Payor-Provider Litigation Landscape: Managing Disputes involving Contracted and Non-Par Providers

June 10, 2021 2:30pm

Adam J. Petitt
Stradley Ronon Stevens & Young, LLP

Tony Rodriguez

Tony Rodriguez
Vice President, Assistant General Counsel
Kaiser Foundation Hospitals/Health Plan

Jon Rose
Senior Litigation Counsel
HCA Healthcare

In this session, our esteemed panelists will examine recent, notable provider-payor disputes. Extract critical lessons from how these cases were managed for your case strategy.

  • In patient v. out-patient coverage disputes stemming
    • Determinations of “medically necessary” procedures
  • Executing audits of in patients v. out-patients to inform reimbursement and recovery decisions
  • Provisions for in network and out of network emergency services
  • Examine trends in billing disputes involving ground and air ambulance