KMA Insurance

Q. What professional liability limits should I carry?

A. The limits of liability you carry will more than likely depend upon requirements by hospitals or providers you do business with. KMA Insurance Agency has the ability to offer insurance through companies that carry limits from $100,000 per incident/ $300,000 annual aggregate to $11,000,000 per incident/$11,000,000 annual aggregate.

Q. Should I have a Claims Made or Occurrence medical malpractice policy?

A. Claims Made coverage only covers losses that occur and are reported during the policy term. Occurrence coverage covers losses that occur during the policy term, however the claim may be reported at any time.

Q. What are “participation requirements” for group health insurance for my employees?

A. If a group employs 2-5 employees, they must maintain 100% enrollment of all eligible employees, with 50% appearing on the bill. If a group employs 6 or more, there must be a minimum of 75% enrollment of all eligible employees with 50% appearing on the bill.

Q. What are the benefits of obtaining Medicare Billing Errors and Omissions coverage?

A. In 2000, the federal government (Health Care Financing Administration) won $480 million in civil monetary penalties and judgments for mistakes, billing errors and misinterpretations from Medicare and Medicaid providers. These mistakes may have been honest clerical misunderstandings, but the government calls it “fraud and abuse.”

With our new “OmniGuard” coverage you now have a safety net which offers protection against the civil penalties, defense fees and audit costs associated with Medicare and Medicaid reimbursement filing mistakes. This protection is essential to your medical practice, while being surprisingly affordable.