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Proving “Reasonable” UCR Payments

Wednesday, January 14, 2015
1:00 PM-2:15 PM Eastern

Description

This roundtable discussion is brought to you by the Payers, Plans, and Managed Care (PPMC) Practice Group and is co-sponsored by the Health Care Liability and Litigation (HCLL) Practice Group.

Curtis Leavitt, health care litigation partner with Kennaday Leavitt & Daponde, will discuss his experience in handling litigation between health plans and non-contracted providers regarding the payment of usual, customary, and reasonable (UCR) rates. While most jurisdictions use UCR as the standard for payment for non-contracted providers for commercial enrollees, determining what is a reasonable payment is tricky. Mr. Leavitt will share his approach to handling UCR litigation, including pre-litigation evaluation, discovery, and evidentiary, expert, and trial considerations a health plan can use to win UCR battles with providers and to defend against payment scrutiny by regulators.

Faculty

Image of Leavitt, Curtis
Attorney
Kennaday Leavitt & Daponde PC
500 Capitol Mall
Sacramento, CA
Email
Image of Palmersheim, Karen R.
Karen R. Palmersheim  (Moderator)
Senior Counsel
Cigna
400 N Brand Blvd Ste 300
Glendale, CA
Email

Live Show

Conducting a webinar requires the use of special software that allows the speakers and moderator to deliver an interactive presentation via the Internet. Participants will be able to download materials ahead of time and will also be able to view the speaker's PowerPoint slides during the conference, all while listening to the audio through their telephone. To test your computer's compatibility before the session, please conduct a browser test to see if Flash is installed on your computer. If it is not, please download the Flash player onto the computer on which you will be viewing the presentation.

Continuing Education

CLE credits will not be offered for this presentation. Please visit the continuing education page for more information on CLEs and other credit types.

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