Are you wondering what the No Surprises Act means for your business? A new final rule was released on 8/19/22 that provides further guidance on the topic and the highly anticipated qualified payment amount (QPA).
There are many questions and varying answers to common questions about this legislation. Our industry expert will break down the details of components of the NSA and how it affects types of providers and/or facilities. Provider to payer demographic updates, patient collaboration, and understanding of payer contracts are all an integral part of laying the proper groundwork for compliance.
While there may be a lot of negative attention on the topic, we will show you some key points of positive changes and how this can improve processes and even improve revenue.
From Emergency care to non-emergent care, we plan to cover it all. Specific real-world scenarios will be given to assist the understanding of how to apply these regulations.
“Good faith estimates” will be covered in depth, as this is one of the most misunderstood aspects of this Law.
New information and trends are being released daily, we will share the most up-to-date information to be sure you are fully compliant.
Areas Covered:-
Why Should You Attend:-
Many providers and practices are still unsure of how this new law affects them and their patients. Some have chosen to ignore the requirements, which is a dangerous path to take. The legislation of hundreds of pages is complex and overwhelming. However, the Center for Consumer Information and Insurance Oversight and CMS has done a good job of providing resources to assist players in understanding their responsibilities.
Understanding the legislation and implementation from payers, state, and federal levels is imperative to protecting your practice from costly fines in the future. While there is a so-called “grace period” for the rollout, that is quickly expiring and the industry is already seeing audits. Educating staff, posting necessary signage, and creating and implementing internal processes must be done NOW. Are you ready?
The process of providing good faith estimates can be confusing and overwhelming. How does this work? Is this only for emergency services? What if the procedure changes? Do we have to provide an estimate for every procedure? Many questions surround this topic. Our speaker will go in-depth, with real-world examples of how to simplify this and explain how this can be a useful tool to increase your revenue!
What happens when you don’t agree with the reimbursement for a service in an out-of-network situation? Can you bill the patient the difference? Can we appeal? Alongside this new legislation, there is a very helpful new dispute resolution process that has been proven to be successful! It's easy and well organized. This session will explain how this works and in what situations you should utilize this.
Who Should Attend:-
