Patient Overpayment Compliance: New Rules, Audit Risk, and Best Practices

Patient Overpayment Compliance: New Rules, Audit Risk, and Best PracticesPatient credit balances are more than an accounting issuethey are a growing compliance risk. Improperly tracked or unresolved patient overpayments can expose your practice to repayment demands, corrective action plans, and expanded audit scrutiny. Federal law has long required healthcare providers to maintain a documented process for identifying, monitoring, and refunding patient overpayments within specific timeframes. However, a newly enacted

and avoid hours of costly corrections by staying ahead of the newest compliance requirements

Maintenance Teams

Avoid Stark Law and Anti-Kickback issues related to balance billing

financial advisor

You’ll learn how to properly complete each line of the form

and understand how coverage applies regardless of gender or household status

Counteract audit triggers tied to the misapplication of POS 22 vs

Navigate dozens of new lab and pathology analysis codes

Become a stronger communicator with techniques that enable you to question and clarify priorities

Recall that CMS has a manual on EMTALA that all hospitals that accept Medicare must follow

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and exposure to lawsuits if handled improperly