March 4, 2025 Weekly Update

by | Mar 4, 2025 | Uncategorized

Credit Card Surcharge Fees

We continue to receive calls concerning credit card surcharge fees. During the 2024 session, the Kansas legislature passed a bill that allows all merchants to add up to a 4% credit card surcharge to credit transactions. This bill went into effect on January 1, 2025.

There are several things to consider when deciding whether or not to implement a credit card surcharge fee.

  1. Medicare does not allow healthcare providers to pass on the cost of doing business to its beneficiaries. This means that if you see Medicare patients, you cannot add a credit card surcharge to their credit card payments. 
  2. Many other insurance contracts will have similar prohibitions or may not allow you to collect more than the allowed amount from a patient. You must review every contract you have before deciding to implement a credit card surcharge fee.
  3. Surcharge fees cannot exceed 4% and must be related to the actual cost of accepting credit cards. 
  4. Surcharge fees can only be applied to credit card transactions. You cannot apply them to debit cards, even if ran as a credit card.  
  5. Surcharge fees cannot be applied to payments from FSA (flexible savings accounts) or HSA (health savings accounts). 

If you decide to implement a credit card surcharge fee, you must:

  1. Notify major credit card institutions in writing about your intent to surcharge.
  2. Patients should be clearly informed about any surcharges prior to payment on both invoices and clear signage in your office. 
  3. Calculate the average cost to accept credit cards in your office, and do not exceed that amount with your surcharge.
  4. List surcharges as a separate line item on your invoices.
  5. Ensure you maintain PCI (payment card industry) compliance to secure credit card transactions and protect against data breaches. 

References:

OIG Guidance:  https://oig.hhs.gov/documents/other-guidance/911/FA033104AssignViolationI.pdf

From the Medical Group Management Association Ask MGMA Podcast: https://www.mgma.com/podcasts/ask-mgma-credit-card-surcharges-for-medical-practice-payments

FinCEN BOI Reporting

Like a bad celebrity romance, the on-again-off-again saga of FinCEN BOI reporting is off again. The Department of Treasury has announced that they will not be enforcing the law that required small businesses to file FinCEN BOI reports.

2025 KCA Spring Convention Registration Now OPEN! – Register Today

Join your Kansas Chiropractic Colleagues for a weekend of education and fun in Overland Park, KS, on April 26-27, 2025

Hotel Room Block Available at Courtyard Kansas City Overland Park/Metcalf

     11301 Metcalf Ave – Overland Park, KS 66210 – 1-888-674-1979 or Online Here


Convention Schedule

Saturday, April 26, 2025


7:30 AM – Registration Open


8:00 am to Noon – Dr. Tim Bertelsman – Diagnosis and Rehabilitation of Golf Related Injuries


Noon to 1:30 PM – Lunch on Your Own


1:30 PM to 5:30 PM – Dr. Tim Bertelsman – Diagnosis and Rehabilitation of Golf Related Injuries

6:00 PM to 8:00 PM – Fun and Fellowship at Top Golf Overland Park, KS (Additional Ticket for minimal charge required to attend)

Sunday, April 27, 2025


8:00 AM to Noon – Instructor To be Announced – Spinal Adjusting Review

Register Today!