Although there may be opportunities to negotiate with patients in terms of fees, most HSA products will be tied to PPO networks. Look at how your contracts are written – Examine what the contract says regarding the following:
- Your responsibility to collect deductibles and copays. This is a contractual obligation, so be clear about how and when you are supposed to do this. You can’t simply waive copays, even if it’s only for certain patients.
- How to find out whether a patient has a high deductible. This is critical. You’re going to have larger carriers offering many more types of deductible products, and it’s going to be a real challenge to the front-office staff.
- What your limitations are when collecting deductibles and copays – Some plans want the claims adjudicated first, before you collect the copay or deductible.