The complexities of billing can turn into a very real legal nightmare for you and your practice (i.e. balance billing and write-offs for out-of-network, financial hardship, insurance only, Professional Courtesy, etc.). Even a simple, honest mistake can lead to massive financial penalties, require you to repay reimbursements you’ve previously received, or worse, land you in jail (really). It can happen to just about anyone.
Billing laws and regulations continue to be more complicated each year. Many states now require you to get out-of-network payment from your health plan and not your patient – or you’ll violate laws if you don’t comply. What makes it worse is that CMS and private payer auditors are actively watching and waiting for you to slip up.
But, with a little help, you can take actions that will keep you off auditors’ radars – and avoid a stressful audit and massive penalties.
Here are just a few of the step-by-step billing errors avoidance tactics you’ll receive by attending Amanda’s upcoming session:
Putting your head in the sand and avoiding these and other complex legal billing issues is not an option. There are actual cases where physician practices tried to do everything right and still got into trouble. For example, a California physician got five days in jail and a $562,500 fine, another practice was required to repay $4.3 million after being sued by an insurance carrier for balanced billing, and a pulmonology practice paid $10,000 in fines and had to repay $2.5 million in collected funds.
It’s essential that you have a solid understanding of how to correctly maneuver through the legal pitfalls of billing for your services, or you could end up like the physicians in the cases above.
Don’t take a chance, sign up for this must-attend online training session today.
Amanda Waesch has experience of 18 years and operates a national healthcare practice and is licensed in both Ohio and Florida. She primarily focuses her practice on healthcare, employment law, corporate law, and healthcare litigation and advises all types of employers, in particular healthcare providers, including, hospitals and physicians, on various matters.She also chairs the firm’s litigation team that is primarily responsible for handling all reimbursement audits and appeals for her firm’s healthcare clients and heads up BMD’s Provider Relations,...