Who has Medical Billing E&O exposure?
 

• Nursing Homes

• Assisted Living Facilities

• Home Health Agencies

• Doctor's Offices

• Miscellaneous Medical Companies

• For-profit & Non-profit Companies

• Healthcare Practices or Individual Practitioners

 

Medical Billing E&O Covers:
 

• Violation of civil, federal, or state anti-kick back laws

• Violation of HIPAA and EMTALA legislation

• Qui Tam/Whistle Blower plaintiff coverage

• Coverage for both governmental and commercial pay or audits and actions

• Coverage for 3rd party claims arising out of a Wrongful Act in the performance of, or failure to, perform Medical Billing and Coding Services

• Coverage for costs and expenses for an independent audit to be undertaken into the billing practices following notification of an actual or alleged wrongful act

• Cyber elements of coverage available

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What is at stake:
 

• Fines up to $250,000

• Additional Civil fines starting at $11,000 per false claim

• Civil kickback fines of $50,000