tci General Surgery Coding Alert - 2019 Issue 2

Reader Question: Attend to Medicare Copays and Deductibles

Question: Must we always collect Medicare patient copays and deductibles, and how do I know how much the patient must pay out of pocket? Texas Subscriber Answer: Yes, you should always collect copays and deductibles, or face legal consequences. According to the HHS Office of Inspector General (OIG), “the routine waiver of Medicare coinsurance and deductibles can violate the federal Anti-Kickback Statute if one purpose of the waiver is to generate business payable by a federal health care program.” In addition, offering inducementslike cost-sharing waivers to influence a patient’s provider selection can violate other statutes, the...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.


Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.