Hinshaw's Thomas O'Carroll Discusses Medical Billing Audits and How to Prevent Them

February 1, 2019

Hinshaw partner Thomas O'Carroll recently authored an article in the January 2019 issue of Outpatient Surgery Magazine. Titled "Medical Billing Audits: The Road to Ruin," the article describes the process of a medical billing audit along with preventative steps to help avoid being audited.

O'Carroll explains that a medical billing audit often begins with an "innocuous" letter from a federal or private payer, asking for a sample of billing records. "If they see something about your billing practices that differs from the statistical norm, it is likely that your center could face an audit," he said. To avoid an audit, O'Carroll recommends a prevent defense: "Regularly perform your own billing audits . . . communicate the necessary changes in process and practice to your staff, and mandate compliance."

Read the full article in the online version of Outpatient Surgery Magazine:

Hinshaw & Culbertson LLP is a U.S. based law firm with offices in 11 states and London. The firm's national reputation spans the insurance industry, the professional services sector—including representation of law firms and lawyers—and other highly regulated industries, such as banking and finance and the debt collection sector. Hinshaw also provides a series of closely coordinated litigation, business advisory and transactional services to clients of all sizes as well as governmental and public sector entities.