As part of the Affordable Care Act, the Government now randomly audits Medicare and Medicaid billing accounts of any healthcare provider who handles Medicare and Medicaid patients. Fines and penalties can be assigned for errors. Medefense Plus provides defense costs and civil fines and penalties coverage for alleged billing errors, including RAC Audits, Qui Tam Plaintiff and Commercial Payors. Defense is provided for other medical regulatory violation, including HIPAA, EMTALA and Stark violations. Coverage is offered for attorney and audit costs incurred in response to RAC audit findings, as well as payment for potential fines and penalties.
E-MD policy provides coverage for claims by third parties alleging a financial loss as a result of a network security or privacy breach. Data recovery, patient notification costs and credit monitoring are covered. The policy also covers defense costs and fines and penalties for violations of privacy regulations, including HIPAA, Red Flag Rules and Hi-Tech Alert.