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Legal

Legal

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 […]
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 […]
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 […]

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 […]
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 […]
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 […]
ICE raids

Medical Facilities No Longer Shielded From ICE Raids: How to Prep

Last month, the president ended the “sensitive location” protections that prevented ICE agents from conducting immigration raids in medical offices, clinics and other healthcare facilities. This means ICE raids may take place at your practice, and you need to be ready for how to handle them. Read on for strategies that will help you prepare […]
Telehealth consent

5 Telehealth Consent Best Practices to Stay Compliant

Telehealth consent can be a confusing area. While Medicare doesn’t come out and require it, the Department of Health and Human Services says that “specific informed consent laws vary by state,” but that it’s a good idea to take common sense actions to ensure you have the patient’s express approval before conducting a telehealth appointment. […]
Payer contract

3 Considerations You Must Make Before Dropping a Payer

Every payer contract your practice signs is a legal document that should not be taken lightly if you’re thinking of terminating it. But you should have a plan in place in case you’re ever in a position where a particular contract simply isn’t tenable for the long term. Check these three considerations every practice should […]
ADA accommodations

3 Key Types of Staff ADA Accommodations at Your Practice

Sometimes it seems like every time you get to know the existing employment laws, new ones are put into action that increase your legal liability as an employer. One such area involves ensuring that employees who are entitled to them get ADA accommodations. Check out three common types of ADA accommodations so you can stay […]