Total CME Credit Hours: 1 Category I (Formal)
Tags: PPO networks Fees Insurance
Are your fees being reduced without you knowing or approving of it? In this presentation, Dr. Steven Clarke will discuss the various aspects and pitfalls of involvement with Silent PPO networks. Understanding what they are, how these inappropriate schemes work, and how you can avoid being impacted by unknown fee reductions is at the heart of this presentation. States and professions throughout the country have been addressing this problematic issue.
During this one-hour presentation, attendees will get an in-depth understanding of the Silent PPO world and learn how and why it happens and what action steps providers can take to minimize a reduction in their usual and customary fees for services rendered.
This course was originally presented by Dr. Clarke on September 14, 2021, and sponsored by ChiroPreferred.
Silent PPOs - (Dr. Clarke) (756.4 KB) | Available after Purchase |
Dr Clarke has been a practicing chiropractic in Nutley, NJ for 36 years and is the former 6 year President of the 2000 member Association of New Jersey Chiropractors (ANJC). During Dr. Clarke’s presidency, he led a 5 year effort to update New Jersey’s 53 year old chiropractic scope of practice, all the way to passage. Dr Clarke wrote and worked to pass the first in the nation Licensed Chiropractic Assistants (“LCA”) law. Dr. Clarke was the lead Out of Network plaintiff in a $30 million class action lawsuit with American Specialty Health Network (ASHN) and Cigna Insurance that settled in 2019.
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