• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Medicare Advantage Plan Waiver/Discount

s_harris14

Guest
Messages
24
Best answers
0
My provider is a contracted Medicare provider, however we are not contracted with any Medicare Advantage plan. Therefore, all Medicare Advantage claims are processed as out of network claims. We have a patient with financial hardship that we are considering giving a waiver/discount to. I contacted the plan to inquire if the policy had any restrictions or instructions for doing as such. All I was told was that the policy allowed the out of network provider to bill the member over the maximum allowed fee, which doesn't answer my question.

To give a waiver/discount to a Medicare Advantage member, should we follow the CMS guidelines for financial hardship or are we allowed to discount the member's deductible/co-insurance without any questions asked?? TIA!
 
Top