tci ED Coding & Reimbursement Alert - 2000 Issue 12

Reader Question: Waiving of Coinsurance

Question: I know that Medicare considers the routine waiver of coinsurance or deductibles an unlawful practice. It is my understanding that this is also unlawful for other commercial payers. Can you refer me to a written resource? Jan Loomis, CPCTeamHealth West, Pleasanton, Calif.Answer: Technically, with all health plans, it would be violating the contract provisions between the patient/health plan and, if participating with that health plan, the group/health plan. The group signs an agreement to charge a patient for any deductible and co-pay. If the group does not, the actual fee was lower than reported on the claim...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.