitioning Effectively Now (ICD-TEN) Act, (H.R. 2652), the Protecting Patients and Physicians against Coding Act and (H.R. 3018), the Code FLEX Act. Advocate for changes that would improve health outcomes for Medicare patients with chronic conditions. Support legislation to improve transparency and due process in the Medicare RAC audit and appeals process (H.R. 2568, Fair Medical Audits Act). Support legislation to reduce Medicare fraud and improve access to Death Master File, S. 1073, the Stopping Improper Payments to Deceased People Act

Client expense: $442,136 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1021, Protecting the Integrity of Medicare Act of 2015, all provisions H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 141, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 976, Patient Access to Higher Quality Health Care Act of 2015, all provisions H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 (PACE Act), all provisions S. 488, A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs, all provisions H.R. 1936, Improving the Integrity of Disability Evidence Act, all provisions H.R. 2519, Audiology Patient Choice Act of 2015, all provisions H.R. 3081, TELEmedicine for MEDicare Act of 2015 (TELE-MED Act of 2015), all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions H.R. 3309, Further Flexibility in HIT Reporting and Advancing Interoperability Act (Flex-IT 2 Act), all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions H.R. 3100, Medical Practice Freedom Act of 2015, all provisions H.R. 6, 21st Century Cures Act, all provisions H.R. 2502, Comprehensive Care Payment Innovation Act of 2015, all provisions H.R. 592, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions H.R. 3220, Medicare Common Access Card Act of 2015, all provisions H.R. 1117, Creating Access to Residency Education Act of 2015, all provisions S. 1148, Resident Physician Shortage Reduction Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare sequester H.R. 2146, Defending Public Safety Employees' Retirement Act, provisions relating to Medicare sequester S. 1020, Diagnostic Imaging Services Access Protection Act of 2015, all provisions Audit & Appeal Fairness Medicare program: Medicare Advantage market transparency/beneficiary and provider protections Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program; Merit-based incentive models Medicare program: Alternative payment models Medicare program: Independent Payment Advisory Board Repeal (IPAB) Medicare program: Medicare Physician Fee Schedule Medicare program: Meaningful Use, Certification, Interoperability Roadmap Medicare program: In-office Ancillary Services Exception Medicare program: Graduate Medical Education Medicare program: Electronic Health Records (EHR)/Meaningful Use (MU) Medicare program: Merit-based Incentive Payment System (MIPS) Medicare program: Two-Midnights Rule/Policy Medicare program: Alternative Payment Models Medicare program: Diabetes Medicare program: Sunshine Act/CME, reprints and medical textbooks Medicare program: Prescription Drug Diversion Medicare program: Medicare physician data Medicare program: Comprehensive Care for Joint Replacement (CCJR) Medicare program: Misvalued Codes Medicare program: Part B Drugs Medicare program: Chronic Care Medicare program: Sequestration Medicare program: Recovery Audit Contractors (RACs) Medicare program: Provider payments Medicare program: Local Coverage Decisions Medicare program: Enterprise Identity Management (EIDM) implementation Medicare program: Regulatory burdens Medicare program: Codes for drug abuse testing Medicare program: Physician Quality Reporting Program/Value-based Modifier/Physician Compare Medicare program: Diagnostic Coding Medicare and Medicaid programs: Nomination of Andrew Slavitt to be CMS Administrator Medicare and Medicaid programs: ICD-10 Medicare and Medicaid programs: Laboratory Developed Tests oversight and regulation Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA) implementation

Client expense: $4,280,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, Veterans Affairs, Dept of (VA), White House Office

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization - preparation for regulations re: quality measurements, technical support, MIPS, APMSHealth Center Reauthorization - quality measurements, technical support, MIPS, APMS HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act ICD 10 issues - no specific bill Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act Stage 3 Final Rules - CMS 42 CFR - Part 412 - 495 - no specific bill HR 2519 - Audiology Patient Choice Act of 2015 HR 2568 - Fair Medical Audits Act of 2015 Prescription Drug Pricing - no specific bill

Client expense: $100,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization - preparation for regulations re: quality measurements, technical support, MIPS, APMS HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act S 320 - Medical Innovation Act - NIH funding Opioid Addiction issues S. 1455 - TREAT ACT, Recovery Enhancement for Addiction Act S. 1641 - The Jason Simcakoski Memorial Opioid Safety Act s. 480 - Reauthorization of NASPER - The National All Schedules Prescription Electronic Reporting Act - No specific bill S. 1392 Safer Prescribing of Controlled Substances Act HR 2085/S. 1134 - Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 HR 1462/S 799 - Protecting our Infants Act of 2015 Partial Fill legislation - no specific bill Funding for demonstration projects for access to pain specialists - no specific bill DEA - change/classification of regulations regarding partial fill of prescriptions E Prescribing - no specific bill S. 524 - Comprehensive Addiction and Recovery Act of 2015 S. 1134 - Heroin and Prescription Opioid Abuse Education and Enforcement Act Draft CDC Guideline for Prescribing Opioids for Chronic Pain Prescription Drug Pricing - no specific bill Access to medically tailored food for low income people - no specific bill HR 2519 - Audiology Patient Choice Act of 2015 S 139/HR 209 - the Ensuring Access to Clinical Trials Act of 2015 ICD 10 issues - no specific bill Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act Stage 3 Final Rules - CMS 42 CFR - Part 412 - 495 - no specific bill HR 2568 - Fair Medical Audits Act of 2015 DEA Reclassification of marijuana to allow scientific research and study

Client expense: $100,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Medicare program integrity and issues related to Medicare recovery audit contracting including: Medicare Audit Improvement Act of 2015 (H.R. 2156); Fair Medical Audits Act of 2015 (H.R 2568); Audit and Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015 (AFIRM).

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Recovery audit contractor reform, including related provisions in HR 2568, the Fair Medical Audits Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare recovery audits; H.R. 2156 Medicare Audit Improvement Act of 2015; H.R. 2568, Fair Medical Audits Act of 2015; Audit and Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015 (AFIRM)

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. ICD-10 Coding Implementation and Grace Period California Medicaid Waiver

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

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

General background on recovery auditing; issues related to recovery auditing under Medicare; Medicare appeals process; Audit & Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015; Fair Medical Audits Act of 2015 (H.R. 2568); Medicare Audit Improvement Act of 2015 (H.R. 2156)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare program integrity and issues related to Medicare recovery audit contracting including the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2), Medicare Audit Improvement Act of 2015 (H.R. 2156), and Fair Medical Audits Act of 2015 (H.R 2568).

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act S 320 - Medical Innovation Act - NIH funding Opioid Addiction issues S. 1455 - TREAT ACT, Recovery Enhancement for Addiction Act S. 1641 - The Jason Simcakoski Memorial Opioid Safety Act Reauthorization of NASPER - The National All Schedules Prescription Electronic Reporting Act - No specific bill S. 1392 Safer Prescribing of Controlled Substances Act HR 2085/S. 1134 - Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 HR 1462/S 799 - Protecting our Infants Act of 2015 HR 2519 - Audiology Patient Choice Act of 2015 S 139/HR 209 - the Ensuring Access to Clinical Trials Act of 2015 ICD 10 issues, letter to CMS - no specific bill Meaningful Use and Electronic Medical Records - no specific bill HR 2568 - Fair Medical Audits Act of 2015

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

PL 114-10 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act ICD 10 issues, letter to CMS, no specific bill Meaningful Use and Electronic Medical Records HR 2519 - Audiology Patient Choice Act of 2015 HR 2568 - Fair Medical Audits Act of 2015

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Issues related to Medicare recovery audits; H.R. 2 Medicare Access and CHIP Reauthorization Act; H.R. 2156 Medicare Audit Improvement Act of 2015; H.R. 2568, Fair Medical Audits Act of 2015.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE