Waiving patient cost share responsibility such as deductible coinsurance, and co payments can result in civil and criminal liability to physicians and staff. The liability applies to both Federal and commercial healthcare programs and plans. Thus, it is imperative for healthcare professional to understand the law, rules and potential penalties governing waiver of patients cost share responsibility.
As a state and federally licensed attorney in both New Jersey and New York, Mr. Force has over 30 years of experience in the healthcare and insurance industries. His success as a Wall Street insurance litigator and his tenure as General Counsel for a New York-based Accident and Health Insurance Company where he served as Chief Compliance Officer propelled the founding of The Patriot Group. The Patriot Group is a full service revenue recovery company that provides billing, collections, and follow-up services as well as assistance with managed care appeals, managed care contracting, credentialing and compliance.