tci Medicare Compliance & Reimbursement - 2014 Issue 16

Part B Mythbuster: Can You Collect Coinsurance at the Time of Service?

Take note: Refunds can be very costly. If you’ve been operating under the impression that it’s inappropriate to try to collect coinsurance payments from patients at the time of service instead of waiting for the EOB to arrive, it’s time to adjust your thinking. Under some circumstances it’s actually appropriate to collect coinsurance on the service date without risking compliance or program abuse charges.  For defined contribution amounts, (which many Medicare Advantage programs and private payers offer), you can collect coinsurance when the patient checks in at your practice, since these figures don’t...

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