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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.  

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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 Retirement Income Security Act of 1974 (“ERISA”). The webinar also describes the difference between “right to payment” claims and “rate of payment” claims, including which claims are generally preempted by ERISA.

Speaker: Lauren Garraux

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