Health Law Executive Briefing: How to Handle Payer Record Requests and Subsequent Demands for Alleged Overpayments

In this installment of Rivkin Radler’s Health Law Executive Briefing, Christopher Kutner and Ashley Algazi will present “How to Handle Payer Record Requests and Subsequent Demands for Alleged Overpayments.”

Presentation will provide a comprehensive review of the issues and best practices for responding to, and defending against, payer audits. As payer audits have become increasingly common, providers are forced to assure that the documentation for the medical care that they provide will withstand the scrutiny, often undertaken by third party vendors of the insurance companies, sometimes without foundation and/ or beyond the limits of permitted audits. Ben Malerba will moderate the discussion and will cover the following topics:

• Meet the Payers and the Audit Request.
• Provider’s Response to the Audit Request
• Case studies provide illustration of best practices.