Compliance Strategies for Out-of-Network Providers to Survive Commercial Payor Audits

Speaker: John Mills, Partner

Time: 10 AM – 12 PM PT

Main points covered:

• Examination of common issues that arise in commercial payor SIU audits of out-of-network healthcare providers.
• Review of compliance practices for minimizing the risk of being targeted by a SIU audit.
• Review of strategies for effectively challenging pre-payment reviews and post-payment recoupments

Target audience:

• Small to mid-size out-of-network healthcare providers, such as physicians, medical groups, outpatient surgery centers, clinical laboratories, substance use disorder treatment facilities.

*The web conference will run for 90 minutes, including a 30-minute question-and-answer session at the end.