What Are Medical Billing Audits?

Medical billing audits are performed to ensure that medical providers are properly billing insurance companies for procedures. Audits of medical billing may be conducted for a number of reasons. Some reasons why a medical provider may be audited include: Improper procedural and diagnosis coding. This can send a red flag to an insurance bill reviewer, and […]

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HIPAA Violations & Enforcement

What is the Health Insurance Portability and Accountability Act? If you are a physical or other medical provider, you are subject to complying with HIPAA rules.  HIPAA stands for Health Insurance Portability and Accountability Act and it was designed to provide privacy to protection to patients’ medical records and other health information provided to doctors, […]

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What is Medical Malpractice Insurance?

Medical malpractice insurance is a type of professional liability insurance specifically for physicians and other medical professionals.  More explicitly, it protects medical professionals from any wrongful practices that result in bodily injury, medical expenses, property damage, or any lawsuits related to any claim. Is Medical Malpractice Insurance Required? The State of New York currently does […]

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Medicaid Audits: What Are They and What Could They Mean For Your Practice

Physicians and other healthcare professionals may be subject to Medicaid audits during their tenure as medical professionals. Medicaid audit contractors may audit a healthcare professional based on allegations of over-payment or other fraudulent conduct.  Sometimes, a simple error in your billing can raise a red flag and result in an audit. Medicaid Integrity Program The […]

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