Beyond the Contract: Third-Party Partnerships

This is a recording of an event held on February 18, 2026. If your office or facility outsources any portion of billing, medical record, or claim follow-up activities, this education is for you. We focus on compliance relating to contracting with third-party billing companies and clearinghouses. It includes: • Showing legal responsibilities • Recognizing vulnerabilities and inappropriate actions • Reducing costs for providers and Medicare • Locating resources for more education Take the survey for this course: https://cmsmacfedramp.gov1.qualtrics.com/jfe/form/SV_bCsIdQBnSfzDzq5?EventType=4&Title=Beyond%20the%20Contract%3A%20Third-Party%20Partnerships&Topic=A&Date=02%2F18%2F2026&Presenter=AS Resources HIPAA Privacy Rule Business Associates Guidance: https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/business-associates/index.html Compliance Program Guidance for Third-Party Medical Billing Companies: Federal Register, Volume 63: https://oig.hhs.gov/documents/compliance-guidance/805/thirdparty.pdf Medicare Administrative Contractor (MAC) Beneficiary and Provider Communications Manual, Chapter 6 - Provider Customer Service Program, §30.4.8, 50, 50.1: https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/com109c06.pdf MLN8816413 – Checking Medicare Eligibility: https://www.cms.gov/files/document/mln8816413-checking-medicare-eligibility.pdf Security Rule at 45 Code of Federal Regulations (CFR) 164.308(a)(1)(ii)(A) and (a)(1)(ii)(B): https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-C WPS Government Health Administrators Portal User Manual: https://www.wpsgha.com/tools/portal-user-manual Reason/Remark Code Lookup tool: https://www.wpsgha.com/tools/reason-remark-lookup Chapters 00:00 Opening 00:29 Objective and Agenda 02:53 Definitions 04:07 Legal Responsibilities 11:27 Common Trends 26:58 Questions to Ask 35:37 Resources to Share 43:01 Summary 44:00 Closing