Federal Case Law that Out-of-Network Providers Need to Know

A licensed attorney and former US Marine in both the state and federal courts for the states of New Jersey and New York with trial experience and over 28 years in the healthcare and insurance industry. Current President and Founder of The Patriot Group, a full service health care physician advocacy and revenue recovery company providing billing, appeals, collections and follow up services for health care facilities.  Former CEO, General Counsel and Chief Compliance Officer of New York-domiciled health insurer Former Chief Operating Officer, General Counsel and Chief Compliance Officer of a lar........


This presentation will explore the lawsuits brought by and against health plans and health insurers against and by out-of-network Ambulatory Surgery Centers, Hospitals and other healthcare providers affecting revenue. Cases explored will include those involving balance billing issues, recoupments, assignment of benefits (legal standing) and other issues affecting the out-of-network provider. 

Why should you attend this webinar?

As many out-of-network practitioners well know, it is getting increasingly difficult to obtain fair and prompt payment of out-of-network claims from health plans and health insurers. It is imperative to understand the laws, rules and policy practices of the health plans and health insurers. Knowledge brings power and that is what is needed to hold health plans accountable to the law. 

Areas Covered in the Session:

Who can Benefit:

Healthcare provider practices that are out-of-network and their staff and physicians.

Webinar Id: LSHCTF001

Training Options:

Duration: 60 mins

 Stop, pause, and rewind: learn at your own place.

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 Recorded: [Six month unlimited access]

 $167 (Single Attendee)  $599 (Unlimited Attendee)

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