What Physicians Need to Know About Billing and Coding Audits

Government Investigations of Physicians Are Increasing, Attorney Warns

Napa, California—April 16, 2013—The government is increasing investigations into payments made to physicians under federal healthcare programs due to a marked increase in improper and exaggerated coding, warns Kevin R. Warren, Esq., in the latest video produced by The Doctors Company, the nation’s largest medical malpractice insurer.

One example of this trend is the government taking a closer look at ancillary services provided by physician groups, Mr. Warren says. These investigations are occurring because the government sees a potential for more referrals to these services than are actually needed by patients.

One way physicians can protect themselves and defray the cost of an audit is through an insurance policy, says Mr. Warren, an attorney with Michelman & Robinson, LLP, Healthcare Practice, who recently provided expert insight on audits at an Insurance Services meeting hosted by The Doctors Company.

“We are fiercely committed to protecting doctors,” said Stacy Schultz, vice president of marketing for The Doctors Company. “We have been a leader in helping our members during Medicaid and Medicare utilization and billing review proceedings through our MediGuard® regulatory risk coverage, which is part of our core medical liability policy.”

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About The Doctors Company
Founded by doctors for doctors in 1976, The Doctors Company (www.thedoctors.com) is relentlessly committed to advancing, protecting, and rewarding the practice of good medicine. The Doctors Company is the nation’s largest medical malpractice insurer, with 73,000 members and $4 billion in assets, and is rated A by A.M. Best Company and Fitch Ratings.

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