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Frequently Asked Questions for Clinics & Hospitals
Get answers to some of the most common questions from clinics and hospitals. Understand
Medicare rules, healthcare regulations and compliance.
Presenter - David Glaser
Follow us :
Audio Educator
© 2014 Fredrikson & Byron, P.A.2
Are coders personally liable?
• Almost never.
• Indemnification governed by state law,
corporate documents.
– Good faith
– Conduct legal
– Believe actions in company’s best
interest.
© 2014 Fredrikson & Byron, P.A.3
Do Medicare rules apply to
Medicare Advantage?
• No regulation expressly stating as
much.
• Each program points the finger at the
other.
• Review your payer agreement AND
provider manual.
• Stark is a different story.
© 2014 Fredrikson & Byron, P.A.4
Can we charge interest on
outstanding balances?
• Payor/state law dependent.
• Know your contracts.
• Medicare claims the answer is no.
• Medicare’s claim is wrong.
© 2014 Fredrikson & Byron, P.A.5
To see the complete presentation check the
below link:
http://www.audioeducator.com/hospitals-and-health-systems/faq-for-clinics-
hospitals-09-11-14.html

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Frequently Asked Questions for Clinics & Hospitals

  • 1. Frequently Asked Questions for Clinics & Hospitals Get answers to some of the most common questions from clinics and hospitals. Understand Medicare rules, healthcare regulations and compliance. Presenter - David Glaser Follow us :
  • 2. Audio Educator © 2014 Fredrikson & Byron, P.A.2
  • 3. Are coders personally liable? • Almost never. • Indemnification governed by state law, corporate documents. – Good faith – Conduct legal – Believe actions in company’s best interest. © 2014 Fredrikson & Byron, P.A.3
  • 4. Do Medicare rules apply to Medicare Advantage? • No regulation expressly stating as much. • Each program points the finger at the other. • Review your payer agreement AND provider manual. • Stark is a different story. © 2014 Fredrikson & Byron, P.A.4
  • 5. Can we charge interest on outstanding balances? • Payor/state law dependent. • Know your contracts. • Medicare claims the answer is no. • Medicare’s claim is wrong. © 2014 Fredrikson & Byron, P.A.5
  • 6. To see the complete presentation check the below link: http://www.audioeducator.com/hospitals-and-health-systems/faq-for-clinics- hospitals-09-11-14.html