you can't. It's against the law if you charge Medicare patients a fee then you have to charge all your patients. Gee, what do you think doctors are??? compassionate or something. The government made a point out of "giving away" services that they are charge for.
You know why of course????
It's not "fair".
Beautiful, it's a Catch-22. So unless he wants to charge all his medicare patients zero, he has to bill her.
The whole system is designed to make the doctor patient relationship antagonistic in order for the government to come in and control the proles.
As far as the comment about "rich" doctors... they have good cash flow but if you look at the debt the ones now are graduating with and what you have to borrow to set up a practice, you'll see a person with delayed payout over about 20 year period of time.
The big house that doctors have... the reason is that in most states your primary residence can't be taken by a malpractice verdict that goes over your insurance limit. So you load up with as big a house and/or property you can borrow and sell it off when you retire. It's like re-insurance for bankruptcy. Same with primary vehicle for work.
It's all a big game for the politicians/lawyers to get everybody to fight against each other when we should be treating them like Mussolini after the war.
Actually, if he was found not billing her for her copays under medicare, he would be cut off from medicare. Oh, he could treat her for free if he was willing to let go of all of his medicare patients.
There is a way around that. He could treat her anyways, bill medicare and let the claims be denied, the copays go unpaid, and write it all off as a loss. If she lives, she declares bankruptcy. If she dies, no one cares anyway.
He could have got it done.... if he wanted to.