Overcoming Out-of-Network Reimbursement Challenges: Assignment of Benefits, Improper Denials and Underpayments
Recording of a 90-minute CLE video webinar with Q&A
This CLE webinar will guide healthcare counsel on the challenges facing providers seeking reimbursement for out-of-network (OON) services. The panel will offer guidance on properly documenting and billing for OON services and patient assignment. The panel will also discuss best practices to overcome challenges with improper denials and underpayments.
Outline
- Assignment of benefits
- Improper denials and underpayments
- OON claim administrative appeals
- Best practices for navigating OON reimbursement
Benefits
The panel will review these and other key issues:
- What steps can healthcare providers take to ensure patients correctly assign benefits?
- What actions can providers take when claims are denied or underpaid?
- What best practices should healthcare providers employ to successfully navigate OON reimbursement ?
Faculty
Alison Lima Andersen
Partner
ArentFox Schiff
Ms. Anderson’s work is primarily in the areas of ERISA and other employee benefits litigation, healthcare... | Read More
Ms. Anderson’s work is primarily in the areas of ERISA and other employee benefits litigation, healthcare litigation, and complex commercial litigation. Her recent litigation work includes representing medical providers seeking reimbursement from commercial health plans and insurers; defending companies and retirement plans against breach of fiduciary duty and benefits claims; and defending several defendants accused of violating the Medicare Secondary Payer Act. She also has recent experience in municipal and corporate bankruptcy; as well as in class action cases involving claims of government lending and disability discrimination.
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David S. Greenberg
Partner
ArentFox Schiff
Mr. Greenberg advises health care companies, including providers and suppliers, through an exceedingly... | Read More
Mr. Greenberg advises health care companies, including providers and suppliers, through an exceedingly complex and volatile regulatory environment. He focuses his practice on counseling health care clients on regulatory issues related to the Affordable Care Act, the False Claims Act, the Anti-Kickback Act, the Stark Laws, state licensure, self-disclosures, reimbursement and payment, and participation in Medicare, Medicaid, and other government health care programs.
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