Dallas Billing And Coding Compliance Attorney
If you are a health care provider in Texas, you must also navigate complex federal and state regulations governing the billing and coding of services. Even unintentional mistakes, such as incorrect CPT or ICD-10 coding or billing discrepancies, can trigger audits. In these situations, working with a Dallas billing and coding compliance attorney can protect your license.
At Kennedy Attorneys & Counselors at Law, we have built a reputation for guiding health care providers in Dallas and throughout Texas since 2002. Our lawyers bring over 100 years of combined experience in every aspect of health care law. In addition, our founding lawyer, Mark S. Kennedy, served as assistant regional counsel for the U.S. Department of Health and Human Services (HHS). As such, he well knows how regulatory bodies in Texas operate.
What Billing And Coding Compliance Means For Health Care Providers
Billing and coding compliance is the accurate translation of health care services into standardized codes such as CPT, HCPCS and ICD-10, used for reimbursement by payers such as Medicare, Medicaid and private insurers.
It is a requirement under federal laws, such as the False Claims Act and regulations enforced by CMS, HHSC and the Texas Medical Board. Compliance failures can lead to audits, overpayment recoupments, civil monetary penalties and exclusion from federal health care programs.
Common Mistakes That Put Providers At Risk
Some of the most common billing and coding errors in Texas include:
- Upcoding: Billing for a higher level service than what was actually performed
- Undercoding: Reporting lower level codes or fewer services than actually performed
- Unbundling: Separately billing for procedures that should be grouped under a single code
- Inadequate documentation: Failing to maintain detailed and accurate records that support the codes submitted
Our attorney can assess risk areas, respond to audit inquiries and develop strategies to protect you.
How To Protect Your Practice: Checklists And Self-Audits
As a Texas health care provider, you can strengthen your compliance posture by implementing:
- Documentation checklists to help ensure proper recordings
- Routine internal audits to identify and correct errors early
- Coder and staff training
Our firm serves as a trusted legal partner for health care providers. We can help design and evaluate internal compliance programs, conduct independent audits and provide legal guidance tailored to your specific practice.
Talk To A Billing And Coding Compliance Lawyer In Dallas
Billing and coding compliance is a critical component of running a successful health care practice in Texas. At Kennedy Attorneys & Counselors at Law, we serve health care providers throughout Texas from our Dallas office. Call us at 945-218-2698 or use our online contact form to schedule a confidential consultation.