Out Of Network Healthcare Reimbursement Compliance Program
For many hospitals and providers, “out of network” may mean “out of luck” as they face an increasing number of payers issuing total claims denials and overpayment recoupments worth millions of dollars. AVYM has developed the 2013 Out-Of-Network Healthcare Reimbursement Compliance Program (OHR), focusing on compliance. The new protocol consists of two onsite programs and is based on the most recent federal and state judicial decisions and regulatory guidance.