Medical Billing Forum
Medical Billing Forum - Get all of your billing & coding questions answered here!
Welcome,
Guest
. Please
login
or
register
.
Did you miss your
activation email
?
1 Hour
1 Day
1 Week
1 Month
Forever
Login with username, password and session length
News:
COUPON
- Get 15% off a purchase of $55 or more of your Medical Billing Resources! Coupon Code:15OFF
Click Here for the Products Page
Home
Help
Search
Login
Register
Medical Billing Forum
»
General Category
»
General Questions
(Moderators:
Alice Scott
,
Michele
) »
Waived Copay
« previous
next »
Print
Pages: [
1
]
Author
Topic: Waived Copay (Read 2781 times)
cpbridges
Newbie
Posts: 7
Waived Copay
«
on:
January 21, 2011, 12:10:07 AM »
Can my doctor waive co-pays from patients? Is it ok for a provider to waive copays for specific patients (i.e. rest home patients who are seen in the clinic, clozaril patients, etc.)?
Logged
PMRNC
Hero Member
Posts: 4562
Re: Waived Copay
«
Reply #1 on:
January 21, 2011, 09:21:43 AM »
No, it is a violation of anti-kickback statute for providers to routinely waive copay's or out-of-pocket expenses. It's also a direct violation of the contract between the patient and the insured. Occasional discounts for specific patients should have a financial hardship agreement attached and if planned discounts are given the insurance company must be given the same discount.
Logged
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
cpbridges
Newbie
Posts: 7
Re: Waived Copay
«
Reply #2 on:
February 08, 2011, 09:26:50 AM »
What about patient who are residents of a nursing home. I have a copy of NC Medicaid's October billing bulletin and it says that:
Copayment Exemptions - Providers may not charge copayments for the following services: Services provided to residents of nursing facilities.
Does this mean that when a provider sees a patient IN the nursing facility then they may not charge a copay? Or does it mean patients who are seen in the doctors office may not be charged a copay?
I may be thinking too much into this. All replies are appreciated.
Logged
Pay_My_Claims
Guest
Re: Waived Copay
«
Reply #3 on:
February 08, 2011, 10:01:50 AM »
hey cp, that is only applicable to NC Medicaid. It also applies for the purchase of DME equipment. Certain services there is no copay to be paid. This isn't necessarily true for other insurances however, its just specific to NC medicaid.
Logged
Medical Billing Forum
Re: Waived Copay
«
Reply #3 on:
February 08, 2011, 10:01:50 AM »
Print
Pages: [
1
]
« previous
next »
Medical Billing Forum
»
General Category
»
General Questions
(Moderators:
Alice Scott
,
Michele
) »
Waived Copay