Amanda Waesch, Esq., is a healthcare Attorney at Brennan, Manna & Diamond. Her practice focuses on healthcare, employment law and healthcare litigation across the country. She advises healthcare providers including practices and hospitals on reviewing and litigating employment agreements; non-compete agreements and severance agreements. Her work has benefited physicians and administrators in drafting and reviewing employer handbooks, as well as management and training issues.
Stop Huge Penalties for Innocent Balanced Billing Law Violations
The complexities of billing can turn into a very real legal nightmare for you and your practice (i.e. balance billing and write-offs for out-of-network, financial hardship, insurance only, Professional Courtesy, etc.). Even a simple, honest mistake can lead to massive financial penalties, require you to repay reimbursements you’ve previously received, or worse, land you in jail (really). It can happen to just about anyone.
Billing laws and regulations continue to be more complicated each year. Many states now require you to get out-of-network payment from your health plan and not your patient – or you’ll violate laws if you don’t comply. What makes it worse is that CMS and private payer auditors are actively watching and waiting for you to slip up.
But, with a little help, you can take actions that will keep you off auditors’ radars – and avoid a stressful audit and massive penalties.
That’s where attorney, Amanda Waesch, Esq., can help. Amanda is uniquely qualified to provide you with the practical advice you need. During her 60-minute online training session, she’ll give you the tools you need to avoid these dangerous missteps.
Did you know that this online training is included in the 3-Month All Access Pass?
That’s right! You can get this training only starting at $277 OR purchase the 3-Month All Access pass, currently available for LESS than the price of 2 trainings combined, and you and your entire team can access ALL online trainings – that’s over 200 of them!
Here are just a few of the step-by-step billing errors avoidance tactics you’ll receive by attending Amanda’s session:
- Uncover how to legally write off some balances when billing out of network
- Meet billing requirements to avoid criminal prosecution
- Stop OIG fraud charge from your use routine waivers and write-offs
- Pin down the difference between professional courtesy and insurance only
- Implement policies to monitor your write-offs and bad debt
- Determine when and if you can really offer professional courtesy
- Identify the possible punishment and penalties for improper balance billing
- Train staff to avoid discount compliance do’s and don’ts
- Avoid violating Stark and Kickback statutes due to balance billing
- Proven tips to keep your billing compliant and legal
- Identify when and if it is okay to write off co-pays or deductibles
- And so much more…
Putting your head in the sand and avoiding these and other complex legal billing issues is not an option. There are actual cases where physician practices tried to do everything right and still got into trouble. For example, a California physician got five days in jail and a $562,500 fine, another practice was required to repay $4.3 million after being sued by an insurance carrier for balanced billing, and a pulmonology practice paid $10,000 in fines and had to repay $2.5 million in collected funds.
It’s essential that you have a solid understanding of how to correctly maneuver through the legal pitfalls of billing for your services, or you could end up like the physicians in the cases above.
Don’t take a chance, sign up for this must-attend online training session today.
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