Leslie Demaree Goldsmith

Professional Memberships

• Member – American Bar Association
• Member – American Health Law Association
• Member – Maryland State Bar Association

Community Services

• Maryland Chapter of the Arthritis Foundation
  • Board of Directors (1998 – 2003)
  • Public Policy & Advocacy Committee, Chair (1999 – 2004)
• Ober|Kaler Mentoring Program
  • Co-chair (2004 – 2012)

Honoraries

• Recipient – JD Supra Readers' Choice Award - Top Authors in Health Law (2016 and 2017)
• Selected by Nightingale's Health Care News as one of its ten "Outstanding Hospital Lawyers" (2009)

• "CMS Releases Its FY 2021 IPPS and LTCH-PPS Proposed Rule," Payment Matters (June 2020)
• "CMS's Second Interim Final Rule Further Expands Telemedicine, Service Availability and Payment Flexibilities Related to the COVID-19 Pandemic" (May 19, 2020)
• "CMS Interim Final Rule Expands Telemedicine Services and Bends Coverage and Payment Rules for Range of Patient Care Services During Pandemic" (April 8, 2020)
• "D.C. District Court Issues Two Decisions Addressing CMS's Medicare Bad Debt "Must Bill" Policy – One Rejecting the Policy and the Other Upholding the Policy," Payment Matters (October 2019); republished in F2 Healthcare (November 2019)
• "D.C. Court Rejects CMS's 2018 "Budget Neutrality" Policy," Payment Matters (October 2019)
• "CMS Implements Enhanced Oversight of New Home Health Agencies," Payment Matters (April 2019)
• "Medicare Target, Probe and Education Audits Require Immediate and Full Attention from Providers/Suppliers," Payment Matters (February 2019)
• Co-author – "Provider Reimbursement Review Board Revises Rules, Effective Immediately," Payment Matters (October 2018)
• Co-author – "Provider Reimbursement Review Board Revises Rules, Effective Immediately," AHLA Weekly (September 2018)
• Author – "CMS Softens Physician Inpatient Order Documentation Requirement," Payment Matters (September 2018)
• Author – "OIG Finds Continued Procedural Errors in Hospital Outlier Payment Reconciliations," Payment Matters (October 2017)
• Co-author – "OIG Finds Acute Care Hospitals Improperly Billed for Outpatient Services Provided to Inpatients of Other Hospitals," Payment Matters (October 2017)
• Author – "Court of Appeals Reverses D.D.C. Order Requiring HHS to Eliminate Medicare Appeals Backlog by December 31, 2020" (September 2017)
• Author – "CMS Implements Uniform Provider-Based Checklist," Payment Matters (August 2017)
• Author – "CMS Delays Implementation of Revised HHA Conditions of Participation," Payment Matters (August 2017)
• Author – "CMS Proposes to Reduce Facility Payment for Non-Excepted Provider-Based Outpatient Department Services by 50 Percent," Payment Matters (August 2017)
• Author – "Baker's Dozen – 13 of the Best Places to Visit in Washington, D.C," Women's Initiative Newsletter (June 2017)
• Author – "Medicare Two-Midnight Rule and Observation Status Updates," Payment Matters (April 2017)
• Author – "Medicare Payment Changes for 'New' Off-Campus, Provider-Based Sites – CMS Publishes Final Rule and Congress Provides Some Relief," ABA Health eSource, Vol. 13, No. 6 (February 2017)
• Author – "CMS Finalizes Revamped Home Health Agency Conditions of Participation," Payment Matters (January 2017)
• Chapter Editor – "First Ed., Chapter: Medicare Reimbursement – Inpatient/Outpatient Hospitals," Representing Hospitals and Health Systems Handbook, American Health Law Association (2016) [Ober|Kaler]
• Author – "CMS Publishes the Medicare Outpatient Observation Notice Form and Instructions," Payment Matters (2016) [Ober|Kaler]
• Author – "CMS Final Rule and 21st Century Cures Act Include Good and Bad News for Provider-Based Sites," Payment Matters (2016) [Ober|Kaler]
• Author – "CMS Releases the 2016 OPPS Final Rule," Payment Matters (2016) [Ober|Kaler]
• Author – "Home Health Agency PPS Update for 2017: Quality, Quality, Quality," Payment Matters (2016) [Ober|Kaler]
• Author – "Court Upholds CMS's Inclusion of Part C Days in the Medicare Fraction of the DSH Calculation for FYE 2012," Payment Matters (2016) [Ober|Kaler]
• Author – "D.C. District Court Strikes Down PRRB's Application of the "Self-Disallowance" Jurisdictional Requirement," Payment Matters (2016) [Ober|Kaler]
• Author – "The MOON Notification is Coming: CMS Publishes Final Changes," Payment Matters (2016) [Ober|Kaler]
• Author – "D.C. District Court Applies Prohibition on Administrative and Judicial Review to IRF PPS Rates," Payment Matters (2016) [Ober|Kaler]
• Author – "Court Rules in Favor of Hospitals in Bad Debt Collection Effort," Payment Matters (2016) [Ober|Kaler]
• Author – "Final FY 2017 Inpatient Psychiatric Facilities Payment and Policies Rule," Payment Matters (2016) [Ober|Kaler]
• Author – "CMS Releases the 2017 IPPS and LTCH PPS Final Rule, Including MOON Requirements," Payment Matters (2016) [Ober|Kaler]
• Co-author – "Proposed Cardiac, Hip, and Femur Episode Payment Models Are Next Generation from BPCI and CJR," Payment Matters (August 2016) [Ober|Kaler]
• Author – "CMS Releases the 2016 OPPS Proposed Rule," Payment Matters (July 2016) [Ober|Kaler]
• Author – "Medicare Appeals Backlog: HHS' Response to the Decade-Long Delay in Reviewing Appeals," Payment Matters (2016) [Ober|Kaler]
• Author – "Home Health PPS CY 2017 Proposed Rule: Payments Rebased, Quality Measures Updated," Payment Matters (2016) [Ober|Kaler]
• Author – "CMS Announces "Pause" in QIO Review of Inpatient Admissions," Payment Matters (2016) [Ober|Kaler]
• Author – "CMS Limits MAC and QIC Scope of Review," Payment Matters (2016) [Ober|Kaler]
• Author – "CMS's Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways," Payment Matters (2016) [Ober|Kaler]
• Author – "Medicare Appeals 10-Year Backlog: D.C. Circuit Signals Enough is Enough," Payment Matters (2016) [Ober|Kaler]
• Author – "Court Allows 'Retroactive' Application of 2005 Wage Index Rule Limiting Reimbursement for Pension Plan Costs," Payment Matters (2016) [Ober|Kaler]
• Author – "Wage Index Reclassification Rule Struck Down by Second Circuit," Payment Matters (March 2016) [Ober|Kaler]
• Author – "Senate Considering Bill to Speed Medicare Claims Appeals," Payment Matters (2016) [Ober|Kaler]
• Author – "2-Midnight Rule Updates," Payment Matters (2016) [Ober|Kaler]
• Author – "CMS Issues CY 2016 HHA PPS, Value-Based Purchasing and Quality Reporting Final Rule," Payment Matters (2015) [Ober|Kaler]
• Author – "Court Upholds HHA Face-to-Face Narrative Requirement," Payment Matters (2015) [Ober|Kaler]
• Author – "CMS Proposes Significant Revisions to Hospital Discharge Planning Process: How Patient Choice May be Impacted," Payment Matters (November 2015) [Ober|Kaler]
• Author – "The Bad Debt Moratorium Requires a Flexible Approach to Evaluating "Reasonable Collection Efforts"," Payment Matters (October 2015) [Ober|Kaler]
• Author – "Uncertainty Continues for Two-Midnight Rule's Payment Reduction," Payment Matters (October 2015) [Ober|Kaler]
• Author – "Court Upholds CMS Treatment of Multi-Campus Hospitals as Single Entities for Wage Index Purposes," Payment Matters (September 2015) [Ober|Kaler]
• Author – "Home Health, CY 2016 Proposed Rule: Emphasis on Value-Based Purchasing," Payment Matters (August 2015) [Ober|Kaler]
• Author – "CMS Issues CY 2016 Proposed Rule for OPPS, ASC Payment Systems and Quality Reporting," Payment Matters (July 2015) [Ober|Kaler]
• Author – "CMS Proposes Limited Exception to Two-Midnight Rule and QIO Review of Short Stays," Payment Matters (July 2015) [Ober|Kaler]

• Presenter – "Legal Update: OIG Work Plan and Medicare Reimbursement Update," Metropolitan New York Chapter, Healthcare Financial Management Association (February 2019)
• Presenter – "OIG Work Plan and Medicare Reimbursement Update," Regulatory and Reimbursement Update, Northeast Pennsylvania Chapter, Healthcare Financial Management Association (October 2018)
• Presenter – "PRRB Appeals: Current Challenges," Institute on Medicare and Medicaid Payment Issues, American Health Law Association (2018)
• Presenter – "OIG Work Plans and Medicare Appeals Update," Regulatory and Reimbursement Update, Northeast Pennsylvania Chapter, Healthcare Financial Management Association (October 2017)
• Presenter – "OIG Work Plans and Medicare Appeals Update," Regulatory and Reimbursement Update, New Jersey Chapter, Healthcare Financial Management Association (September 2017)
• Presenter – "Recent Cost Reporting Appeal Issues – PRRB and CMS Administrator Decisions," Institute on Medicare and Medicaid Payment Issues, American Health Law Association (2012 – 2017)
• Presenter – "Provider-Based Reimbursement Reform," Regulatory and Reimbursement Update, New Jersey Chapter, Healthcare Financial Management Association (2016)
• Presenter – "Current Hot Issues in Medicare Reimbursement," Ninth Annual Fall Institute, Philadelphia Chapter, Healthcare Financial Management Association (2015)
• Presenter – "Medicare Wage Index Update," Institute on Medicare and Medicaid Payment Issues, American Health Law Association (2007 – 2010)

• Baker Donelson Attorneys Recognized as Top Authors in JD Supra's 2017 Readers' Choice Awards (March 27, 2017)

• Leslie Goldsmith Quoted in Becker's Hospital Review on Supreme Court Ruling in Case Challenging Calculation Method for Medicare Payments to Rural Hospitals (November 20, 2019)
• Leslie Goldsmith Discusses CMS Launch of Enhanced Oversight Initiative for New Home Health Agencies in Home Health Care News (April 21, 2019)
• Leslie Goldsmith Quoted in Politico on Major Medicare Payments Case Before U.S. Supreme Court (January 15, 2019)
• Leslie Goldsmith Quoted in Bloomberg Health Law & Business on Circuit Court Opinion Involving Medicare Claims Appeal (April 5, 2018)