Waiving Patient Cost Share Responsibility

Waiving patient cost share responsibility such as deductible coinsurance, and co payments can result in civil and criminal liability to physicians and staff. The liability applies to both Federal and commercial healthcare programs and plans. Thus, it is imperative for healthcare professional to understand the law, rules and potential penalties governing waiver of patients cost share responsibility.

Webinar Agenda

• Why is waiving patient cost show responsibility so important.
• Federal False Claims Act liability & penalties
• Anti kick back liabilities
• Impact of Federal health programs versus commercial health plans
• Health Plan sample language
• Analysis of legal cases
• Professional courtesy, financial hardships, and prompt payment discounts
• The reasons why the routine waiving patient cost share is dangerous
• Federal False Claims Act defined with penalties
• The Anti Kick Back statutes defined with penalties
• How to draft a complaint financial hardship, professional courtesy and prompt payment policy
• Analyze typical health plan documents relative to the prohibits of waiving patient cost share basis

Who Should Attend

Physicians, Revenue Cycle Managers, Physicians Assistants, Nurses, Physician/Hospitalist, Physician office managed by Biling Staff, healthcare attorneys, third party billing companies, Ambulatory Surgery centers & hospital revenue cycle staff