• Implementation by CMS of RUG-IV. Concurrent therapy. Group therapy. Lookback. Therapy caps. Multiple Procedure Payment Reduction. Market basket update. Productivity adjustment. Bad debt. Re-hospitalizations. Co-pays. Tax extenders. The Joint Select Committee on Deficit Reduction. Sustainable Growth Rate.
• Medicare reimbursement issues as they relate to SNFs. Multiple Procedure Payment Reduction. RUGs IV. Therapy. Market basket update. Productivity adjustment. Bad debt. Re-hospitalizations. Co-pays. Tax extenders. The Joint Select Committee on Deficit Reduction. Sustainable Growth Rate.

Duration: November 1, 2007 to March 6, 2012

General Issues: Health Issues, Medicare/Medicaid

Spending: about $1,975,000 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2007: House of Representatives, U.S. Senate, Health & Human Services - Dept of (HHS), White House Office, Office of Management & Budget (OMB), Centers For Medicare and Medicaid Services (CMS)