The subjects covered in this article will assist you as new medical practice in avoiding fraudulent billing.
During your training as a healthcare professional, it’s likely that you are not thinking about who pays for the treatment of your patients. Once you begin working as a practitioner, it’s critical to comprehend who the payers are. Since the American healthcare system mainly depends on third-party payers, it’s expected that your patients don’t pay the majority of their medical expenditures.
Third-party payers are entities that pay for medical expenses not covered by the individual or family health insurance policy. The federal government is the largest payer in the United States, but other third-party payers are also used in the U.S healthcare system.
Many states have also passed comparable legislation covering individuals who pay privately and those receiving treatment through state-funded programs. As a result, you should be aware that the issues covered here may be relevant to treating all insured patients and avoiding fraudulent billing.
