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Locate birth, death, marriage and divorce records. Routine forgiveness or waiver of copayments may constitute fraud under state and federal law. Physicians should ensure that their policies on copayments are consistent with applicable law and with the requirements of their agreements with insurers. Extensive research has failed to uncover any instance where a physician has been prosecuted by either the Office of Inspector General or the Department of Justice for fraud or abuse based on the extension of professional courtesy. Furthermore, the OIG is unlikely to initiate a fraud or abuse investigation related to the traditional act of professional courtesy.

I would like to share an approach of a colleague, Dr. Dabney Ewin, a surgeon in New Orleans who is world expert on medical hypnosis. Ewin said he often treats colleagues and asks them how the colleague manages treating fellow physicians.

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If a colleague charged their fellow colleagues a full fee, then he would charge his full hourly fee. If the doctors discounted their services, he would discount his service by a similar percentage. This approach was very tactful, very practical and certainly very fair. Professional courtesy is possibly falling by the way side and is becoming obsolete. Tagged as: Primary Care , Specialist. Physician Speaking by KevinMD is the only physician-run, all-physician speakers bureau.

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Dr. Dabney Ewin, MD

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