Waiving Patient Balances: What Every Healthcare Provider Needs to Know

Marketing and Empathy Psychology

By - Thomas J. Force, Esq.

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Webinar Overview

Are you waiving patient balances as a courtesy—or putting your practice at legal risk? Join healthcare attorney and industry expert Thomas Force, Esq., for an eye-opening webinar on the dangers of routinely waiving patient balances and the critical legal implications that every healthcare provider should understand.

In this essential session, you’ll gain valuable insight into the complexities of federal and state regulations, contractual obligations, and health plan policies that impact how you handle patient cost-sharing.

Webinar Objective

Medicare & Federal Plans: Navigating the False Claims Act and Anti-Kickback Statute
Commercial & Non-Medicare Plans: Key considerations, including Maine’s specific regulations
Health Plan Language: Critical provisions you should be looking out for
No Surprises Act & State-Level Equivalents: What compliance really looks like
In-Network vs. Out-of-Network Providers: Unique legal concerns for each
Federal Stance on Waivers: When waiving cost-share becomes a liability
Financial Hardship, Professional Courtesy, and Prompt Pay Discounts: What’s allowed—and what isn’t
Case Studies: Real-world legal cases with lessons for providers
Cigna Fee Forgiveness Policies: Exclusions and pitfalls to avoid
Audit Defense: How to protect your practice from insurer investigations

Why Should Attend

Gain actionable strategies and a legal framework to help your practice stay compliant and financially secure. Whether you’re in-network or out-of-network, this session is critical for anyone involved in billing and patient collections.

Who Should Attend

Physicians and Medical Providers
Practice Managers
Compliance Officers
Billing & Revenue Cycle Professionals
Legal and Risk Management Teams

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Webinar Type

Clear

Speaker Detail

Thomas J. Force is a state and federally licensed attorney with over 34 years of experience in the healthcare and insurance industries. As a former U.S. Marine and a successful Wall Street insurance litigator, Mr. Force served as General Counsel for a New York-based Accident and Health Insurance Company, where he also served as Chief Compliance Officer. These experiences led to the founding of The Patriot Group. Mr. Force is a nationally recognized expert in revenue collection techniques, appeal strategies, and healthcare compliance. He is on the Advisory Board at Hunter Business School, a New York-based school for medical billing and coding students. Mr. Force is an active member and frequent speaker on managed care and collection techniques for the Health Finance Management Association, several state medical associations, and other healthcare organizations. On March 29th, 2022, Thomas J. Force, J.D, Esq, President of The Patriot Group, served as moderator for the forum on Clinical Denial Management at Hofstra University, organized by the Health Finance Management Association – Metropolitan Section. For more information on this forum, please email Mr. Force.