The level of intense scrutiny of physicians’ health insurance claims, and the potential risks to their practices, have never been greater. Many practices receive refund requests in the hundreds and even thousands of dollars, for alleged errors in chart documentation, code selection or in submitting claims. Even when those claims were for medically appropriate services, physicians and practices can be required to refund payments.
Government programs and commercial health insurers alike are mounting increasingly intrusive and potentially damaging initiatives to review your claims, leaving you vulnerable to repayments and even charges of fraud and abuse.
Physicians and practice administrative staff need to understand the risks posed by audits and take proactive steps to achieve compliance and reduce exposure. Practices need to be prepared to comply with audits within the established timeframes, as well as to defend against allegations of improper billing. Learn how to protect and defend yourself and your practice!
Presenter
Stephen D. Rose, J.D., M.B.A., is the chair of the Garvey Schubert Barer Health Law Department. Stephen has more than 25 years experience representing clients in the healthcare industry. His practice focuses on HIPAA, Medicare/Medicaid reimbursement, defending healthcare providers during and after government audits, and developing and implementing corporate compliance plans. He has been one of the educators for WSMA since the HIPAA Privacy Rules were first issued and has defended numerous healthcare providers during HIPAA investigations and audits by the Office for Civil Rights (OCR).
Seminar Schedule
Yakima: Tuesday, April 5
Red Lion Hotel Yakima Center
607 E. Yakima Avenue
Everett: Thursday, April 7
Providence Pacific Campus
916 Pacific Avenue
Spokane Valley: Friday, April 15
Spokane Valley Hospital
12606 E. Mission Avenue
Vancouver: Thursday, April 21
Hilton Vancouver Washington Hotel
301 W. 6th Street
Tacoma: Friday, April 29
Allenmore Hospital 1901
South Union Avenue
