Outpatient Surgery Magazine

2018 Salary Survey - January 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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2 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 9 I t's a letter you never want to receive, but it's increasingly likely these days that your facility might get one. It first appears rather innocuous: A federal or private payer asks you for a sample of your billing records — say, 20 to 30 of them. They don't say why they're asking, but you comply anyway. That letter almost certainly means that the next letter you receive, sometimes as much as a year later, will be a demand for recoupment of potentially years of billing based on the carrier's audit of those patients' records. In more than 20 years of practice, I have never seen a provider with sufficient coverage lose personal assets in a medical malpractice law- suit. I have, however, seen medical billing audits not only destroy a Medical Billing Audits: The Road to Ruin Brace for the worst if a payer asks to review your billing records. Legal Update Thomas L. O'Carroll, JD • CLEAN BILL OF HEALTH? Will your billing practices stand up to a federal or commercial payer audit?

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