Tips to avoid mishandling an insurance audit or overpayment demand from OCMA partner Carlson & Jayakumar LLP

Physicians and medical groups who mishandle a request for medical records, insurance audits, or overpayment demands run the risk of paying sizable penalties or losing their license. 

Medscape recently published an article that provides important tips for physicians and medical groups on how to mitigate their risk during an insurance audit or overpayment demand. The article was co-authored by Founding Partner Keith W. Carlson and Senior Healthcare Attorney Kathy W. Nichols of Carlson & Jayakumar LLP, a healthcare and employment law firm, and OCMA strategic partner.

“Healthcare providers need to realize that there is no such thing as a ‘routine’ audit,” said Carlson. “Insurance companies are getting savvier and more strategic in how they review medical and billing records, and providers need to be aware of some of the common pitfalls when dealing directly with payers. The Medscape article provides a framework for physicians and medical groups to mitigate their risk during this stressful time.”

To read the article in its entirety, visit: https://www.medscape.com/viewarticle/909625 (free, one-time registration required)

Contact Keith W. Carlson or Kathy W. Nichols at (949) 222-2008 or visit www.cjattorneys.com to learn more. OCMA members receive a complimentary initial consultation and discounted rates on certain flat-fee services.

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