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BC Advantage - 2018 Issue 5
Routine Waiver of Patient Out of Pocket Expenses
Medical billers often encounter the dilemma of a physician who wants to be the hero to his or her patients and waive their out-of-pocket expenses. Out-of-pocket expenses include a patient's co-payment, coinsurance, deductibles, charges above U&C (Usual and Customary), and even services a plan may not cover in some situations. For the most part, physicians don't intentionally set out to break the laws or rules by waiving patients' out-of-pocket expenses. However, a medical practice can be contracted with a particular carrier or insurance plan and a patient may still need to meet a high deductible, co-payment, or...
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