AHLA Institute for Medicare and Medicaid Payment Issues

Foley Partners Lawrence Vernaglia and Judith Waltz will be speaking at the AHLA Institute for Medicare and Medicaid Payment Issues.

On Wednesday, March 21st from 4:45 – 5:45 pm, Foley Partner Judith Waltz will co-present “Administrative Enforcement Tools” with Julie Burns.

Their session will cover:

• Medicare: Billing privileges revocations and denials, enrollment moratoria


• Payment suspensions (recent Medicaid targets as well as Medicare “sweeps”)


• OIG CMPs and Exclusions–finalized rules and new developments


• Medicaid enforcement: CMS-led efforts, reciprocal terminations, enrollment actions

Also on Wednesday, March 21st from 4:45 – 5:45 pm, Foley Partner Lawrence Vernaglia will co-present “Provider-Based Status, Under Arrangements, Enrollment, and Related Medicare Requirements” with Andrew Ruskin.

Their session will cover:

• Operational Issues faced by entities relating to BBA Section 603 (site neutrality) implementation


• The recent reimbursement changes for 340B drugs


• Changes to the reimbursement methodology for non-grandfathered sites


• Assessment of “mid-build” exception implementation



For more information and to register, visit the AHLA event website.