Medical Defense
Advocate, D.O. provides legal defense for investigations and proceedings of improper Medicare/Medicaid billing and coding, disciplinary proceedings, RAC & ZPIC audits and a lot more through its Regulatory Proceedings Coverage endorsement.
This endorsement pays on behalf of the Insured so there are no out of pocket expenses, no deductibles or co-insurance provisions. Fines and penalties are included as part of this endorsement which carries its own limit of liability.
| |
Individual
Physicians |
Groups
(2 or more) |
| Per Incident: |
$100,000 |
$100,000 |
| Aggregate: |
$100,000 |
$250,000 |
With the Regulatory Proceedings Coverage endorsement, State Medical Board (TMB and MMB) coverage will increase from $20,000 per incident and $60,000 aggregate to $100,000 per incident and $100,000 aggregate for individual physicians. In addition, this endorsement will include coverage for fines and penalties.
Click Here to view the Medical Defense Fact Sheet
Clidk Here to view the Medical Defense Application
Legal Defense Coverage Includes:
- Medicare / Medicaid
- HIPAA / HITECH
- State Medical Board
- Medical Associations
- Government Agencies
- Shadow Audits
- OSHA
- Other Professional Licensing Agencies
|
- RAC & ZPIC Audits
- EMTALA / Patient Anti-Dumping
- Billing Errors
- Peer Reviews
- Surgical Centers / Hospitals
- ADA
- CLIA
|
To submit a Medical Defense claim please follow the standard Advocate, D.O. claim policies found here.
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