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Do not use a family member as an interpreter

In a pinch, it can be very tempting to grab the nearest family member to help interpret for a patient. You can tell yourself “it is ok to do it this once” or “the patient’s child speaks English” but in reality, this is a practice that should be avoided at all costs. Just because someone is bilingual does not mean he or she is qualified to be an interpreter.

The Stark Law: a basic overview of a complex statute

For a physician, navigating regulation and compliance is vital to operating a successful practice. By adhering to the correct legal guidelines, you can alleviate much of the anxiety and risk that comes with a failure to comply. Certain laws and regulations—such as the Stark Law—carry strict penalties as they deal with Medicare and Medicaid. A better understanding of laws like these can go a long way to running a legally sound practice.

When your entire career is at stake

Nothing sends a chill up a professional’s spine like realizing you are under investigation. You have not received the letter yet informing you of this, but you suspect a complaint has been filed against you.

What to expect from a Medicaid or Medicare fraud investigation

Even honest billing mistakes can lead to devastating effects for a health care provider. Take overbilling for example. Health care providers occasionally receive overpayment for Medicare or Medicaid. These issues can easily be resolved with a refund. Unfortunately, if the issue is not fixed quickly then the provider can face serious consequences.

How to address Medicare overpayment claims

Doctors are extremely busy. In addition to caring for their patients, regulations force healthcare providers to fill out seemingly endless paperwork. Medicare Parts A and B healthcare providers face the additional burden of ensuring, at risk of punishment, that all of their received Medicare payments are correct.

How can improper Medicare claims affect your practice?

The health care industry comes with stacks of government paperwork necessary for regulatory compliance. You can easily feel like you are drowning in forms, and rush to complete them. Unfortunately, hurrying through government forms, such as those required for Medicaid and Medicare claims, can lead to serious errors and consequences.

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