Head Off Massive Financial Penalties for Innocent Self-Pay Billing Errors

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How you bill your self-pay patients is about so much more than just getting paid. Get it wrong and you could be facing significant penalties related to multiple state and federal law violations. charging self-pay patients.

Any one of the numerous regulations that govern how you bill your self-pay patients could easily land you in serious financial and legal trouble – Medicare, Stark, Anti-Kickback, HIPAA (i.e., contracting, discounting, patient right-to-refuse claim submission, prompt-pay vs. cash-pay, financial hardship, uninsured patients, setting fees, who qualifies, etc.).

Luckily, healthcare regulatory and compliance law attorneys, Daphne Kackloudis, JD and Ashley Watson, JD, are here to help. During their online training, Daphne and Ashley will walk you through how to cut through the confusion of correctly billing your self-pay patients. By attending this training, you’ll receive plain-English advice to help you avoid the massive penalties that can result from even an innocent billing mistake.

Here are just a few of the practical, compliant self-pay billing strategies you’ll receive by attending this online expert-led training:

  • Halt upfront payment discounts from leading to legal headaches
  • Distinguish between prompt-pay and cash-pay to avoid costly penalties
  • Avoid easy-to-make Advance Beneficiary Notice (ABN) violations
  • Pin down when you can and can’t offer discounts for services
  • Stop self-pay billing from leaving you exposed to Anti-Kickback fines
  • Unearth hidden commercial contract clauses that can easily trip you up
  • Identify genuine financial hardship cases and document to protect your practice
  • Discover when NEVER to reduce co-pays for Medicare/Medicaid patients
  • Rectify uninsured patient billing errors before they get you into trouble
  • Reduce HIPAA risk when patients don’t want their claims submitted to Medicare
  • Prevent reductions in Medicare reimbursements due to self-pay discounts
  • Block state compliance violations when offering prompt pay discounts
  • And so much more!

IMPORTANT: The Internet is full of actual cases of physician practices, just like yours, getting hit with legal and financial penalties for making innocent, simple mistakes when billing self-pay patients. Depending on the violations, financial penalties can add up quick, and even result in prison time – really. Don’t bill another self-pay patient without being sure you’re protected.

There are about a million ways that billing self-pay patients land you in serious hot water. You are required to comply with government fraud and abuse rules, adhere to federal and state laws and ensure that you protect patient payment information by meeting HIPAA requirements. Make sure your self-pay billing processes are set up to protect you, not leave you with a massive financial and legal headache.

All it takes is one patient complaint of unfair billing practices to trigger an invasive investigation into all of your billing and processes. Don’t wait! Register today for this must-attend online training.

Meet Your Experts

Daphne Kackloudis
Esq.Partner at Brennan, Manna & Diamond

Daphne heads the BMD Columbus office’s health care practice. One of her areas of practice is the nexus between traditional health care legal services and health care public policy. Daphne regularly advises health care clients, including providers and provider trade associations, regarding business and practice strategies impacted by federal and state health care reform initiatives, as well as service delivery and payment reform. She also advises clients regarding reimbursement, policy, and coverage matters. Additionally, Daphne has in-depth knowledge of Medicaid, behavioral health, and child welfare policy.

Prior to joining Brennan, Manna & Diamond, Daphne served as Senior Advisor for a health care consulting company; held policy positions in the Ohio Department of Medicaid, including leading Ohio Medicaid’s interaction with the Centers for Medicare & Medicaid Services and overseeing various components of Ohio Medicaid policy. She also served as director of state and local government relations for Nationwide Children’s Hospital in Columbus, OH. Daphne graduated cum laude from Capital University Law School and Indiana University, and is licensed to practice law in Ohio.

Ashley Watson
Esq.Associate in BMD's Columbus Office

Ashley is an associate in BMD’s Columbus office whose practice focuses primarily on Healthcare and Hospital law. Ashley graduated from The Ohio State University Moritz College of Law in 2017 and also has her Master’s in Art History and Museum Studies from Case Western Reserve University.

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Heartland Alliance
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Summit Health