rubisaavedra
Contributor
Hello I am looking for some advise...I have a new doctor that is a surgeon and has told me that the NCCI edits do not apply to him because he is Not contracted with any insurance company at the moment. I have stressed the need and value to having the edits available in his billing program. He is having me work on claims and submit how he wants them submitted, with like 15 codes for everything Done during surgery..unbundling several procedure codes. I have documented my conversations with him..I own my own billing company and recently became certified. Is there something else I can do to protect myself if and when he does get audited and he is requested to refund monies that he already paid me for the work that I did? (My percentage agreement)?
Any legal advise would be very helpful. Thank you!
Any legal advise would be very helpful. Thank you!