Outpatient Surgery Magazine

OR Excellence Session Previews - June 2015

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/519657

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Page 59 of 74

6 0 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E J U N E 2 0 1 5 A s insurance companies continue to imple- ment new ways to avoid paying your facil- ity what it deserves, you may be left won- dering what you can do to combat the dirty tricks. In the presentation "Fighting Back Against Insurers' Aggressive Tactics," Elizabeth Lemoine, JD, will dis- cuss sure-fire ways to defend your reimbursements against payors' strong-arm tactics. • Understand the legal foundations. A lot of facility lead- ers may not have a very good understanding of the legal relationship between third-party payors and healthcare providers. For example, knowing the dif- ference between state-regulated insurance plans and Employee Retirement Income Security Act (ERISA) plans helps define how your rights may be restricted and how to formulate billing and appeal strategies. It's also important to understand how good record- keeping can make or break claims for non-payment, and what the current trends are in billing litigation. Getting the Upper Hand In Billing Litigation Defend yourself against payors who deny and delay payments. Speaker Profile • Partner at Wick Phillips in Dallas, Texas. • Litigator with extensive experi- ence working with healthcare providers on compliance issues, billing disputes and employment agreements. • Received her JD from the George Washington University Law School. Elizabeth Lemoine, JD

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