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

Register here for the MSNJ Annual Meeting or check out the Program Agenda

About MSNJ

Founded in 1766, the Medical Society of New Jersey is the oldest professional society in the United States. The organization and its dues-paying members are dedicated to a healthy New Jersey, working to ensure the sanctity of the physician–patient relationship. In representing all medical disciplines, MSNJ advocates for the rights of patients and physicians alike, for the delivery of the highest quality medical care. This allows response to the patients’ individual, varied needs, in an ethical and compassionate environment, in order to create a healthy Garden State and healthy citizens.

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