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