6 0 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E J U N E 2 0 1 5
A
s insurance companies continue to imple-
ment new ways to avoid paying your facil-
ity what it deserves, you may be left won-
dering what you can do to combat the dirty tricks. In
the presentation "Fighting Back Against Insurers'
Aggressive Tactics," Elizabeth Lemoine, JD, will dis-
cuss sure-fire ways to defend your reimbursements
against payors' strong-arm tactics.
• Understand the legal foundations. A lot of facility lead-
ers may not have a very good understanding of the
legal relationship between third-party payors and
healthcare providers. For example, knowing the dif-
ference between state-regulated insurance plans and
Employee Retirement Income Security Act (ERISA)
plans helps define how your rights may be restricted
and how to formulate billing and appeal strategies.
It's also important to understand how good record-
keeping can make or break claims for non-payment,
and what the current trends are in billing litigation.
Getting the Upper Hand
In Billing Litigation
Defend yourself against payors
who deny and delay payments.
Speaker Profile
• Partner at Wick Phillips in
Dallas, Texas.
• Litigator with extensive experi-
ence working with healthcare
providers on compliance issues,
billing disputes and employment
agreements.
• Received her JD from the
George Washington University
Law School.
Elizabeth Lemoine, JD