tci Medicare Compliance & Reimbursement - 2012 Issue 15

Collections: Crack The Copay Waiver Compliance Riddle With These Savvy Pointers

Remember to meet the necessary criteria for waiver and back it with documentation.You could be up against compliance violation accusations if you offer a waiver or a discount for a copay or deductible. Financial hardship is one exception, but proper documentation is essential. Our experts tell you how to waive deductibles without finding yourself in the OIG's crosshairs.1. Understand the Exception to the RuleRoutinely waiving deductibles and copayments can violate several federal laws and regulations, including the federal False Claims Act, anti-kickback statutes, and compliance guidelines for individual and small group physician practices. Doing so may also...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 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 Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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