Regulatory risk coverage provides you legal representation for administrative actions brought by Medicare/Medicaid, medical licensing boards, credentialing reviews and actions, Professional Review Organizations, federal agencies regarding EMTALA, and the DEA.
Coverage features include:
Addresses Medicare and Medicaid utilization and billing review proceedings, including allegations of improper documentation involving overutilization, overbilling, unnecessary services charges, and “up coding.”
Covers state medical licensing board reviews involving potential sanctions for unprofessional conduct.
Covers health care provider credentialing reviews that may adversely affect existing clinical privileges, credentialing, or staff membership.
Provides protection for Professional Review Organization proceedings involving allegations of misconduct.