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Regulation, Accreditation, and Payment

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AHLA's Regulation, Accreditation, and Payment Practice Group (RAP PG) keeps you informed on the most up to date and relevant issues related to reimbursement and coverage, including Medicare and other government payer laws, regulations, and instructions, as well as issues related to health care organizational accreditation such as the Joint Commission and other accrediting entity standards.

​PG Topical Library

Exclusive to RAP PG members, this Library is a hub for AHLA content related to your practice area, including exclusive PG content and a selection of AHLA member and non-dues content.

News and Analysis

Past PG Newsletters:

Education and Resources

  • Medicare and Medicaid Research Toolkit
    - PG Toolkit: Updated on April 30, 2019
    This Toolkit is designed to assist health lawyers with researching complex Medicare and Medicaid issues and serves as a research guide that helps practitioners (1) organize reimbursement research, (2) identify appropriate resources, and (3) carry out a successful and organized research project. The Toolkit includes links to required online resources and a template "Plan for Regulatory Research" to deploy as a reimbursement research best practice.

  • DAB and CRD Summaries Regarding Provider Enrollment Toolkit
    - PG Toolkit: Updated in 2017

    This Toolkit contains summaries of the U.S. Department of Health and Human Services Civil Remedies Division and Departmental Appeals Board decisions related to Medicare provider enrollment. This Toolkit will aid health care providers in analyzing and addressing questions and challenges that may arise during the initial Medicare enrollment, revalidation, and information update processes.
  • Clinical Trial Agreements Toolkit
    - PG Toolkit: Published on March 10, 2016
    The Clinical Trial Agreements (CTA) Toolkit is designed to assist health lawyers with understanding and negotiating clinical trial agreements between industry sponsors and academic medical centers in instances where the industry party is the sponsor of a study involving an investigational drug. The Toolkit is divided into 17 sections that represent key provisions of a CTA.


    Register for Upcoming:

    Purchase On-Demand:

    February 19, 2019 2:00 PM-3:30 PM Eastern
    December 6, 2018 2:00 PM-3:30 PM Eastern

    Educational Calls

    Included In Your PG Membership:

    June 4, 2019 3:00 PM-4:00 PM Eastern


    Regulation, Accreditation, and Payment Practice Group Leaders

    Image of JudithWaltz
    Judith A. Waltz Chair Foley & Lardner LLP San Francisco, CA (415) 438-6412 Email
    Image of StevenAdams
    Steven Blake Adams Vice Chair - Educational Programs Phelps Dunbar LLP Tupelo, MS (662) 690-8021 Email
    Image of DanielHettich
    Daniel J. Hettich Vice Chair - Research & Website King & Spalding LLP Washington, DC (202) 626-9128 Email
    Image of RossSallade
    Ross E. Sallade Vice Chair - Publications Polsinelli PC Raleigh, NC (919) 832-1718 Email
    Image of JeanneVance
    Jeanne L. Vance Vice Chair - Educational Programs Salem & Green PC Sacramento, CA (916) 563-1818 Email
    Image of MonicaWallace
    Monica Ann Wallace Vice Chair - Member Engagement McDermott Will & Emery LLP Chicago, IL (312) 984-7757 Email
    Image of MatthewHorton
    Matthew William Horton Social Media Coordinator King & Spalding LLP Washington, DC 202-626-9256 Email

    Accreditation, Certification, and Enrollment Affinity Group Leaders

    Image of HilaryIsacson
    Hilary L. Isacson Vice Chair - Membership Sutter Health Sacramento, CA (916) 286-8296 Email
    Image of ColinMcCarthy
    Colin P. McCarthy Vice Chair McGuireWoods LLP Richmond, VA (804) 775-7819 Email
    Image of HilaryIsacson
    Hilary L. Isacson Vice Chair - Membership Sutter Health Sacramento, CA (916) 286-8296 Email
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    Hope R. Levy-Biehl Vice Chair - Publications Nelson Hardiman LLP Los Angeles, CA (310) 651-9602 Email
    Image of RajShah
    Raj Shah Vice Chair - Education MagMutual Atlanta, GA (404) 842-4691 Email


    ​Government Reimbursement Topical Community

    Join the conversation! This Community discusses issues related to reimbursement and coverage. RAP PG members are automatically enrolled in this Community.

    ​Accreditation, Certification, and Enrollment Affinity Group

    The Accreditation, Certification, and Enrollment Affinity Group (ACE AG) provides its members with an organized forum to network and educate regarding legal developments and best practices relating to accreditation, certification, and enrollment issues affecting health care providers and health care professionals.

    All publications and resources produced by the ACE AG are available in the RAP PG Topical Library, and membership in the ACE AG is free to all RAP PG members. To enroll, complete and return the enrollment form or call AHLA's Member Service Center at (202) 833-1100, prompt #2.

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