CAPITOL COUNSEL LLC

Recovery audit contractor reform. Medicare regulatory reform, including Medicare physician fee schedule and sequestration relief and payment reforms. Network adequacy oversight, including Medicare Advantage plan provider directory accuracy issues. Medicare Parts C and D prior authorization reforms. Physician-led hospital barriers, including related provisions in H.R. 2191/S. 1390, the Patient Access to Higher Quality Care Act. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs.

Health care reform including implementation of the Affordable Care Act. Monitor implementation of the No Surprises Act.