tci General Surgery Coding Alert - 2018 Issue 8

Reader Question: Third Time's the Charm

Question: We always try to collect copays and deductibles from patients as required by their insurers, but sometimes we just can’t get a patient to pay. After reading about practices charged with Medicare fraud for not collecting these fees, we’re concerned. What should we do? SuperCoder Subscriber Answer: While it’s true that you could be charged with Medicare fraud for routinely trying to attract patients by waiving copays or deductibles, your situation does not fit that description. According to CMS, if you make a good faith effort to collect deductibles and copayments from your patients and...

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