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Triage: Rapid Legal Lessons for Busy Health Care Professionals is a podcast created by the K&L Gates health care practice group to inform our clients and friends of the firm about the latest developments in health law. If you would like to provide feedback or would like to suggest a topic for a future episode of Triage, please contact usUse the icons below to subscribe to Triage via your favorite podcast app to have our episodes delivered directly to you as they become available.

Sep 13, 2018

In a recent decision, the Northern District of Texas, Dallas Division, granted a health care provider a preliminary injunction to prevent the Centers for Medicare & Medicaid Services ("CMS") from withholding Medicare payments due to an alleged overpayment while the provider awaits its Administrative Law Judge...


Jul 26, 2018

In this episode, Gary Qualls discusses a recent development in payer litigation, regarding a provider’s recovery of Medicare Advantage payments pursuant to a Medicare Advantage contract. Specifically, a recent federal case from California is among the first to clarify that providers may sue a Medicare...


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...