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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.

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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