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Stay Compliant with Copay Collections

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Manage episode 315535435 series 2906261
Content provided by Spark Advisory Network. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Spark Advisory Network or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and regulations Including the Civil Monetary Penalties Law (CMPL), Anti-Kickback Statute (AKS), and the False Claims Act?

Today we dive into the Laws and the regualtions so we can be compliant.

  • What is a Copay?
  • How to Understand Cost Sharing
  • The Anti-Kickback Statute and Copays
  • The False Claims Act
  • QMB Status

Check out these great resources:

Why can Copay Waiving be Illegal?

UHC Administrative Guide

False Claims Act

OIG Special Fraud Alerts

Support the Show

--- Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support
  continue reading

98 episodes

Artwork
iconShare
 
Manage episode 315535435 series 2906261
Content provided by Spark Advisory Network. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Spark Advisory Network or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and regulations Including the Civil Monetary Penalties Law (CMPL), Anti-Kickback Statute (AKS), and the False Claims Act?

Today we dive into the Laws and the regualtions so we can be compliant.

  • What is a Copay?
  • How to Understand Cost Sharing
  • The Anti-Kickback Statute and Copays
  • The False Claims Act
  • QMB Status

Check out these great resources:

Why can Copay Waiving be Illegal?

UHC Administrative Guide

False Claims Act

OIG Special Fraud Alerts

Support the Show

--- Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support
  continue reading

98 episodes

All episodes

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