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Federal & State Rules for Co-payments, Deductibles and Coinsurance Changes

Friday, May 1, 2026

TIME: 1:30pm-2:30pm EST

LOCATION: Live Webinar

CREDITS: Professional Development (NO CEs) 

INSTRUCTOR: Amanda L. Waesch, ESQ.

COST: $89 Individual Rate

 

This program is appropriate for Beginner, Intermediate and Advanced mental health clinicians.

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This webinar will review the federal and state compliance requirements concerning co-payments, deductibles and coinsurance amounts. Specifically, this presentation will review what to charge, when to waive, best practices for collections, and best practices for compliance. You may face compliance risk if you fail to collect copays and deductibles.

 

There are lots of thing that you need to know:

  • How much should you collect?

  • Can you discount?

  • Can copays be waived?

  • Does waiving copay violate the Anti-Kickback Statute?

  • Can you offer prompt payment reductions?

 

Areas Covered in the Session:

  • What to Charge

  • Deductible vs. Copayment vs. Coinsurance

  • High Deductible Health Plan

  • Examination of Accounts Receivable (A/R)

  • When to Waive

  • Routine Waivers

  • Medicare fraud

  • State law violations

  • Breach of contract (for in-network providers)

  • Fraud and Abuse Laws

  • The Anti-Kickback Statute

  • Anti-Kickback Examples

  • Examining total payment for services

  • Usual and customary fee

  • Payor negotiations

  • Patient Termination Policies

  • Payment Plan Agreement

  • Live Q&A Sessions, etc...

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