Medical Necessity - American Health Lawyers Association

More documents

Recommendations

Info

2004–2005 Public Interest Donations Honor Roll Health Lawyers sincerely thanks the individuals, law firms, and organizations listed below for their generous donations in support of the 2005 Colloquium, Medical Necessity: Current Concerns and Future Challenges, and the Association’s ongoing Public Interest activities. Patrons ($1,500 or more) eHealth Initiative Epstein Becker & Green PC* King & Spalding Ober Kaler Grimes & Shriver Phelps Dunbar LLP Post & Schell Reed Smith LLP* Sonnenschein Nath & Rosenthal LLP T. Giovanis & Company* Scott Becker Timothy P. Blanchard Sanford V. Teplitzky Benefactors ($1,000 to $1,499) Baker Donelson Bearman Caldwell & Berkowitz PC* Blank Rome LLP* Bradley Arant Rose & White LLP* Buchanan Ingersoll PC Calfee Halter & Griswold LLP* Cozen O’Connor Holland & Knight* Husch & Eppenberger LLC* Powers Pyles Sutter & Verville* Elisabeth Belmont Douglas A. Hastings Jeffrey M. Sconyers Contributors ($500 to $999) Adelman, Sheff & Smith LLC Alice G. Gosfield and Associates PC Coppersmith Gordon Schermer Owens & Nelson PLC Anthea R. Daniels Kerry B. Hoggard Margaret M. Manning David E. Matyas Harvey M. Tettlebaum Cynthia F. Wisner (continued inside back cover)
Public Interest Colloquium Medical Necessity: Current Concerns and Future Challenges Held March 31–April 1, 2005 Washington, DC Public Interest: “…to serve as a public resource on selected healthcare legal issues” — From the Mission Statement of the American Health Lawyers Association
Page 1: Public Interest Colloquium Medical
Page 5 and 6: Table of Contents Contributors ....
Page 7 and 8: procedures and treatments. We are p
Page 9 and 10: Colloquium Criteria & Objectives 20
Page 11 and 12: 2005 COLLOQUIUM REPORT vii.
Page 13 and 14: denied on the basis of medical nece
Page 15 and 16: can draw a line down the middle of
Page 17 and 18: could be linked to requirements for
Page 19 and 20: The academician who earlier suggest
Page 21 and 22: “I would like to ensure that heal
Page 23 and 24: Special Presentation and Discussion
Page 25 and 26: areas of significant scientific unc
Page 27 and 28: Stakeholders’ Concerns with the M
Page 29 and 30: “to make an informed choice.” I
Page 31 and 32: Examining the Term “Medical Necce
Page 33 and 34: ange of services because it is not
Page 35 and 36: 3. Refine healthcare financing to m
Page 37 and 38: Appendix A Issue Paper to Establish
Page 39 and 40: is employed in some form by every h
Page 41 and 42: healthcare costs (primarily those o
Page 43 and 44: quickly came to include within its
Page 45 and 46: the risk of non-payment if a payor
Page 47 and 48: was reportedly stifled and financia
Page 49 and 50: EXISTING “STANDARDS” To provide
Page 51 and 52: available treatment alternatives. 8
Page 53 and 54:
■ Most diagnosis and treatment de
Page 55 and 56:
◆ Consensus of expert medical opi
Page 57 and 58:
istrative hearing (conducted by an
Page 59 and 60:
ENDNOTES 1 Similar issues exist in
Page 61 and 62:
30 See, e.g., a criminal case: Indi
Page 63 and 64:
60 42 C.F.R. § 440.230(d) (2004) (
Page 65 and 66:
96 Precedential determinations are,
Page 67 and 68:
opposite of privacy; an activity is
Page 69 and 70:
another $5 billion of out-of-pocket
Page 71 and 72:
1. As a rider, or supplement, to th
Page 73 and 74:
for CAM). The percentage of therapi
Page 75 and 76:
massage therapist — treats a pati
Page 77 and 78:
41 White House Commission Report, s
Page 79 and 80:
Kinney, Eleanor D. “Medicare Mana
Page 81 and 82:
Health Lawyers Leadership and Staff
Page 83 and 84:
Supporters ($100 to $499) Joy & You
show all

Medical Necessity - American Health Lawyers Association

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?