The April teleconference was conducted on 25 April 2013. Initially there were 12 local participants but this time only 4 called in and one of them called in late to the call. Our feeling is that people do not feel ISOS and TMA are being open and receptive but more dictatorial and arbitrary in what can be discussed and then avoiding clear and straight forward answers in favor of innuendos, vague non-committal responses or avoiding the question or issue all together by responding with an irrelevant comment. As we have said in the past, TMA are the masters at spin where you can ask why the sky is blue and they will respond with a discussion about cloud formations; it seems their contractor has been taking lessons.
Of note was my question that dealt with the filing of claims in cases where beneficiaries paid 100% of the cost of the care. This was the second time around for this question and while we didn’t let them avoid the questions as they did the first time around they still refused to provide clear and straight forward answers, relying instead on more innuendos and “it’s not your business” comments. See ISOS Demonstration Teleconference 25 April 2013 for the complete after action report.