decisionhealth Newsletters, Part B News - 2010 Issue 4 (April)
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Article Overview
This article addresses a Medicare compliance question about waiving or reducing patient copays for employees treated in the practice. It explains the general compliance framework and highlights the broad federal rules that can affect professional courtesy arrangements. It is intended for physicians, practice managers, and billing/compliance staff who handle employee benefits, patient billing, and fraud-and-abuse risk.
Why This Topic Matters
Employee discount and courtesy policies can create compliance exposure if they are not structured carefully. The article helps practices understand the high-level regulatory context for offering benefits while avoiding common federal fraud-and-abuse concerns.
What You Will Learn
- The compliance issues raised by employee copay waiver policies
- How federal fraud-and-abuse rules relate to professional courtesy arrangements
- The types of practice policies and notices that are part of the discussion
- What kinds of questions practices should consider before offering employee benefits tied to billing
Who Should Read This
- Physicians
- Practice managers
- Billing staff
- Compliance officers
- Revenue cycle professionals
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