Inappropriate billing, fraud gaining scrutiny

Topics

Videos

How a practice’s revenue cycle management can effect patient payments and the likelihood of surprise billing scenarios. 

How your revenue cycle management effects patient payment and surprise billing

When providers should begin discussing payments for services with patients. 

When to start discussing payments with patients

How providers can reduce the likelihood of surprise billing.

How providers can reduce the likelihood of surprise billing

What a surprise billing scenario may look like in small, independent practices. 

Surprise billing in independent provider practices

The concept of Balance Billing and how it relates to surprise billing.

Balance billing defined

Articles

Many physician practices are still running their RCM program like it’s 2019. It’s time to get up to speed with the ‘new normal’ in claims and collections. 

Tailoring your practice’s RCM to changing times

Krisi Hutson, product line developer at Availity, discusses the concept of surprise billing.

Surprise billing defined

Max Schloemann is a dedicated medical malpractice insurance broker and the founder of MEDPLI. He specializes in providing competitively priced Medical Professional Liability Insurance (MEDPLI) solutions for private practices, doctors changing jobs and physicians across all specialties. Max understands the diverse needs of solo, small, and large medical practices and provides each of his clients with unique and individualized attention.

Max graduated Magna cum Laude from Southern Illinois University College of Business and was named the Outstanding Management Senior. His career in medical malpractice insurance began in 2008 with an industry-leading firm, where he continued to cultivate his interests in healthcare and small business until he realized their perfect intersection – private practice. He founded MEDPLI in 2017 to help private practice physicians as well as doctors who need tail insurance navigate the complexities of medical malpractice insurance in the new era of healthcare and provide them with the level of service and expertise they deserve.

In his spare time, Max enjoys spending time with his wife and 4 kids. His hobbies include gardening and hiking the Shawnee National Forest. He enjoys the beautiful views, fresh air and golf.

Miscoding and fraudulent billing can destroy a medical practice. Use these tips to get robust oversight of your medical billing and coding in place.

Why every medical practice should prioritize billing and coding oversight

, with over 20 years’ experience in physician billing and revenue cycle management

Healthcare business consultant with more than 30 years of experience in medical practice management, revenue cycle management, PM/EHR implementation, and business development

It’s critical that independent practices make sure that they are laying the groundwork to make telehealth a robust part of their care delivery and their bottom line.

3 things practices must do to assure they get paid for telehealth in 2021

, JD, MBA, advises clients on compliance and transactions in healthcare, cybersecurity, corporate and securities law, while representing plaintiffs in 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, 

Compliance measures can assist healthcare industry participants avoid potential liability, whether civil or criminal, under the False Claims Act.

Billing & Collections

Inappropriate billing, fraud gaining scrutiny