Define Exposures

Begin your introduction of MEDEFENSE® Plus by first gaining an understanding of your client’s needs by asking key questions like:

​• Do you bill for delivery of healthcare services?

• Public payers (Medicare/Medicaid)?

• Private (commercial) payers?

• Does your practice comply with Stark/anti-kickback regulations?

• Is your practice subject to HIPAA? EMTALA?

By identifying these practices, you can help point out potentially weak links in your clients data management practices.

 

In addition to its efforts to recoup overpayments, the government is also actively enforcing violations of STARK rules and non-compliance with HIPAA, all of which create a very worrisome environment for healthcare providers in the US.