Compliance Webinar: Legal Guidelines for Waiver or Reduction of Medicare & Commercial CoPayments

ATHOMES is partnering with PAMS to bring you this great Webinar:

"Legal Guidelines for Waiver or Reduction..." by: Jeffrey Baird, Esq of Brown & Fortunato, PC

DME suppliers have an obligation to take reasonable steps to collect co-payments from Medicare beneficiaries and from patients covered by commercial insurance. Of course, it is easy to collect from a Medicare beneficiary when the beneficiary has supplemental insurance. This is not quite so easy when the beneficiary does not have supplemental insurance. From the viewpoint of the OIG, it is important for the beneficiary to pay something. This causes the beneficiary to have “equity” in the process thereby making the beneficiary a wiser consumer of health care products and services. When a DME supplier routinely waives co-payments......and particularly when the supplier advertises that it waives co-payments, then the OIG considers this to be a kickback, inducement, and a false claim. According to the OIG, the supplier can only waive a co-payment when the supplier has made a patient-specific decision to waive.....and that decision is based on the financial condition of the beneficiary. Interestingly, contracts with commercial insurers and state statutes impose substantially the same requirements on DME suppliers that bill commercial insurers. This program will discuss the requirements imposed upon DME suppliers to attempt to collect co-payments from Medicare beneficiaries and commercial patients, and the steps that the supplier should take before waiving a co-payment.  Info on the speaker may be found here.

1.8 CEUs will be provided through CCB (Compliance Certification Board).  Note, not all courses provide CEUs for ATPs; check with us for specifics

This session is designed to be affordable to ATHOMES' members with our exclusive member rate of: $89/location, unlimited attendees.  Non-Members may also register for $125/location!


Or, register for the full double-series and get the 13th session free when you buy 12--only $1068 for ATHOMES members. (It is never too late to register for the whole series as the previous webinars have been recorded and can be viewed anytime by your company).  This is a great resource & opportunity to educate your current and future staff.

Click here to register.
ATHOMES get a discounted rate of $89, so be sure to reference that when registering for the webinar.