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Thread: Providers treating their own family members

  1. #11
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    Apr 2007
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    Promo: Code Books
    Also OIG Compliance Reg 103 states Physicians may not no charge or provide at a discount services for friends, family, colleages, or coworkers.

  2. #12

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    You are also going to want to look at documents regarding courtesy discounts. This practice is no longer allowed. In this case, a "patient off the street" who did not have insurance coverage for the immunization would need to pay for the immunization, therefore, while it is probably ok for the physician to give his child's immunization himself, he would need to pay according to the same policy for a "patient off the street".

    If your clinic has a written policy for discounts for employees or members of their family, that policy would need to be followed.

    When I worked for a private clinic, we did not allow our providers to treat family members or themselves. (They still did though). We had a written policy for discounts for employees and family members. When they did break the policy (the owner was the worst), because of contract language, we were unable to bill the insurance.

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