Billing: Avoid Legal Nightmares
Legally, your billing is no longer as simple as sending out an invoice and getting paid for your services. Even simple, honest mistakes in your billing can lead to massive financial penalties. You could even be required to repay reimbursements you've previously received, or end up in jail (really). And if you think it can't happen to you, think again…
Billing laws and regulations continue to be more complicated each year. For example: Did you know that there are currently 47 states that have laws requiring you to seek payment from health plans you contract with and not from their patients or that if you are out-of-network you can still be held liable 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 action to stay off of audit radars, avoid a stressful audit and massive penalties.
That’s where attorney and coder, David Vaughn, CPC, JD, can help. As both a Certified Professional Coder® and a healthcare attorney, David is uniquely qualified to provide you with the practical advice you need. His 60-minute online training session, Avoid Billing Legal Nightmares, will give you the tools you need to avoid these dangerous missteps.
Here are just a few of the step-by-step, plain-English strategies you'll receive by ordering David's 60-minute session:
Putting your head in the sand and avoiding these 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 CA physician got 5 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 $10K in fines and had to repay $2.5 million in collected funds.
Don’t let this happen to you. Professional courtesy, insurance only, out-of-network write-offs, and balance billing can turn into very-real legal nightmares and can happen to just about anyone, unless you take action now.
It’s essential that you really understand 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, order today.
David is one of a limited number of healthcare attorneys in the United States who is also a Certified Professional Coder®, certified by the American Academy of Professional Coders® ("AAPC®"). David has served on the Legal Advisory Board of the AAPC and has written several coding and compliance books and manuals. He is also a national speaker on the legal implications of billing and coding.
He also has a national healthcare law practice, and has represented over 2,000 physicians in approximately 40 states in over 10 physician disciplines.
This program meets AAPC guidelines for 1.0 CEU. On Demand product requires successful completion of a Post-Test for Core A, for continuing education units.
“Clearly defined the difference between Professional Courtesy and Insurance Only. Also clarified what laws are specific to Government contracts and not commercial ....yet, very informative.”
- Norma Weaver, Practice Manager, Greenbriar OB/GYN, PC, Fairfax, VA
“It was very helpful as we are mostly out of net with most insurance companies, and we balance bill.”
- Sharon Beck, Practice Admin, Waxahachie Anesthesia, Waxahachie, TX
“I Thought it was planned well.”
- Teresa March, Manager/LPN, Cardiology Center of Acadiana, Lafayette, LA
“I enjoyed it. Just in the execution of the information.”
- Cindy Meyer, Billing Supervisor, Heartland Pain Clinics, LLC & Kearney Pain Treatment Center, LLC, Grand Island, NE