tci Medicare Compliance & Reimbursement - 2012 Issue 15

Collections: Crack The Copay Waiver Compliance Riddle With These Savvy Pointers

Remember to meet the necessary criteria for waiver and back it with documentation.You could be up against compliance violation accusations if you offer a waiver or a discount for a copay or deductible. Financial hardship is one exception, but proper documentation is essential. Our experts tell you how to waive deductibles without finding yourself in the OIG's crosshairs.1. Understand the Exception to the RuleRoutinely waiving deductibles and copayments can violate several federal laws and regulations, including the federal False Claims Act, anti-kickback statutes, and compliance guidelines for individual and small group physician practices. Doing so may also...

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