Healthcare Billing E&O

Practice ShieldTM – Proprietary to Sullivan Brokers

Protection Against Allegations of Fraud & Abuse

Healthcare providers who submit claims to Medicare, Medicaid, or a commercial payor, may be subject to fines & penalties under Federal & State fraud & abuse laws, if they “knew or should have known that the submitted claim was false.”*

Audits by Federal & State agencies are on the rise, increasing the potential for fines & penalties.

Eligible Healthcare Classes

  • Physicians / Medical Groups
  • Ambulance Services
  • Clinical Labs
  • Federally Qualified Health Centers (FQHC)
  • Small Hospitals (revenue under $200 M)
  • Practice Administrators
  • Rural Health Clinics
  • Third Party Medical Billing Services
  • Ambulatory Surgical Centers
  • Anesthesiologists
  • Durable Medical Equipment (DME) Suppliers
  • Home Health Agency (HHA)
  • Hospice
  • Pharmacies
  • Skilled Nursing Facilities

Practice ShieldTM Application
[click on the “Resources” button for more information]

* Source: Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians, Centers for Medicare & Medicaid Services, ICN 905645 July 2014. Many similar state laws apply to the provision of care under state-financed programs and to private-pay patients.