“Risk Adjustment Audits have ramped up over the past 18 months and physician-practices are at risk of pre-and/or post-payment demands that could be in the MILLIONS! Pre-and post-payment demands threaten a practice’s cashflow, reimbursements, and may result in bankruptcy or require loans.”
Woodbridge, NJ January 11, 2018
Conventus, New Jersey’s premier professional liability insurer formed by and governed through an alliance of independent physicians, will host a live webinar, Risk Adjustment Billing Audit Webinar hosted by Conventus and Frier Levitt. This educational event, presented by Lindsey P. Gelormini, Esq., at Conventus, will give physicians and practice administrators in New Jersey a stronger understanding of risk adjustment audits and how to prepare. The webinar is scheduled for 12:00 PM – 1:15 PM ET on January 17, 2018.
Risk Adjustment Audits have ramped up over the past 18 months and physician-practices are at risk of pre-and/or post-payment demands that could be in the MILLIONS! Pre-and post-payment demands threaten a practice’s cashflow, reimbursements, and may result in bankruptcy or require loans. Legal implications could involve criminal litigation and Medicaid Fraud Division referrals, loss of billing privileges, report to the National Practitioner Databank or loss of license to practice medicine.
Do You Know?
- Billing Audits have drastically increased for all physician specialties
- Settlement demands to reimburse insurers can be in the MILLIONS
- Red flags to help you distinguish them from routine audits
- Strategies to protect your practice and avoid financial hardship
What You Will Learn
- How to tell the difference from a routine audit
- Common focus areas and coding pitfalls
- What to do if you are audited
- Legal implications for you and the practice
- Best practices to avoid audits and keep you in business
To register for the webinar, visit: https://www.conventusnj.com/webinars/billingAuditDeeperDive.aspx
Guillermo J. Beades, Esq.
Senior Counsel, Frier Levitt
Guillermo J. Beades, Esq., is a Senior Counsel practicing in Frier Levitt’s Healthcare Litigation Department. Guillermo represents healthcare professionals in a broad range of administrative, civil and criminal healthcare matters. Guillermo has extensive litigation experience before state licensing authorities and Medical Boards, federal healthcare and state healthcare agencies. Guillermo has represented practices and healthcare professionals in matters concerning credentialing and denial of privileges, administrative discipline, Medicare audits, post-payment demands and pre-payment audits. Guillermo also represents healthcare professionals in criminal and civil white-collar defense matters, including matters alleging Medicare / Medicaid Fraud and violations of the Anti-Kickback Statute, False Claims Act, Codey Law and Stark. Guillermo has been selected to the New Jersey Super Lawyers Rising Stars list in 2015 – 2017
Lindsey P. Gelormini, Esq.
Senior Claims Counsel and Corporate Board Secretary, Conventus
Lindsey P. Gelormini, Esq., is Senior Claims Counsel and the Corporate Board Secretary at Conventus Inter-Insurance Exchange. Lindsey manages medical professional liability claims in addition to regulatory, administrative, and licensing matters. Lindsey has experience with matters brought before state licensing authorities (NJ BME and OPMC), as well as Medicare audits, post-payment demands and pre-payment audits. Lindsey obtained her B.A. from Loyola University and her J.D. from University of Massachusetts.
About Conventus Inter-Insurance Exchange
As New Jersey’s premier professional liability insurer formed by and governed through an alliance of physicians, Conventus is devoted to serving the best interests of independent physician practices.
Conventus members and their staff enjoy exclusive access to insurance products and highly personalized services, gaining the practical knowledge and expert resources they need to improve practice performance, better serve their patients, and remain independent. The Conventus team prides itself on being forward lookers and solution partners whose sole purpose is to help independent physician practices thrive in today’s rapidly changing healthcare environment. Learn more at http://www.conventusnj.com.
Follow Conventus on Twitter @ConventusNJ and LinkedIn at Conventus Inter-Insurance Exchange
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