Beazley's Healthcare Regulatory product is designed to respond to actions brought by or on behalf of government entities for billing errors and omissions. Our policy also covers claims brought by commercial payors and defense expenses for formal voluntary disclosures to the government. Coverage includes attorney fees, external auditor and medical expert costs associated with defending these claims as well as fines and penalties and damages attributed at the time of settlement. Our reimbursement policy is available in all 50 states.
Claims Triggers
Defense reimbursement and external forensic audit expenses, civil fines and penalties (where applicable) for various billing errors and omissions, as well as other regulatory violations including:
- Medicare and Medicaid billing investigations
- False Claims Act allegations
- Commercial Payor actions
- Anti-kickback statute violations
- Stark Law violations
- Qui Tam actions
- Government or private contractor audits
- Search warrants/subpoenas
- Voluntary disclosure to a government entity
Appetite
Not for profit hospitals and health systems. Not for profit medical clinics and long term care facilities. For profit physician groups. All risks with over $35,000,000 of revenue annually.
Specifications
- Up to $20,000,000 in Limits
- Minimum retention of $250,000
- Minimum of 10% coinsurance
- Optional retroactive buy back coverage for up to 3 years
Key territories
- US 50 States
- Non-admitted or Admitted
Not covered
Business disputes, restitution, disgorgement, criminal actions, costs associated with implementing a corporate integrity agreement, moral hazards knows losses or circumstances, internal costs for auditors and coders.
- Thought Leadership
- Work Plan
- Webinars
- Healthcare Regulatory News Links
- Glossary of Regulatory Liability Terms
- Regulatory Liability Intelligence Guide
- Regulatory Loss Scenarios
Webinar: #MeToo in Healthcare: A Brief Look into the Movement and its Impact in the Healthcare Industry
Webinar: Healthcare: Federal False Claims Act - A Review of 2018
Webinar: Healthcare 2017 Federal False Claims Act
Webinar: Healthcare Billing Investigations - Improving The Odds
Webinar: The Decision to Disclose
Webinar: HIPPA Phase 2 Audits: What to expect and how to prepare
Webinar: Fraud and Abuse: 2016 Year In Review
2019 Mid-Year False Claims Act Update
Kiefer: Health care fraud enforcement still top priority under Trump
Evaluation of Corporate Compliance Programs
DOJ Issues New Compliance Program Evaluation Guidance
DOJ recovers $2.5B from healthcare false claims cases: 5 things to know
Supreme Court Says the False Claims Act Isn't That Complicated
Health-care fraud recoveries soar in 2016
False Claims Act Penalties Set to Double, Far Exceeding Expected Increase
Beazley Expands Regulatory Liability Offering to Help Hospitals and other Healthcare Providers Manage and Mitigate Charges of Improper Billing
Healthcare Fraud and Abuse Review 2015
Staying Compliant: A Roadmap to Self-Disclosure
CMS Issues Final Rule Governing the Return of Overpayments within 60 Days
Gibson Dunn - Publications 2015 Year-End False Claims Act Update
Justice Department Recovers Over $3.5 Billion From False Claims Act Cases in Fiscal Year 2015
The Definition of Identify: The 60-Day Rule
SDNY Issues Groundbreaking Decision on False Claims Act Sixty-Day Rule
States push to recoup Medicaid money from questionable claims
US regulators' healthcare fraud enforcement efforts continue unabated
Lack of Materiality as a Defense in False Claims Act Cases
2015 Mid-Year False Claims Act Update
New OIG litigation team will tackle Medicare, Medicaid fraud cases
Part Two of False Claims Act - the Basics Every Provider Should Know
HHS Inspector General Issues Physician Compensation Medicare Fraud Alert
The False Claims Act - the Basics Every Provider Should Know, Part One
Blog: Expansion of State False Claims Acts Continues
Supreme Court decision in FCA case both a win, setback for health care providers
Healthcare Fraud Initiatives in 2015
Department of Justice Pursuing Therapy Providers Under the False Claims Act
Health Care Qui Tam Update and Recently Unsealed Whistleblower Cases
HHS OIG and Industry Leaders Release Joint Guidance for Health Care Boards
Health-Care Fraud and Abuse: Implications for Oncology
There's a code for that: Doctors brace for 155,000 choices to explain medical issues
Spotlight on Unnecessary Care Likely to Get Brighter
FCA Whistleblower Litigation Remains a Potent Threat to Health Care Providers --False Claims Act
Government turns up the heat with the False Claims Act - 5 action steps for healthcare providers
Justice Department Recovers Nearly $6 Billion from False Claims Act Cases in Fiscal Year 2014
Balance needed in fighting health-care fraud
Florida Hospitals Face FCA Suit Over Kickback Scheme
2014 Mid-Year False Claims Act Update
Auditors: Texas must ramp up Medicaid anti-fraud efforts
House panel seeks improved Medicare fraud effort
HEAT rises on healthcare fraud
2013 Bass Berry & Sims Healthcare Fraud and Abuse Review
Study: Half of U.S. Healthcare Providers 25% or Less Done With ICD-10 Implementation
2013 Year-End False Claims Act Update
2013 on Track to Set Record for Health Care Fraud Recoveries Under False Claims Act
2013 Mid-Year False Claims Act Update
RAC medical record requests up 47%
Big names in health care audit released
Georgia Hospitals Tangled Up in Kick Back Probe
United States Intervenes In Health Care Fraud Action And Obtains $4 Million In Settlement
Policing of Medicare fraud explodes over two years
States pressured to match their false claims acts to federal law
Fight Against Medicare Fraud Costing Doctors And Hospitals Billions
RACs reclaim $1.37B in overpayments as criticism mounts
Stark Law, False Claims and HIPAA: Key Risk Areas for Hospitals
Ensign Group deal illustrates crackdown on healthcare fraud
California Rural Indian Health Board Inc. Settles False Claims Act Lawsuit
Montana hospitals to pay $3.95M over referrals
CMS proposes more rewards for Medicare fraud whistleblowers OIG Special Fraud Alert Labels Physician-Owned Distributorships (PODs) as "Inherently Suspect"
April 17th release of OIG's Provider Self-Disclosure Protocol
The Arrival of Meaningful Use Audits
Recent Developments in False Claims Act Litigation
Healthcare fraud cases yield $4.2 Billion
Jury in nursing home whistleblower suit hands down $28 MILLION in fines
Millions more could join Medicaid as Republican governors cave in
Regulatory liability team
Claims

Focus Group Leader - HML Claims
Greg Goetz
Chicago, IL, USA
+1 312 476 6219
Greg.Goetz
Claims Manager Specialty Lines
Olivia Nelson
San Francisco, CA, USA

Claims Manager
Steve Shaffer
Farmington, CT, USA
+1 860 674 4634
steve.shafferUnderwriters

Underwriter - Healthcare Management Liability
Scott Adams
Chicago, IL, USA
+1 312 476 6271
scott.adams
Underwriter - Healthcare Management Liability
Stavan Israel
Chicago, IL, USA
+1 617 239 2609
stavan.israel
Underwriter - Healthcare Management Liability
Shannon Nisi
+1 213 228 7739
Shannon.Nisi
Underwriter - Healthcare Management Liability
Jack Sheehan
Boston, MA, USA
+1 617 239 2626
Jack.Sheehan
Focus Group Leader - Healthcare Management Liability
Kelly Webster
Chicago, IL, USA
+1 312 476 6211
kelly.webster
Underwriter - HML
Nameer Zaheer
+1 972 419 8030
Nameer.ZaheerRegulatory liability forms
Application forms
Brochures
The descriptions contained on this website are for preliminary informational purposes only. In the US, the product may be available on an admitted basis in some but not all jurisdictions through Beazley Insurance Company, Inc. In other US jurisdictions, the product is underwritten by Beazley syndicates at Lloyd's and is available only on a surplus lines basis through licensed surplus lines brokers. The publication and delivery of the information contained herein is not intended as a solicitation for the purchase of insurance on any US risk.
Except where products are issued by Beazley Insurance Company, Inc., coverages are underwritten by Beazley syndicates at Lloyd's and will vary depending on individual country law requirements and may be unavailable in some countries. The exact coverage afforded by the products described herein is subject to and governed by the terms and conditions of each policy issued.
Some coverages are made available through Beazley USA Services, Inc., which is a service company that is a part of the Beazley Group and has authority to enter into contracts of insurance on behalf of the Lloyd's underwriting members of Lloyd's syndicates 623 and 2623 which are managed by Beazley Furlonge Limited. Beazley USA Services, Inc. is licensed and regulated by insurance regulatory authorities in the respective states of the US and transacts business in the State of California as Beazley Insurance Services (License#: 0G55497).