decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Coinsurance and Deductibles / Establish a consistent waiver policy
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Article Overview
This short article covers general compliance guidance for providers that want to reduce or waive patient copayments for indigent Medicare patients. It explains why a written, consistently applied waiver policy matters and why the topic is relevant for organizations that may face Office of Inspector General review. The article is aimed at providers and compliance-minded staff evaluating patient financial hardship policies.
Why This Topic Matters
A consistent policy can help providers handle copayment waiver requests in a compliant way and avoid inconsistent employee decisions that may create compliance risk.
What You Will Learn
- Why a written waiver policy matters for patient copayment waivers
- How consistency in indigent care policies affects compliance
- What general issues providers should consider when preparing for OIG scrutiny
- How this topic relates to Medicare patient financial assistance practices
Who Should Read This
- Providers
- Practice managers
- Compliance staff
- Billing staff
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