Payor Contract Termination Without Putting Your Practice at Legal Risk and Violations
Course Description:
In the past couple of years, the frequency and animosity of contract terminations between payors and providers has grown significantly. Payor contract terminations pose a series of challenges for a provider organization, from patient communications to continuity of care to billing. This webinar will discuss the issues that you need to be aware of in the event of a payor contract termination, including timing, sequencing, and content of patient communications; continuity of care obligations; payor credentialing implications of a hospital or other facility termination on medical staff members; and billing and scheduling implications, including the role of secondary coverage, rental networks, patient financial assistance policies and the No Surprises Act.
Learning Objectives:
- To educate participants about the legal, operational and billing challenges of payor/provider terminations from the perspective of a healthcare provider
- To educate participants on the legal and compliance challenges of payor contract terminations
- To provide actionable strategies for maintaining continuity of care during and after termination
- To offer guidance on effective patient communication during contract termination
- To discuss how payor contract terminations affect provider credentialing and operational workflows
- To clarify the financial implications, including out-of-network billing and coordination of benefits
- To explore the impact of termination on scheduling and secondary coverage processes
- To ensure compliance with federal and state regulations, including the No Surprises Act
- To highlight potential risk mitigation strategies and dispute resolution approaches
Areas Covered in the Session:
- Patient communications
- Post-termination continuity of care obligations
- Payor credentialing requirements
- Patient financial assistance policies
- Out of network billing
- Coordination of benefits
- No Suprises Act
- Live Q&A Session
Suggested Attendees:
- Healthcare Administrators
- Physicians and Non-Physician Practitioners
- Legal Officers
- Compliance Director and Staff
- Billing Managers
- Credentialing Managers
- Credentialing Staff
- In-Network Providers
- Out-of-Network Providers
- Operational staff
- Healthcare Attorney
About the Presenter:
Barak A. Bassman is a partner at the law firm of Blank Rome LLP in Philadelphia, Pennsylvania. Barak focuses his practice on advising healthcare providers, payors, and other industry players on issues regarding managed care contracting, billing, payment, reimbursement, risk-sharing, network development, and compliance. He has significant experience negotiating and litigating payor-provider disputes (including both fee-for-service and risk-sharing arrangements), negotiating managed care contracts, counselling regarding provider contract terminations, and conducting compliance investigations. He has represented numerous hospital systems, physician practice groups, ancillary facilities, employers, and third party payors, and has also represented many clients outside of healthcare in antitrust litigation and counselling.
Additional Information:
After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.
System Requirement:
- Internet Speed: Preferably above 1 MBPS
- Headset: Any decent headset and microphone which can be used to talk and hear clearly
Can’t Listen Live?
No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com
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