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K&L Gates Triage: Payor-Provider Litigation 101

12 April 2017

This is the first segment in a three-part series about the fundamentals of Payer-Provider Litigation. It explains that in-network providers are required to challenge reimbursement decisions under contract law and state law, while out-of-network providers are increasingly required to bring claims under the Employee Retirement Income Security Act of 1974 (“ERISA”). The webinar also describes the difference between “right to payment” claims and “rate of payment” claims, including which claims are generally preempted by ERISA.


About Triage
Triage: Rapid Legal Lessons for Busy Health Care Professionals has been created by K&L Gates to convey information about developments in health law through short, three to five minute webinars.

If you work in the health care industry, you have grown accustomed to frequent changes in laws and regulations. On some days, it may seem like an insurmountable task to keep up with every change, especially as a new presidential administration and new policies take shape.

The K&L Gates Health Care Practice will regularly create Triage webinars to help you learn about the latest developments in health law. Our lawyers will identify the most important changes and analyze the impact of these changes on our clients.