Deciding whether to be in-network or out-of-network with a payer can be tough and tricky for healthcare providers. In this webinar, we will focus on the differences between in-network versus out-of-network coverage and insurance requirements. We will also discuss the most common commercial and federal payers’ guidelines on out-of-network participation. We will go over Dos and Don’ts when billing patients with out-of-network benefits. Lastly, we will address some scenarios where it may be best to be out-of-network or in-network.

The goal of this webinar is to bring awareness to the rules for in-network vs out-of-network participation and billing requirements.

Areas Covered in the Session:

• In and out-of-network requirements
• Commercial payer out-of-network policies and products
• Federal plans requirements for out-of-network
• What to do as being in and out-of-network
• Examples of in and out-of-network reimbursement.
• Possible benefits of going out-of-network.
• Examples and general guidelines to state regulations for out-of-network and balance billing.