Medical billing errors and omissions insurance (E&O) is your safety net when it comes to potential billing issues, like claims brought by Medicare, Medicaid, or commercial players. If your practice runs into issues with “up-coding” or improper billing, for example, this coverage can help protect you from costly regulatory actions. It may also cover additional claims like HIPAA, EMTALA, or STARK violations, depending on your policy.

By securing this coverage, you help safeguard your practice from potentially devastating financial and legal consequences.

Depending on your carrier, you may already have a small sublimit for this exposure built into your professional liability policy. The included sublimit can be quickly exhausted by audit services, fines and penalties, and legal representation to help navigate Medicare and Medicaid billing reviews. As such, if your carrier offers a buy-up to increase that sublimit, we encourage you to consider it. This buy-up may offer additional administrative defense coverages, like licensing, credentialing, and professional review proceedings. If your carrier doesn’t offer buy- ups for medical billing E&O insurance, standalone coverage may be available.

Finding the right insurance can be a pain-free experience. Let L&J do the heavy lifting and help you navigate the medical billing errors and omissions insurance marketplace.