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 regualtions 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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