Apr 26, 2017

This is the third segment in a three-part series about the fundamentals of Payor-Provider Litigation. This webinar addresses the process employed by insurers to recoup payments from in-network and out-of-network providers. It also explains the procedural process and protections associated with an “adverse...

Apr 17, 2017

This is the second segment in a three-part series about the fundamentals of Payor-Provider Litigation. This webinar explains why providers are required to demonstrate “derivative standing” through an “assignment of benefits” in order to proceed with a payment dispute brought under the Employee Retirement...

Apr 12, 2017

This is the first segment in a three-part series about the fundamentals of Payer-Provider Litigation. It explains that in-network providers are required to challenge reimbursement decisions under contract law and state law, while out-of-network providers are increasingly required to bring claims under the Employee...

Apr 5, 2017

This is the second segment in a two-part series about the CMS 60-Day Overpayment Rule. This segment describes the Self-Disclosure Protocol of the U.S. Department of Health & Human Services, Office of Inspector General (“OIG”), which enables providers and suppliers to report and return overpayments arising out of...