Waiving Patients Cost Share Responsibility: What Every Healthcare Professional Needs to Know

Marketing and Empathy Psychology

By - Thomas J. Force, Esq.

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Session Objective:

Waiving patient cost share responsibility such as deductible coinsurance and co-payments, can result in commercial and federal healthcare programs and plans, Thus, it is important for healthcare professionals to understand the law, its rules and potential penalties governing waiver of patient cost share responsibility.

Session agenda:

Why is waiving patients cost share responsibility so important.
Federal False Claims Act’s Liabilities & Penalties.
Anti-Kickback Liabilities & Penalties.
Financial Hardship, what you need to know.
Impact of Medicare & other federal Healthcare Programs versus commercial health plans.
Health Plan sample language.
Analysis Of Legal Cases.
Professional Courtesy, Financial Hardship & Prompt Patient Discounts.
Exceptions – Where OMS can Waive or Discount Patient Balances

Audience:

Physicians, Assistant and Office Managers, Revenue Cycle Managers Hospitalists, Nurses, Billing staff, Third Part Billing company, Ambulatory Surgery & Hospitals revenue cycle staff.

Materials & Reference provided:

Powerpoint
Discussion on Relevant legal cases
Danger of payer doubts on whistleblowers
The reason why the routine waiver of patient cost share is dangerous.

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Webinar Type

Clear

Speaker Detail

Thomas J. Force is a state and federally licensed attorney with over 34 years of experience in the healthcare and insurance industries. As a former U.S. Marine and a successful Wall Street insurance litigator, Mr. Force served as General Counsel for a New York-based Accident and Health Insurance Company, where he also served as Chief Compliance Officer. These experiences led to the founding of The Patriot Group. Mr. Force is a nationally recognized expert in revenue collection techniques, appeal strategies, and healthcare compliance. He is on the Advisory Board at Hunter Business School, a New York-based school for medical billing and coding students. Mr. Force is an active member and frequent speaker on managed care and collection techniques for the Health Finance Management Association, several state medical associations, and other healthcare organizations. On March 29th, 2022, Thomas J. Force, J.D, Esq, President of The Patriot Group, served as moderator for the forum on Clinical Denial Management at Hofstra University, organized by the Health Finance Management Association – Metropolitan Section. For more information on this forum, please email Mr. Force.