Preview Mode Links will not work in preview mode

If you work in the health care industry, you have grown accustomed to frequent changes in laws and regulations. Triage: Rapid Legal Lessons for Busy Health Care Professionals, created by K&L Gates, provides its listeners with timely content regarding regulatory and legal developments in the health care industry.  

We welcome you to listen to the programs on this page. Or, using the icons below, you can subscribe to them via your favorite podcast app to have our podcasts delivered directly to you as they become available.

If you have feedback or a topic you want us to analyze in a future episode, please let us know.

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 Advantage insurer under state law contract claims for underpayments without being required to exhaust administrative remedies and follow the federal Medicare Advantage administrative appeals process for each individual patient claim at issue. 

Presenters: Gary S. Qualls and Zachary W. Ernst

Download Presentation Materials