Amanda Waesch
Esq.

Unfortunately, you are in a no-win situation. Failing to collect copays and deductibles can get you into just as much trouble as collecting them incorrectly. How much should you collect? Can you discount? What about professional courtesy visits? Can copays be waived? How does balanced billing fit in? Can you offer prompt payment reductions? Does waiving copay violate the Anti-Kickback […]

Good Faith Estimates are a necessary evil to comply with the No Surprises Act, but let’s face it—they’re complicated and time-consuming. They are hard to get right, and mistakes can lead to patient complaints, lost revenue, and costly audits. The good news? With a few simple adjustments, you can streamline your Good Faith Estimate processes, head off compliance issues, negotiate […]

Even though there are a million reasons that justify amending patient medical records, an innocent mistake when making a change can have dire consequences for your practice. Why? Because failure to comply with medical record amendment rules can result in accusations of falsifying medical records, which is a crime. And if you are found guilty, the result can be severe […]

Even simple medical records documentation errors — like forgetting to include a provider’s signature — can render an entire patient encounter unbillable and set you up for a costly and stressful audit. Medical Records Documentation Specifications Medical records documentation requirements go far beyond recording a patient’s medical history, diagnosis, and the services you performed. Like it or not, payers use […]