Both state and federal law provide broad protections to such individuals, and prohibit billing a Medi-Cal patient in most circumstances. Running afoul of these laws can put you at risk of a CMS audit and sanctions. For more information on this topic, see “Ask the Expert: Billing Medi-Medi patients,” free to members at Reimbursement Assistance.

Trouble getting paid? We can help!

CMA’s Center for Economic Services (CES) is staffed by a team of practice management experts with a combined experience of over 125 years in medical practice operations. Our goal is to empower physician practices by providing resources and guidance to improve the success of your practice.

Access to our reimbursement experts is a FREE, members-only benefit. Call (800) 786-4262 or email economicservices@cmadocs.org.