#134 - No Surprises, Big Disputes: Lessons from the Aetna and Radiology Partners Case

No Surprises, Big Disputes: Lessons from the Aetna and Radiology Partners Case highlights the operational, billing, and compliance challenges healthcare organizations may face when payer reimbursement disputes escalate under the No Surprises Act. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the recent Aetna and Radiology Partners dispute as a real-world example. The discussion explains how reimbursement disagreements, billing practices, documentation gaps, and the Independent Dispute Resolution process can create compliance and operational concerns for healthcare providers, payers, and billing teams.Key Topics:How the No Surprises Act affects healthcare billing operations and out-of-network payment disputes.Why clear documentation, payer contract awareness, billing transparency, and internal review processes matter.How healthcare organizations can identify when payment disputes may become compliance risks.Resources:Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: May 19, 2026.