Author Topic: fee forgiving  (Read 2723 times)

ste

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fee forgiving
« on: November 16, 2011, 11:40:23 PM »
Is fee forgiving illegal for out-of-network providers?

PMRNC

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    • One Stop Resources & Networking for Medical Billers
Re: fee forgiving
« Reply #1 on: November 17, 2011, 06:58:10 AM »
I'm assuming you mean discounting or write-off? It is illegal to routinely waive patient out of pocket. If you are discounting or waiving, the carrier (In or Out of network) must be offered the same discount as the patient. It also violates the "patients" policy. Your office policy should be clear and consistent of how patient out of pocket is handled, your compliance manual should also have clear guidelines on this as well as financial hardship cases which MUST be documented for every case.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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