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Ask the Expert

QUESTION: My office is receiving an increased number of medical record requests from various payors. Can I bill the payor for copying medical records requested by the plan? ANSWER: It depends. There are several different types of requests for records including, but not limited to, a contested claim, commercial risk adjustment audit, Medicare risk adjustment audit, or special investigations audit. Most managed care contracts include language that require practices to generally comply with medical records requests at no additional cost. However, if neither the contract, nor payor policies or procedures require ...