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 (497 members)
(Accessible to ABA Members)

Chairs

Chair
Andrew B. Wachler
Wachler & Associates
210 E. 3rd Street, Suite 204
Royal Oak, MI 48067-2638
T:248/544-0888
awachler@wachler.com

Vice Chairs
Claire E. Castles
Law Offices of Dennis M. Lynch
922 West Center Avenue
Visalia, CA 93291-5916
T: 559-738-8100 F: 559-733-0791
ccastles@lynchlaw.com

Angela Lai
California Department of Managed Health Care
980 9th Street, Suite 500
Sacramento, CA, 95814
T: 916/324-7152 F: 916/323-0438
alai@dmhc.ca.gov

Liaisons

Government Submissions & Policy
Thomas E. Dowdell
Fulbright & Jaworski LLP
801 Pennsylvania Ave., NW Ste. 500
Washington, DC 20004-2623
T: 202/662-4503 F: 202/662-4643
tdowdell@fulbright.com

Membership
Angela M. Lai
Nossaman, Guthner, Knox & Elliott, LLP
915 L Street, Suite 1000
Sacramento, CA 95814
T: 916/442-8888 F: 916/442-0382
alai@nossaman.com

Technology
René Y. Quashie
Fulbright & Jaworski LLP
801 Pennsylvania Ave., NW
Market Sq./Ste. 500
Washington, DC 20004-2604
T: 202/662-4718 F: 202/662-4643
rquashie@fulbright.com

• 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)