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Home > Archive > January 2004
Legal Update
Out-of-Network Billing: Lucrative but Risky
Jerry L. Sokol, Esq.

Jerry J. Sokol, Esq. More and more ASCs are canceling contracts with health plans, only to perform surgery on the plan's members and bill as out of network. Historically, ASCs functioned as out-of-network only if they couldn't obtain contracts with payers. Not surprisingly, these arrangements are coming under increased scrutiny.

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