tci Medicare Compliance & Reimbursement - 2014 Issue 9

Reimbursement: Prevent An Unpleasant Surprise for Parents

What to do if parents balk at copay for non-wellness care. Your practice must provide well child exams, vision and hearing screening, immunizations, and obesity counseling at no cost to the patient or family Patient Protection and Affordable Care Act (PPACA) 2010 in consistency with Bright Futures Guidelines. However, all too often the physician also needs to review and address some issue which has no relation to a wellness visit.  These preventive care visits are not subject to a copay, coinsurance or deductible, so patients who schedule them come to your practice expecting to leave without paying any...

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