Practice Management Alert

Reader Question:

Untimely Copayment Fee

Question: I've heard that some practices charge a fee, such as $15, if they don't receive the patient's copay in a specific amount of time, such as 24 to 48 hours. Can I do this, and is it the best way to encourage patients to pay their copays?

California Subscriber
Answer: Some practices have such a fee as part of their financial policy in the hope that patients will pay the copay at the time of service to avoid incurring an extra charge. You should, however, check with your insurance carriers to make sure such an add-on fee doesn't violate your contract. A more patient-friendly way of encouraging copayment is to state in your practice's financial policy that copays are due before patients see the doctor, and reiterate that policy when patients call to make an appointment. If patients say they do not have the copay with them, explain your policy and that you must adhere to it. Tell them what kinds of payments you will accept, such as credit or debit card, or a personal check. Explain that the copay is part of the patient's contract with the insurance company, and failure to pay it could jeopardize insurance coverage.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Practice Management Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.