With increased auditing and fraud, agency scrutiny of practice billings, billers and coders as well as health professionals are in the sights of regulators. So, practices and their billing and coding staff need to clearly articulate in their agreement what is expected of each party, and in particular, the overall responsibility retained by the clinic as to payers. At the same time, physicians and health care facilities increasingly rely on the expertise of billing and coding professionals and expect that they will be accurate and up-to-date in their knowledge of billing and coding rules.
It is imperative to both the professional or facility and the biller and coder to negotiate a detailed agreement. The contract should not only address the day-to-day issues like the services rendered and compensation, but also include, for example, how liability is allocated, when each party is indemnified and obligations of each party post-termination. Biller and coder contracts also need to be in compliance with applicable federal and state health care regulatory requirements, including HIPAA and applicable Medicare requirements.
Highlights of the session:
Who should attend: Medical 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...
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