Physicians Practice® spoke with Kristina Hutson, a product line developer at Availity, about surprise billing events in independent healthcare practices and what owners and administrators can do to reduce the likelihood of their occurrence.

How to reduce surprise billing in your practice

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d'Artagnan Osborne is the general manager of payment solutions at Kareo, where he leads the payments business unit. Kareo and PatientPop merged in November 2021 to form Tebra, creating an all-in-one practice success platform to build the independent practices of the future. d'Artagnan is a business and technology leader with over 20 years of experience building ahead-of-the-curve SaaS products from concept to commercialization. In addition, he has delivered cloud-based software solutions that help drive the modernization of industries.

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Ericka L. Adler, JD, LLM has practiced in the area of regulatory and transactional healthcare law for more than 20 years. She represents physicians and other healthcare providers across the country in their day-to-day legal needs, including contract negotiations, sale transactions, and complex joint ventures. She also works with providers on a wide variety of compliance issues such as Stark Law, Anti-Kickback Statute, and HIPAA. Ericka has been writing for Physicians Practice since 2011.

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Your weekly dose of wisdom from the Physicians Practice experts.

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For primary care practices, earning enough revenue to meet overhead expenses and provide quality care has always been a challenge. But practices often make the challenge even greater through sloppy coding and billing, leading to delayed or incorrect reimbursements from payers.

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Jonas is Vice President of Strategy and Product Marketing at Vim. Jonas is responsible for aligning and connecting Vim's product and commercial strategies, mapping evolving healthcare market needs, and supporting Vim's health plan and provider partners as they connect clinical content to point of care workflow to enable higher quality, improved experience, and lower costs.

Recent trends provide insights into how next-generation support models might help independent providers take part in risk-sharing contracts.

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Small and midsize practices are well positioned to negotiate contracts with payers.

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 advises clients on compliance, transactions, government administrative actions, and litigation involving healthcare, cybersecurity, corporate and securities law, as well as False Claims Act and Dodd-Frank whistleblower cases. She also teaches bioethics at Baylor College of Medicine in Houston. Rachel can be reached through her website, 

Code accurately with the appropriate documentation to substantiate medical necessity.

Billing & Collections

How to reduce surprise billing in your practice