Training for Your Whole Practice: Billing, Coding, Compliance & More—One Simple Solution $500 OFF When You Subscribe by April 30th

Legal

Legal

RELEASE-OF-MEDICAL-RECORDS-SUBPOENA

How You Should Respond to Subpoenas for Medical Records

If you work in a medical practice, you will eventually get a subpoena or other legal request for medical records. Handling these improperly can put you at risk of HIPAA violations, state privacy law violations, costly fines, and loss of patient trust. That’s why understanding how to respond correctly to subpoenas for medical records is […]
Published Date: April 14, 2026
Read More
Medicare Advantage Overpayments

Medicare Advantage Out-of-Network Coverage: How Your Medical Practice Can Prevent Claim Denials

If your medical practice treats Medicare Advantage patients, understanding out-of-network coverage rules is essential to avoid claim denials, compliance risks, and lost revenue. Many billing teams assume these plans never cover out-of-network care, but federal Medicare rules require coverage in specific situations. Knowing these requirements protects reimbursement and prevents unnecessary appeals. Federal CMS regulations require […]
Published Date: March 16, 2026
Read More
balance billing compliance

Balance Billing Compliance: How Your Medical Practice Avoids Penalties, Patient Complaints & Revenue Loss

Balance billing compliance is no longer just a hospital issue — it affects physician practices, ambulatory surgery centers, imaging centers, and specialty clinics. The No Surprises Act (NSA) and Good Faith Estimate (GFE) rules require you to rethink how your front desk, billing department, and compliance team communicate costs to patients. If your workflows are […]
Published Date: February 24, 2026
Read More
Florida patient refund law 2026

How to Comply with Florida’s 2026 Patient Refund Law

Florida’s Patient Refund Law takes effect January 1, 2026, and it directly affects how your practice handles patient overpayments. If you collect more than a patient owes—even unintentionally—you are now on a strict clock to identify, process, and return those funds. This law is not just about awareness. It requires clear workflows, trained staff, documented […]
Published Date: February 10, 2026
Read More

3 Balance Billing Best Practices Every Practice Must Know

The balance billing rules that went into effect in 2022 under the No Surprises Act continue to cause confusion for medical practices and hospitals across the country. And confusion can lead to violations that can land your practice in serious legal trouble. Check out three balance billing best practices that can help you stay compliant […]
Published Date: January 5, 2026
Read More
Legal pitfalls

Avoid These Common Medical Practice Legal Pitfalls to Stay Compliant

Doesn’t it sometimes seem like payers are just pulling denial reasons out of thin air so they can avoid paying your claims? In some cases, they’re using the law to their advantage, and in other situations, they could be taking a stab in the dark. The only way to know for sure is to solidify […]
Published Date: November 10, 2025
Read More
patient recording

5 Tips for Developing Your Patient Recording Policy

When a patient wants to record their office visit with your providers, the situation presents legal questions that you may not know how to answer. After all, having a recording of an office visit could set you up to malpractice accusations or even HIPAA violations. Your best bet is to have a solid patient recording […]
Published Date: August 19, 2025
Read More

Are Revenue Cycle Bottlenecks Costing Your Practice Thousands?

Dr. Lopez’s busy orthopedic practice submits hundreds of claims every week. But with denials creeping up, the billing team is constantly resubmitting claims. One front-desk employee, unfamiliar with payer rules, keeps entering incomplete patient insurance data—forcing staff to chase patients for missing information. Meanwhile, credentialing delays keep a new physician from being properly enrolled with […]
Published Date: July 24, 2025
Read More
Medical record request

7 Legal Requirements for Patient Medical Record Requests

Your practice most certainly knows that when you get a medical record request, you must fulfill it, according to the HIPAA laws. What happens next is often different at every practice. Some practices give patients immediate access to their paper records, others wait almost a month, while some don’t even process the requests the same […]
Published Date: June 3, 2025
Read More
Financial hardship

When Can You Offer Financial Hardship Discounts to Patients?

It happens from time to time at medical practices: Patients will say they can’t pay their copay due to financial hardship. But your practice knows that it’s a violation of your payer contract to write off copayments — so what can you do? Check out what the law says, and when you can and cannot […]
Published Date: April 13, 2025
Read More