With the ever increasing chance of a practice or facility getting audited, it is inevitable that the billing and coding of claims will come under scrutiny. In situations, where payment is recouped or fraudulent coding or billing practices are alleged, providers may allege that billers or coders are in part or in whole responsible. It is often difficult to determine whether providers, billers or both should be held liable in a particular case. Factors to consider include applicable law and standards, contract terms and the facts in the particular case. Likewise, if a biller or coder is fully performing their duties in accordance with accepted standards, there may be less cause for responsibility. Insurance policies (with Biller and coder malpractice) will also dictate the extent of coverage and coverage limits and exclusions. Providers may be surprised to learn, however, such coverage may not fully reimburse lost payments.
In this audio session, Wayne J. Miller - Esq. will discuss the following topics:
Who should attend : Billers, Coders, Practice Managers, Physicians, Medical Groups, And Health Care Facilities
Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...
More Events By The Speaker