decisionhealth Newsletters, Part B News - 2003 Issue 5 (May)
Professional courtesy: Do's and don't's
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Article Overview
This article explains how physician practices think about professional courtesy policies in the context of federal compliance concerns. It covers the general issues raised by fee waivers, patient out-of-pocket costs, consistency in applying discounts, documentation expectations, and the role of financial hardship. The discussion is aimed at physicians, practice managers, coders, and compliance staff who need to understand the broad legal and operational issues involved.
Why This Topic Matters
Professional courtesy can create compliance and billing risk if handled inconsistently or without documentation. Understanding the article helps practices evaluate policy design, internal consistency, and the general federal oversight concerns described in the piece.
Article Sections
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Professional courtesy and compliance concerns
Introduces the topic and explains why professional courtesy policies can raise federal compliance concerns for physician practices.
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Do's and don't's for practice policy
Outlines general policy themes for handling fee waivers, consistency, documentation, and patient-related discounts in a practice setting.
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Financial hardship caveat
Discusses the general idea of documenting financial hardship as an exception within a courtesy policy.
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Practice administrators leery of professional courtesy
Describes practice management perspectives on the operational and financial impact of professional courtesy.
What You Will Learn
- How professional courtesy is viewed in a physician practice compliance context
- Why inconsistent fee waivers can create operational and legal concerns
- What general documentation issues may come up when financial hardship is involved
- How practice administrators may assess the cost and administration of courtesy policies
Who Should Read This
- Physicians
- Practice administrators
- Medical coders
- Billers
- Compliance staff
- Office managers
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