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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
AHLA Articles

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.
AHLA On-Demand Education

    Webinars

    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:

    October 2, 2019 3:00 PM-3:45 PM Eastern

    Leadership

    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 Programming Phelps Dunbar LLP Tupelo, MS (662) 690-8021 Email
    Image of R.Burris
    R. Ross Burris Vice Chair - Educational Programming Polsinelli PC Atlanta, GA (404) 253-6010 Email
    Image of EmilyTowey
    Emily W. G. Towey Vice Chair - Publishing Hancock Daniel & Johnson PC Glen Allen, VA (804) 967-9604 Email
    Image of JeanneVance
    Jeanne L. Vance Vice Chair - Publishing 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

    Accreditation, Certification, and Enrollment Affinity Group Leaders

    Image of HilaryIsacson
    Hilary L. Isacson Vice Chair - Membership Sutter Health Sacramento, CA (916) 286-8296 Email
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    Sarah Rupp Kocher Vice Chair - Educational Programming University of Rochester Rochester, NY 585-758-7601 Email
    Image of TrentStechschulte
    Trent Stechschulte Vice Chair - Publishing Equitas Health Columbus, OH (614) 340-6781 Email
    Image of ColinMcCarthy
    Colin P. McCarthy Chair McGuireWoods LLP Richmond, VA (804) 775-7819 Email

    Delivery and Payment Reform Affinity Group Leaders

    Image of ChristineWorthen
    Christine Burke Worthen Chair Northern Light Health Brewer, ME 207-460-7966 Email
    Image of LynnBarrett
    Lynn M. Barrett Vice Chair - Publishing Lynn Barrett Pembroke Pines, FL Email
    Image of StephanieGross
    Stephanie Gross Vice Chair - Educational Programming Hooper Lundy & Bookman PC San Francisco, CA (415) 875-8509 Email
    Image of HopeLevy-Biehl
    Hope R. Levy-Biehl Vice Chair - Publishing Nelson Hardiman LLP Los Angeles, CA (310) 651-9602 Email
    Image of OrrielRichardson
    Orriel L. Richardson Vice Chair - Member Engagement US House of Representatives Washington, DC 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.

    ​RAP PG Affinity Groups

    The Accreditation, Certification, and Enrollment Affinity Group 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.

    The Delivery and Payment Reform Affinity Group informs members of payment and service delivery innovations including new or updated laws, regulations, waivers, and guidance related to federal and state-administered programs as well as trends and developments in the commercial market.

    All publications and resources produced by these Affinity Groups are available in the RAP PG Topical Library, and membership in these Affinity Groups 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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