November 12, 2019 PROGRAM ANNOUNCEMENT Out-of-Network & Surprise Medical Billing: Fundamentals, Cases and Politics

Time: 12:00 noon to 1:00 pm

Place: Lewis Roca Rothgerber Christie at Collier Center

201 East Washington Street, 3rd Floor

Our speakers will be Bryan Bailey, Allison Davis and Paul Giancola.

A discussion of the business of out-of-network  billing and how it works, including the benefits, strategies, balance billing  and risks  along with  the significant  lawsuits filed by insurers against providers alleging improper out-of-network billing practices. We will also discuss what are so- called “surprise medical bills” involving out-of-network providers and the response of Arizona contained in “Out-of-Network Claim Dispute Resolution“, ARS 20-3111 et. seq.), other states and Congress.

This program will be held on November 12, 2019 at 12:00 p.m. at Lewis Roca Rothgerber Christie’s office in Phoenix. Lunch will be served – $10 for AzSHA paid members and $15 for non-members. Law students may attend for free.

Please RSVP in advance by e-mail to mmayfield@cblawyers.com. You may pay at the door or send your check in advance (payable to Arizona Society of Healthcare Attorneys) to Mackenzie Mayfield, Coppersmith Brockelman, 2800 N. Central Ave. Ste. 1900, Phoenix, Arizona 85004. Whether or not you pay in advance, you must RSVP prior to the program.

The State Bar of Arizona does not approve or accredit CLE activities for the Mandatory Continuing Legal Education requirement. This activity may qualify for up to 1 hour toward your annual CLE requirement for the State Bar of Arizona.

call in information:

To access by phone, use the following dial-in number:

1-844-621-3956

Access code: 920 156 976

If you are calling in, PLEASE put your telephone on mute.

If you have trouble calling in, please contact Sabrina Spellman at sspellman@lrrc.com (send message high priority).

For CLE credits and materials for this program, please contact Mackenzie Mayfield .

OFFICE Location – https://www.lrrc.com/phoenix#map

Take I-10W to Washington Street. Exit and turn left at Washington Street for 2 miles and follow it to Collier Center (Bank of America building), located on the south side of Washington Street. Turn left into the parking garage just before 2nd Street. Collier Center is on the southeast corner of 2nd Street and Washington.

Take the garage elevators up to the 2nd floor (Collier Center Lobby), then take the far bank of elevators (floors 2-14) to Lewis Roca Rothgerber Christie’s 3rd floor for the Arizona Society of Healthcare Attorneys Meeting.

Speaker Bio:

 Bryan Bailey has a broad-based practice in health care law and business transactions.  He represents individuals and companies in the health care and life sciences industries regarding transactional, regulatory and operational issues. He has extensive experience helping clients structure, negotiate and implement effective and compliant relationships with their business partners, including hospital/physician joint ventures, management and administrative service arrangements, professional service agreements and other business relationships. He regularly advises clients regarding federal and state health care laws and regulations, including the Anti-Kickback laws, the Stark Law, HIPAA, Federal and State licensing and certification requirements and a myriad of other health care laws. Bryan is one of a handful of attorneys in Arizona with substantial experience advising health care providers regarding Medicare and Medicaid (AHCCCS) reimbursement laws, including representing providers involved in governmental and commercial payor audits, investigations and appeals. He also represents providers in government investigations and enforcement actions related to licensing and health care claims.

Allison Davis is an associate at Snell & Wilmer, LLP. Her practice is focused on health care and insurance transactions and compliance. Her practice in that space includes the sale and acquisition of physician groups and other entities,  corporate structuring and reorganization, licensing, and regulatory compliance. Allison also advises private and public companies on general corporate matters including mergers and acquisitions and SEC reporting.  Allison is a graduate of the University of Iowa College of Law and holds a Masters in Health Care Administration from the University of Iowa.

Paul Giancola is a partner at Snell & Wilmer, LLP.  His practice is focused on healthcare regulatory compliance, transactions such as joint ventures in ambulatory surgery centers and labs, practice acquisitions and separations, hospital peer review, and government regulatory investigations and self-reporting for billing fraud, HIPAA, and  licensing violations. He teaches Health Care Fraud at the ASU Law School, and lectures on legal topics at the University of Arizona-Phoenix College of Medicine.