tci Medicare Compliance & Reimbursement - 2014 Issue 16
Part B Mythbuster: Can You Collect Coinsurance at the Time of Service?
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Article Overview
This premium article explains Medicare Part B patient-collection timing in a compliance and practice-management context. It reviews when coinsurance or deductible amounts may be requested at or around the visit, how MAC guidance can differ, and why offices should balance collection timing with refund risk, secondary coverage, and follow-up billing processes. It is aimed at billing staff, coders, compliance personnel, and practice managers who handle patient balances and Medicare claims.
Why This Topic Matters
Getting patient-portion collection timing wrong can create refund work, administrative burden, and potential compliance concerns. The article helps practices understand the general boundaries around collecting balances and managing follow-up statements without disclosing the premium article’s specific guidance.
What You Will Learn
- The general considerations surrounding collecting patient balances at the time of service
- How payer and Medicare Part B guidance can affect collection timing
- Why deductible collection may be handled differently from coinsurance collection
- How practices may organize follow-up billing and balance recovery efforts
Who Should Read This
- Medical billers
- Coding professionals
- Practice managers
- Compliance staff
- Front office staff
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