Building since 2011

Big Sky Billing partners with practices to simplify billing, improve compliance, and strengthen revenue performance. These FAQs address the questions we hear most often from our clients.

Can you write off Co-pay?

Helping Patients While Protecting Your Practice: Understanding Patient Responsibility

Want to help patients with high out-of-pocket costs? It’s important to do so carefully to stay compliant with payer contracts.

Unintentional write-offs can violate private payer agreements, and waiving Medicare or Medicaid patient responsibility can lead to serious penalties. Understanding the difference between contractual write-offs and legitimate charity care is essential.

There are compliant alternatives, such as payment plans, financial assistance programs, and clear policies, that allow you to support patients while protecting your practice.

Let’s work together to find the right approach.

What Can you do for us?
In 2026, we continue to provide our clients with comprehensive, data-driven reporting designed to deliver greater clarity and actionable insight. By working with multiple software vendors, we streamline reporting functionality and provide ongoing assessments with regular feedback in the following areas:
  • Internal control processes
  • New patient intake workflows
  • Medical documentation and coding accuracy
  • Billing and collections policies
  • Performance benchmarks (KPIs)
  • Compliance oversight
  • Financial reporting and interpretation
  • Practice management controls and policies

Our focus is on strengthening operations, improving performance, and supporting sustainable growth for your practice.

What are small balance write-offs?
Small balance write-offs are those pesky little amounts left on patient accounts that barely cover the cost of sending a bill. With billing costs averaging around $12 per statement, many practices find it more efficient to write off these small balances or collect them at the next visit. Others opt for quarterly small balance statements.

Let us help you determine the best strategy for your practice.
What is the No Surprises Act?
"The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. "
What is the No Surprises Act?
"The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. "
How to update your CAQH?
1. Log in to your CAQH ProView profile at https://proview.caqh.org.

2. Navigate to the “Practice Locations” section to update your profile.

3. Review and Attest to your CAQH ProView profile.

4. Questions? Use the Live Chat function while you are logged into CAQH ProView.

Questions we didn’t cover? Contact us for more information.