Episode 8: Stay Compliant with Copay Collections

Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and regulations Including the Civil Monetary Penalties Law (CMPL), Anti-Kickback Statute (AKS), and the False Claims Act?

Today we dive into the Laws and the regulations so we can be compliant.

  • What is a Copay?
  • How to Understand Cost Sharing
  • The Anti-Kickback Statute and Copays
  • The False Claims Act
  • QMB Status

Check out these great resources:

Why can Copay Waiving be Illegal?

UHC Administrative Guide

False Claims Act

OIG Special Fraud Alerts


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