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:

1. Why is waiving patients cost share responsibility so important.
2. Federal False Claims Act’s Liabilities & Penalties.
3. Anti-Kickback Liabilities & Penalties.
4. Financial Hardship, what you need to know.
5. Impact of Medicare & other federal Healthcare Programs versus commercial health plans.
6. Health Plan sample language.
7. Analysis Of Legal Cases.
8. Professional Courtesy, Financial Hardship & Prompt Patient Discounts.
9. 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.