ED Coding & Reimbursement Alert - 2012 Issue 22
Reader Question: Know When You Can Write Off Employee Copays
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Article Overview
This reader Q&A explains a payer-consent issue related to employee copay waivers in a medical practice setting. It is relevant to physicians, practice managers, billing staff, and compliance teams who need a general understanding of insurer approval, employee benefit considerations, and related tax handling concerns.
Why This Topic Matters
Employee copay waivers can raise payer compliance and payroll/tax questions for a practice. The article highlights why written payer approval and accounting review may matter before offering the courtesy.
What You Will Learn
- The general question of whether employee copays may be waived in a practice setting
- Why payer approval is discussed as part of the issue
- Why tax treatment may need review when employee copays are waived
- Which practice stakeholders may need to be involved in evaluating the issue
Who Should Read This
- Physicians
- Practice managers
- Medical billing staff
- Compliance staff
- Healthcare accountants
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