Third-Party Billers: At the Center of an Industry Littered With Fraud and Errors
Providers can utilize resources like third-party billing companies to help navigate the complexities of the health care reimbursement process. While this is the direction many providers are heading, they should understand the inherent risks and compliance requirements of these arrangements, especially in the heavily regulated health care industry.
October 29, 2024 at 01:30 PM
7 minute read
LitigationHealth care providers have an important responsibility when it comes to delivering proper care and treatment for their patients. In doing so, they are also responsible for ensuring that complete and accurate information is submitted to the insurance companies for reimbursement. Otherwise, they risk overcharging federal health care programs (i.e., Medicare and Medicaid) or private insurance carriers, which could ultimately lead to government enforcement actions, penalties, or other civil actions. Luckily, providers can utilize resources like third-party billing companies to help navigate the complexities of the health care reimbursement process. While this is the direction many providers are heading, they should understand the inherent risks and compliance requirements of these arrangements, especially in the heavily regulated health care industry.
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