tci Medicare Compliance & Reimbursement - 2006 Issue 19

COPAYMENTS: Don't Write Off Low-Income Copays Until You Get The Facts

Good news:  Your state may cover copays, even for non-Medicaid patients.If your practice sees a lot of low-income Medicare patients, you may be able to get a helping hand from your state.The 1997 Balanced Budget Act gave the states the choice of whether or not to pay coinsurances and deductibles for Medicare-Medicaid patients, says Barbara Cobuzzi with CRN Healthcare Solutions in Tinton Falls, NJ. "So now it is a state by state issue," explains Cobuzzi. The Medicare Modernization Act expanded programs for Medicare/Medicaid dual eligibles. There are three programs, according to Kim Glaun, senior policy counsel...

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