Reimbursement Roundup: Don't Overlook Waiver Opportunities -- 3 Steps Ensure Compliance and Patient Payment

Why This Topic Matters

Patient fee waivers can create compliance risk if handled routinely or without documentation. The article is relevant for practices that want to understand the general boundaries around hardship-based adjustments while maintaining collection procedures and payer compliance.

Article Sections

1. Understand the Exception to the Rule

   Introduces the general compliance concerns surrounding routine fee waivers and discusses the circumstances under which hardship-based exceptions may be considered. It also references the role of practice policy and payer-related concerns.

2. Get It In Writing

   Covers the documentation and verification process for demonstrating financial hardship and the importance of written acknowledgment for any approved adjustment. It also notes the relevance of maintaining records and following applicable guidance.

3. Don't Avoid Collections If Waiver Is a No Go

   Describes the follow-up process when a hardship request is not approved, including continued collection efforts and alternative payment arrangements. It emphasizes that denial of a waiver does not end the billing process.