Prepare for 2023: Regulatory & Reimbursement Updates

NHIA’s Connie Sullivan and Bill Noyes will focus on recent rules and regulations that members need to be aware of to incorporate into their operational plans, billing and coding procedures, and advocacy efforts.

Pertinent topics will include:

2023 Medicare rate adjustments for various provider/supplier types
Administrative simplification – Medicare is eliminating the DIF for IV/PEN items
Medical unlikely edits (MUE) updates – Hizentra and PN lipids
Use of the new JZ modifier
Public Health Emergency (PHE) – timing and how it effects COVID-19 monoclonal coverage
Inflation Reduction Act effects on Part D POO costs in 2024

NHIA will recap recent private payor advocacy efforts, including takeaways from its first Payor Summit and efforts to Modernize the HCPCS code set.

We will also cover the latest updates to the Preserving Patient Access to Home Infusion Act.

Talk Infusion 2022 Webinar Series Sponsored by McKesson.

Connie Sullivan

President & CEO

National Home Infusion Association

Connie Sullivan, B.S.Pharm, is the President and CEO of NHIA. Sullivan has over 25 years of infusion industry leadership, management, and clinical practice experience. Sullivan is responsible for NHIA’s advocacy initiatives and developing resources that support the infusion industry to foster innovation and promote the delivery of high-quality care. Sullivan also oversees the National Home Infusion Foundation, a 501c3 devoted to infusion research and developing future leaders. Sullivan is a member of the United States Pharmacopeia (USP) Sterile Compounding Expert Committee and currently Chairs the <797> Subcommittee. Sullivan earned her pharmacy degree from The Ohio State University in 1994.

No Disclosures to Report

Bill Noyes

Sr VP of Reimbursement Policy

NHIA

Bill Noyes is the Senior Vice President of Reimbursement Policy at the National Home Infusion Association (NHIA). He joined NHIA in 2012 as Vice President of Health Information Policy, focusing on reimbursement and regulatory issues affecting providers' ability to do business and collect payment for their services. Noyes sits on four Medicare Contractor Advisory Councils and is the liaison to NHIA's reimbursement-focused committees. He also works closely with the NHIA government relations team to gain more meaningful Medicare coverage for home infusion. He served as Interim CEO of the associaiton from July 2018 to November 2018. Prior to joining NHIA, Noyes spent 20 years as Vice President of Operations for a multi-state home infusion provider where he was responsible for purchasing, distribution, facilities, revenue cycle management, and pharmacy operations.

No Disclosures to Report

Shea McCarthy

Director of Legislative Affairs

NHIA

As a respected lobbyist and health policy analyst representing some of Washington’s most influential stakeholders, Shea McCarthy serves as NHIA's Director of Legislative Affairs as well as a full time consultant. As a Senior Vice President at the firm Thorn Run Partners, Mr. McCarthy advises clients on the intricacies of health care policy, develops sophisticated government relations strategies, and has successfully influenced federal laws. By offering a deeply coordinated approach to advocacy — combining facets of technology, grassroots engagement, PR, and traditional lobbying — Mr. McCarthy and his team of experts actively position stakeholders for success.

His experience has also been leveraged in the political arena, where he's worked on the Digital Events team for Mitt Romney’s Presidential campaign. Before to joining Thorn Run, Mr. McCarthy worked on in the office of Sen. Cory Gardner (R-CO). He is widely regarded as a thought leader in the health policy field, and his analysis has been featured in leading national and inside-the-Beltway publications such as Business Insider, STAT News, Inside Health Policy, Modern Healthcare, Morning Consult, and RealClearHealth.

He received his Bachelor's degree from the University of Notre Dame.

No Disclosures to Report