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MEDICAL BILLING ERRORS & OMISSIONS

Medical Billing E & O Quotations
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Medical Billing E & O Application

Medical Billing E & O Information
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Healthcare providers such as hospitals, physicians, durable medical goods dealers, nursing homes, and any other providers or suppliers that bill Medicaid or Medicare are faced with the possibility of a Recovery Audit Contractor (RAC) and Zone Program Integrity Contractor (ZPIC audit). Medical Billing Errors & Omissions coverage is designed to protect and insure against these government regulations by providing:

  • Coverage for Actual or Alleged Billing Errors - Coverage includes defense costs, fines, and penalties arising from actual or alleged billing errors. Coverage extends to allegations made by governmental agencies, contractors working on behalf of the government, and commercial payors.

 

  •  Coverage for Other Medical Regulatory Violations - Coverage for defense costs, fines, and penalties arising out of HIPAA, EMTALA & STARK violations. Coverage extends to allegations made by governmental agencies, contractors working on behalf of the government, and commercial payors.

This coverage can also be extended to cover a medical provider's exposure for Cyber Liability which involve the loss or theft of personal patient information and includes:

 

  • Defense and settlement of claims alleging breach of privacy, unauthorized access and failure of network security

            Example - An employee steals and sells customer information such as credit card and social security numbers

            Example - A laptop containing private client information is lost or stolen

 

  • Pay the costs and fines associated with a claim

             Example - Regulations require each affected client is notified and provided credit monitoring at the cost 
            of $250 per file
.

 

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