During this 45 minute podcast Sean provides providers and their staff the areas they need to focus to ensure a level playing field with payers. The areas of concentration are:
1. Ex Post Facto Laws and Guidance on post-payment reviews
2. Medical Necessity including Clinical Judgement and The Treating Physician Rule
3. Sources and Authoritative Guidance; where to look and what to avoid
4. Judgement Error and Provider Without Fault
