---
title: 'Stay Compliant with Copay Collections'
type: 'episode'
url: 'https://doc.social/episodes/stay-compliant-with-copay-collections'
show: 'Healthcare Crossroads'
show_url: 'https://doc.social/podcasts/healthcare-crossroads'
published: '2021-12-22'
audio: 'https://traffic.megaphone.fm/APO3792755728.mp3'
---

# Stay Compliant with Copay Collections

## Summary

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?](https://www.whistleblowerllc.com/copay-waiver/)

[UHC Administrative Guide](https://www.uhcprovider.com/content/dam/provider/docs/public/admin-guides/2020-UnitedHealthcare-Administrative-Guide.pdf)

[False Claims Act](https://www.justice.gov/sites/default/files/civil/legacy/2011/04/22/C-FRAUDS_FCA_Primer.pdf)

[OIG Special Fraud Alerts](https://oig.hhs.gov/documents/physicians-resources/980/121994.pdf)

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