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DECEMBER 2001 Certify Financial Need Before You …

Certify Financial Need Before You Waive Copayments or Deductibles .. Model Policy: Waive Copaymentsor Deductibles Only After PatientsProve Financial Need (p. 3) Model Form: Use Form to GetWaiver Request (p. 4)CMS Issues New Instructions onDiagnostic Tests.. 4In the News: CMS Transmittal on ICD-9 Coding .. 6 HIPAA Strategies: Start ComplianceTasks Now Without Wasting Effort on HIPAA Privacy Regs that May Change .. 7We ll tell you what changes andclarifications to the HIPAA privacyregulations are likely and whichprivacy compliance tasks are safe to start the Insider.. 8 Voluntarily Disclosing ProviderFraud to Plan Supervising Physician Need NotBe RadiologistGetting Paid: Don t Let Hold HarmlessClause Bar You from LegitimatelyBilling Plan Members.

Require proof.Your policy should require the patient requesting the waiver to submit reliable written proof of income, says Becker. Exam-ples of acceptable proof are: W-2

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