We have a new physician who is not yet credentialed on many managed care plans. Our office is billing his claims under my name. Is this legal?
Question: We have a new physician who is not yet credentialed on many managed care plans. Our office is billing his claims under my name. Is this legal?
Answer: No, it is not legal to bill for one physician's services under the name of another physician. This practice constitutes a false claim and probably violates your payer contracts as well. Meet with your office manager, administrator, and/or business manager immediately and get the practice stopped.
You may also want to place calls to your malpractice carrier to have them walk you through controlling any liability that this exposed you to. Ask the carrier its advice on whether and how you should tell insurance companies, and what steps you should take to protect yourself.
Meanwhile, document everything you do about this situation. And if this was intentional (versus an administrative mistake), then you may want to evaluate the environment in which you're practicing.
Asset Protection and Financial Planning
December 6th 2021Asset protection attorney and regular Physicians Practice contributor Ike Devji and Anthony Williams, an investment advisor representative and the founder and president of Mosaic Financial Associates, discuss the impact of COVID-19 on high-earner assets and financial planning, impending tax changes, common asset protection and wealth preservation mistakes high earners make, and more.
Reducing burnout with medical scribes
November 29th 2021Physicians Practice® spoke with Fernando Mendoza, MD, FAAP, FACEP, the founder and CEO of Scrivas, LLC, about the rising rates of reported burnout among physicians and how medical scribes might be able to alleviate some pressures from physicians.