Summary You must HIPAA comply if you meet the following criteria. You must have all patients sign the privacy agreement and the notice of receipt of the policy. If you do not meet the HIPAA requirements to comply then continue to follow the patient…

  Summary No pre-payment for services to Medicare patients. A patient may pay for the prior month's care. Ensure that co-payments and deductibles are not waived. All Medicare patients should have an updated ABN form signed. (One can be done for multiple adjustments for a…

  Summary Discounts can be offered to anyone who is willing to pay for services so long as they are not participating in a contract at the time of service. A contract is coverage by Medicare, managed health care, etc. Time of service discounts are…

  Summary Document financial hardship in detail: Copy of their pay check stub or bank account records. Re-evaluate each patient's financial hardship every 3 – 6 months. Sign a hardship verification form in your office. Law Reference on Documenting Financial Hardship: Documented Financial Hardship Exception…

  Professional Courtesy The term "professional courtesy" is use to describe a number of analytically different practices. The traditional definition is the practice by a physician of waiving all or a part of the fee for services provided to the physician's office staff, other physicians,…

  Summary Once the patient is no longer on initial intensive care, you can then provide savings plans for whatever frequency of care that you choose for non-symptomatic/diagnosis based maintenance, elective, wellness care, etc. Charge carriers only the actual, discounted value of your service. Do…

  Summary An asymptomatic person is a person presenting without symptoms. ** This person cannot have a chronic condition that they know of and must be purely coming in for preventative or maintenance care. It is very rare that a patient is going to present…

  Summary Do not advertise, market, or make available a cash discount program to any individual covered by any federal, state or commercial third party payor for any covered, medically necessary services. You are not allowed to externally market any free services. Use terminology such…

  Summary Waiving all or part of the patient's co-payments and deductibles is a violation of: federal law state statues and regulations contractual provisions of insurance companies that you may be a provider with. Law Reference on Waiving of Co-pay and Deductibles: Routine Waivers of…

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