Optometric Billing-Keeping It Legal After ObamaCare-The Affordable Care Act

Good Morning,

As exchange plans continue limiting provider networks and ramp down compensation, it’s not surprising that more professionals are exploring or pursuing different options. Some physicians are conducting a concierge or retainer practice that offers upgrades to cash-paying patients. Some have decided to “opt out” completely of insurance programs. Others, who continue to participate in governmental and managed care arrangements, however are considering whether going “out of network” makes more sense financially and operationally, than remaining network providers.

The Affordable Care Act has imposed new requirements that impact the ability to accept and charge patients for concierge (retainer) service, even if they are participating in exchange plans, or in Medicare and traditional commercial plans. The law also requires every citizen to obtain insurance, meaning that many “cash” patients will in the future be covered.

Providers who seek to “opt out” have to follow a set of procedures to extricate themselves from Medicare or managed care plans. They will need to enter into agreements with Medicare patients regarding future care. Further, payer requirements and state laws also impose limits on doctors or groups establishing a cash or a concierge practice.

Join us for this Live Audio Conference - "Concierge Practice: How To Keep It Legal Post Affordable care Act" on Thu, Jan 16, 2014 at 1 pm ET | 12 pm CT | 11 am MT | 10 am PT where expert speaker Wayne J. Miller, Esq. will discuss the current limitations on a concierge practice and how it may still be viable in the new environment.


Highlights of the session:

• What requirements do exchanges impose on providers?
• Definition of services that are “covered” in exchange and other plans as per ACA
• Private vs. public exchanges: what providers need to know
• Must you serve exchange patients under existing contracts?
• Terms to look for in new deals to serve exchange patients
• Reducing liability risk for nonpayment
• Due diligence steps recommended before taking on exchange business

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

If interested, please click the following link to register and get your early bird discount:-

CLICK HERE TO REGISTER

Please apply discount code "SAVE20" at checkout to get an additional $20 discount on registration.

Looking forward to your participation here.

Thanks,
Jennifer Smith