Opting Out Of Medicare FFS And Managed Care: Options And Issues

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Feb 21, 2013
60 minutes
Product Description

Procedures & Requirements For Opting Out Medicare Managed Care And Other Programs.

With Medicare payment cuts looming and additional pressures on physicians to assume partial or total payment risk tied to performance and utilization for managed care patients, it’s not surprising that more doctors are considering opting out of Medicare, Medicare managed care and other programs. Other physicians are attempting to supplement reimbursement by offering non-covered services or through a “concierge” practice that offers upgrades to cash-paying patients. With respect to managed care arrangements, doctors are exploring whether going “out of network” makes more sense, financially and operationally, than remaining network providers.

Providers who seek to “opt out” have to follow a set of procedures to extricate themselves from Medicare or managed care plans. They will need to enter into agreements with Medicare patients regarding future care. Further, payer requirements and state laws also impose limits on doctors or groups establishing a cash or concierge practice. Get insights into all these procedures and requirements from an expert speaker Wayne J. Miller, Esq.,

In this 60-minute audio session our speaker will discuss the procedures for opting out as well as discuss avoiding minefields in pursuing an out of network or cash only practice.

Take a look at what's covered:

  • How and when to opt out of Medicare fee for service provider status.
  • Typical opt out provisions in managed care contracts.
  • What contract terms to negotiate with Medicare patients post-opt out.
  • Concierge and cash practice structures that pass legal muster.
  • Patient abandonment and other state law hurdles.
  • Can you be both in- and out of network?
  • Contrasting non-participating provider status to opting out.

Who should attend? clinics, practice managers, physicians, medical groups, and health care consultants, as well as health care facilities

Order Below or Call 1-866-458-2965 Today

You can also order through:




About Our Speaker

Wayne J. Miller - Healthcare Compliance Expert

Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...   More Info
More Events By The Speaker

Why AudioEducator?
  • Save money on travel.
  • Meet your specific training needs.
  • Keep learning after the event.
  • Save time training your whole staff.
Join Our Mailing List
Our Accreditation Partners
Facebook Twitter Linkedin Youtube RSS Feeds Google Plus