WHAT IS UCR NOW?
— A SPECIAL ANNUAL MEETING SESSION —
FRIDAY, MAY 14 AT 3:00 PM
Westing Forrestal Princeton, Princeton, NJ
A “usual, customary, and reasonable (UCR)” fee is the benchmark for out-of-network payment. But, what is UCR now? In the not so distant past, healthcare insurers would pay billed charges, or a high percentage of the billed charge for out-of-network fees, but that was then.
Attend the Medical Practice Management Section’s Annual Meeting on Friday, May 14, 2010, to learn all about UCR issues and what MSNJ is doing to impact the determination of UCR fees. Pending class-action lawsuits, New York Attorney General Consent Orders, the discredited Ingenix database, the creation of FAIR, new databases, and possible legislation all will have an impact on UCR.
Come hear our panel of experts talk about all of these matters.
Moderator: Larry Downs, MSNJ General Counsel
Edith Kallas, Esq., Member, Whatley Drake & Kallas, National Class-Action Counsel
Mary Jo Malone, Esq., Executive Director, Physician Advocacy Institute (PAI)
Stephen Foreman, PhD, JD, MPA, Associate Vice President, Academic Affairs & Associate Professor, Health Care Administration & Economics, Robert Morris University