An organization's performance in tracking and correcting billing procedures is important for sustained excellence and maintaining patient satisfaction. A case from the South shows an example of a kind of situation in which medical billing consultants could be needed to help with billing disputes.
Atlanta, Georgia, public radio station WABE recently reported on a local health system that is settling after allegedly exaggerating neo-natal intensive claims for Georgia Medicaid. While the source says there were no official charges, Grady Health System has agreed to pay $2.95 million to the state.
The claims against Grady say that the organization had submitted false information about patient claims, resulting in higher payments than there would have been otherwise. Both the State Attorney General, Sam Olens, and Grady Health System have addressed the aftermath of the case in official statements.
The latter party's statement both acknowledged the role it played in responding to the state's accusations and affirmed its own status as a contributor to Georgia's medical services network.
"Grady is proud of the care we provide to Georgia's most vulnerable infants through our Neonatal Intensive Care Unit," the organization said. "We are pleased that we were able to work with the state to resolve a billing issue that was completely unrelated to the quality of care provided to these babies. Grady cooperated fully throughout the investigation and has reimbursed the state."
When healthcare attorneys have to enter into cases like this, they may need crucial medical litigation support services to help them contest allegations. For specific legal assistance, including possible billing or contract disputes, consultants will be able to observe what a legal entity has to accomplish and give them the exact services they need based on the case.