It is a violation of HNS and HNS payor policies to waive or reduce co-payments, deductibles, co-insurances, or other patient responsibility payments. This includes offering discount co-payments and includes services deemed TWIP (take what insurance pays).
Absent true financial hardship (with complete, documented, supporting evidence of such hardship in the patient’s health record), ALL co-payments, deductibles and co-insurance due and owed should be collected by all network providers.
Waiving or reducing co-payments is considered fraudulent activity. When waiving or reducing a co-pay, you are actually misstating your charge amount. Also, waiving co-pays may induce patients to see you rather than other providers, and this becomes a violation of the anti-kickback regulations.
waiving co-pays, deductibles & co-insurance