Recently, the OIG published a guideline called, "A Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse" that sets straight a common misunderstanding about setting lower fee schedules for self-pay patients. See the booklet here on page 5: http://oig.hhs.gov/fraud/PhysicianEducation/
The verbiage is this: "It is also legal to provide free or discounted services to uninsured people."
Depending on your patient population, some practices may want to set the fees at the Medicare level, or others may feel nominal fees are appropriate.
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