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

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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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SPEAKER:

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Amanda Waesch serves as BMD’s Vice President, Akron Office Managing Partner, and Marketing and Business Development Chair. She operates a national practice, primarily focusing on corporate healthcare and employment law matters. Ms. Waesch is known for delivering practical, business-oriented counsel on some of the most complex and evolving aspects of corporate healthcare structures, joint ventures, and innovative alignment strategies. Her areas of expertise include advising clients on corporate restructuring and transactions and strategic alignment strategies; healthcare regulatory compliance; and employee benefits and supplemental insurance plan solutions.

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She also chairs the firm's litigation team that is primarily responsible for handling all reimbursement audits and appeals for her firm’s healthcare clients and heads up BMD's Provider Relations, Audit, Appeals and Negotiations Unit (PRAAN) which handles all-payer audits, appeals, overpayments and payment extrapolations.

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Ms. Waesch has been practicing law since 2008 and is licensed in Florida, Ohio and Tennessee.

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