NC Medicaid Providers: Does Your Insurance Cover Legal Fees for Regulatory Audits??

I must confess…I do not know much about health care providers’ liability insurance.  I just haven’t had to deal with liability insurance many times.

But, a client has recently informed me that their liability insurance will compensate them for 100% of my attorney fees that pertain to my representation germane to their regulatory audit. If this is true, then I have many clients that need to have a chat with their insurance companies.

Please understand…I have NOT read the small print with this insurance coverage. I do NOT know the ins and the outs of this insurance, or, even, whether it will actually, truly cover 100% of attorneys fees.

But, IF there is a possibility of your insurance company covering attorneys fees, what is there to lose?

This is all I know:

Alleged insurance that covers legal fees for regulatory audits? “APA Plus.”

From what I understand, if you pay an extra $15/month, the insurance will cover legal fees associated with regulatory audits, up to $50,000.

Again, please understand, this is hearsay, and I have read no insurance contract.  The ONLY reason I am blogging about an issue that I do not have verification of its veracity is because if, and only if, there is even a 1% chance that your insurance company will cover legal fees, this could be such a burden off your shoulders during such a stressful time anyway.

What does it hurt to try?

About kemanuel

Medicare and Medicaid Regulatory Compliance Litigator

Posted on May 2, 2013, in Health Care Providers and Services, Liability Insurance, Medicaid, Medicaid Appeals, Medicaid Audits, Medicaid Contracts, North Carolina, Regulatory Audits and tagged , , , , , . Bookmark the permalink. 1 Comment.

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