Out-of-Network (OON) Providers struggle to collect decent payments on their claims. Many insurers send checks to patients. OON providers do not understand that they need different patient forms and disclosures for their OON patients. They do not understand how the Federal No Surprise Act may impact their OON Practice. OON Providers are frequently audited by payors, and they don’t know how to handle or otherwise defend these refund attempts. This session will provide the audience with answers in this complex healthcare topic.
As a state and federally licensed attorney in both New Jersey and New York, Mr. Force has over 30 years of experience in the healthcare and insurance industries. His success as a Wall Street insurance litigator and his tenure as General Counsel for a New York-based Accident and Health Insurance Company where he served as Chief Compliance Officer propelled the founding of The Patriot Group. The Patriot Group is a full service revenue recovery company that provides billing, collections, and follow-up services as well as assistance with managed care appeals, managed care contracting, credentialing and compliance. Mr. Force is nationally recognized as an expert in revenue collection techniques,…