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Ep. 31 – Implementing a Policy to Manage “Non-Routine” Cost-Sharing Waivers and Write-Offs

By Susan Freed
September 5, 2024
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Most healthcare providers understand that routinely waiving patient cost-sharing obligations creates compliance issues under the Anti-Kickback Statute, the Civil Monetary Penalties Law, and third-party payor agreements which typically prohibit such arrangements. However, situational or non-routine write-offs and waivers can raise compliance issues also, particularly if the write-off or waiver is not based on financial need. These write-offs and waivers can also be difficult to monitor and manage internally.

On our podcast this week we discuss the importance of having an internal policy addressing how and when the organization will waive cost-sharing payments or write-off patient balances for non-financial need purposes. This type of policy can help an organization manage these situational write-offs and help minimize compliance risks.

Included with this episode, as part of our many free resources from the show, we welcome you to download the sample write-off policy below:

Episode 31 – Sample write off policyDownload
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Susan Freed

About Susan Freed

Susan helps health care providers and health plans operate successfully in a challenging regulatory and reimbursement landscape. She approaches each client’s problems with practical solutions tailored to the individual client’s needs.

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