Are Your Fees Legal?

The world of the fees we charge in our office can be incredibly challenging. We are regularly faced with making sure that our fees are usual and customary, but faced with the inevitable lower fee schedules from our preferred provider networks. Additional questions are brought into play when we begin to look at discounts, free services, pre-paid plans, fee splitting, hardships, and more. This essential course provides clarity on complex billing and collection issues, including insurance, legal compliance, and risk management. Participants will gain critical insights to ensure their fee structures are legal and ethical, protecting their practice while navigating various payment scenarios.

• •Understand federal and state regulations governing fee-setting practices in chiropractic offices, including compliance with insurance regulations and anti-kickback statutes
• •Evaluate and establish "usual and customary" fee structures that balance practice profitability with insurance network participation requirements
• •Identify legal and ethical considerations when implementing patient discounts, sliding scale fees, and hardship programs
• •Navigate complex fee arrangements including pre-paid plans, package discounts, and payment plan structures while maintaining compliance
• •Recognize prohibited practices such as improper fee-splitting and kickback schemes that expose practices to legal liability
• •Develop risk management strategies to document fee decisions and patient agreements appropriately
• •Apply best practices for collections and billing processes that protect both patient relationships and practice financial health