Policy on Open Books

Medicare, Medicaid and many third-party health care insurers expect the individual physician to be aware of what is being billed for services on their behalf. The individual physician can be held liable for fraudulent claims even if the claim was submitted on their behalf by an employer or a billing entity and not personally reviewed by the physician. The American Academy of Emergency Medicine holds forth that all emergency physicians have the right to review all claims for medical services billed on their behalf regardless of their practice situation. It is the policy of the American Academy of Emergency Medicine that no member shall deny another physician access to such information.


Published 2/28/01



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