No, there is not. Your client's office MUST have a policy in place with provisions for financial hardship and what their office considers to be a financial hardship. A provider cannot pick and choose who he waives out of pocket for. That is why it is absolutely required to have an office policy and policies and procedures that CLEARLY define and document these things so there are no grey areas. This is a question that would be answered by opening up the P&P and the policies and procedures that define a financial hardship. 99.9% of questions are answered in there and if there is none, that's big trouble. Every practice may define their own financial hardships, for example, I have one client who used to have a bleeding heart until he almost faced bankruptcy.. then we developed a strict office policy and procedures for him that let HIM off the hook. In his questionnaire he has the patient fill out to establish financial hardship some of the questions were: Do you have a computer? Do you have internet access? Do you have Cable TV? Many patients ask why and it's very simple, a physician is in business too.. if someone can afford to have HBO, and internet access, surely they could afford the $10 or $20 copay. I also have clients with a simpler approach and just want to know income level vs. Expenses. I have clients also that do NOT waive co payments PERIOD.. they will consider financial hardships on large balances or non covered, but again they have defined a criteria for that.