The Payment & Reimbursement Interest Group follows trends, changes and practices in reimbursement, billing and collection under Medicare, Medicaid and other federal and state health care programs. The group also tracks major development relating to reimbursement and payment policies of other third party payors including commercial insurers and self-insured entities.

Access the following link to join the Payment & Reimbursement Interest Group and List Serve.

Current Interest Group Roster (531 members)
(Accessible to ABA Members)

Chairs

Chair
Holley Thames Lutz
Sonnenschein Nath & Rosenthal LLP
Washington, DC

Vice Chairs
Gwen Chapman
Houston, TX

Joseph Geraci
Austin, TX

Andrew B. Wachler
Wachler & Associates
Royal Oak, MI

Jonell Williamson
Baker Donelson et al
Jackson, MS

Liaisons

Government Submissions & Policy
Thomas E. Dowdell
Fulbright & Jaworski LLP
Washington, DC

Membership
Angela M. Lai
Nossaman, Guthner, Knox & Elliott, LLP
Sacramento, CA

Technology - Vacant

• 05/20/2009: Financing Comprehensive Health Care Reform: Proposed Health System Savings and Revenue Options
• 05/14/2009: Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans
• 05/12/2009: Financing Comprehensive Health Care Reform
• 04/29/2009: Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs
• 06/29/2006: HHS: Medicare Program; Five-Year Review of Work Relative Value Units Under the Physician Fee Schedule and Proposed Changes to the Practice Expense Methodology; Notice
• 05/26/2006: Medicare Program; Revisions to the Payment Policies of Ambulance Services nder the Fee Schedule for Ambulance Services
• OIG Advisory Opinion No. 06-03: Advisory opinion regarding a pharmaceutical company patient assistance program that provides free outpatient prescription drugs to financially-needy Medicare Part D enrollees entirely outside of the Part D benefit.
• An Open Letter to Health Care Providers

• 2007 - 2008 Payment & Reimbursement Interest Group Action Plan
• Comments
  • CMS-1727-P; "Medicare Program; Provider Reimbursement Determinations and Appeals"; Proposed Rule (69 Fed. Reg. 35716 (June 25, 2004)); Public Comments
  • OIG-53-P - Comments to Medicare and Federal Health Care Programs: Fraud and Abuse; Clarification of Terms and Application of Program Exclusion Authority for Submitting Claims Containing Excessive Charges; Proposed Rule - 68 Fed. Reg. 53,939 (Sept. 15, 2003)