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Barbara Straub Williams Wins Medicare Quality Data Reimbursement Decision

The Provider Reimbursement Review Board ruled in favor of Western Medical Center – Santa Ana in one of the only Board cases involving the “Reporting Hospital Quality Data for Annual Payment Update” or “RHQDAPU” program. PRRB Dec. No. 2011-D13 (Dec. 3, 2010). The CMS Administrator declined to review the decision. As a result of the decision, the Hospital’s federal fiscal year 2008 Medicare inpatient payments will be recalculated to restore a 2 percent reduction to the annual payment update that CMS had imposed.

Peter Thomas testifies before the Institute of Medicine’s Board on Health Care Services

Powers Principal Peter Thomas will be testifying on behalf of the Consortium for Citizens with Disabilities, or CCD, at the Institute of Medicine meeting on the determination of the Essential Health Benefits, as established by the Affordable Care Act. Mr. Thomas will be speaking on the importance and definition of the category “Rehabilitative and Habilitative Services and Devices” within the benefits package.

CMS Develops Website for Center for Medicare and Medicaid Innovation

“In the spirit of the Open Government principles of transparency, participation and collaboration, innovations.cms.gov is a new site that CMS will use for collaboration and information sharing as we develop new care and payment models.” To access the site, click here.

Peter Thomas Quoted in NY Times Article on Health Reform Law

Powers Pyles Sutter & Verville principal Peter Thomas, on behalf of the Consortium for Citizens with Disabilities, was quoted in the New York Times article “Consumer Risks Feared as Health Law Spurs Mergers.” Read More

Three Powers Attorneys Selected as Best Lawyers in America

Powers Pyles Sutter & Verville PC is pleased to announce that Stan Freeman, Joel Hamme and Diane Millman were selected for inclusion in The Best Lawyers in America©. For information about Best Lawyers and their methodology, see Best Lawyers.

Barbara Straub Williams Wins Medicare Reimbursement Decision for Norfolk Hospitals

The Provider Reimbursement Review Board ruled in favor of twelve acute care hospitals located in the Norfolk area in a case involving the Medicare wage index paid to those hospitals. Norfolk MSA Wage Index Group, PRRB Dec. No. 2010-D41 ( Aug. 3, 2010). The CMS Administrator declined to review the case, which means that the Board decision is final. The decision will result in approximately $2.3 million in additional Medicare reimbursement to the Norfolk hospitals.

Jim Pyles Addresses Financial Impact of Healthcare Reform

Powers Pyles Sutter & Verville Principal Jim Pyles participated in the closing keynote panel of the Health Reform Summit, held September 23-24, 2010 in Vienna, VA.

Peter Thomas Addresses Healthcare Reform’s Impact on Hospitals & Physicians

Powers Pyles Sutter & Verville Principal Peter Thomas was the lead speaker at the Medical Development Specialists, or MDS, Consulting Annual Conference entitled, “Evolving Hospital and Physician Business Models in the Wake of Healthcare Reform.” The conference was held September 22-24, 2010 in Las Vegas.

Joel Hamme Addresses ANCOR Conference

Powers Pyles Sutter & Verville Principal Joel Hamme was a featured speaker and panelist at the 2010 Governmental Activities Seminar of American Network of Community Options and Resources, or ANCOR, on September 13 in Washington, DC. He was the sole presenter for a session entitled “To Sue Or Not To Sue: Medicaid Rate Litigation Update” and was a panelist with a number of providers on “Factors To Consider When Deciding Whether To Bring Suit.” Materials from the litigation update are available to interested parties by e-mailing Joel at joel.hamme@ppsv.com.

Ron Connelly and Susan Philp Win 7th Circuit Judgment Requiring Research Time to Be Included in IME FTE Count

On August 25, 2010, Powers attorneys Ronald S. Connelly and Mary Susan Philp obtained an important judgment from the Seventh Circuit Court of Appeals on behalf of the University of Chicago Medical Center. Univ. of Chicago Med. Ctr. v. Sebelius, No. 09-3429 (7th Cir. Aug. 25, 2010). The case involves Medicare payments for indirect medical education (“IME”). The court held that the recent health reform law, the Patient Protection and Affordable Care Act (“PPACA”), requires the Secretary of Health and Human Services to include research time in the count of interns, residents, and fellows when calculating IME payments.

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