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How would you feel if a health plan asked to see your notes? For most therapists, this would bring a wave of anxiety. Yet every day, healthcare professionals nationwide — including out-of-network therapists— are facing these requests, and being asked to provide documentation to back up billing. Yes, even the notes of out-of-network therapists are subject to review whenever a statement/superbill is submitted to a plan, and it is happening more frequently.
While some audits are purely administrative, others can lead to costly claim denials or repayment requests – also known as “clawbacks.” You (or your clients) can lose thousands of dollars in unreimbursed claims.
In this webinar, we take a closer look at the reasons your notes might be requested by a health plan, how to respond if they are requested, and what you can do now to avoid any loss of income.