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The No Surprises Act has partially become effective following a chaotic and incomplete implementation process. During this webinar, healthcare attorney, Thomas J. Force, Esq. will discuss and breakdown what you need to know regarding:
In particular, through this program, you will learn, in detail, what is required to satisfy the aforementioned requirements. As such, you will be educated as to the form, content, and mediums for the various disclosures. Furthermore, you will be informed about the protocols for properly issuing notice and securing a patient’s consent to allow for balancing billing (i.e., over and above the patient’s in-network cost-share). Finally, advice as to the timing, form, and required information for the provision of a good faith estimate to an uninsured/self-pay patient will be shared, bearing in mind that such a good faith estimate serves as the basis for determining whether a patient can initiate a patient-provider dispute to be decided via arbitration.
In addition, during this webinar, Mr. Force will update you on the status of the cases brought by the American Medical Association and American Hospital Association, as well as by the Texas Medical Association, among others, against the U.S. Departments of Health and Human Services, Labor, and the Treasury. These lawsuits generally centre around the current version of the regulations regarding calculation of the out-of-network reimbursement rate and undue pressure being put on in-network providers to accept reduced rates of reimbursement. These legal cases will be pivotal in determining the effect that the No Surprises Act will ultimately have, as the issue being decided is of critical important in determining how out-of-network reimbursement is calculated (i.e., either similar to in-network rates or based on fair and reasonable considerations).
At the conclusion of this program, there will be an opportunity to have your questions answered by Mr. Force, helping to guaranty that you get substantial value from virtually attending this program.
This presentation seeks to provide clarity to a law that has been haphazardly implemented, despite the multitude of requirements it imposes. Despite the uncertainty underlying the implementation of the No Surprises Act, practices, providers, and facilities remain obligated to comply with numerous aspects thereof.
In addition, this presentation seeks to flesh out the logistics of the notice and consent process and the provision of the good faith estimates to uninsured/self-pay patients, as failure to satisfy the requirements of such processed can have significant negative consequences (i.e., difficulty, if not impossibility, of defending patient-provider disputes; inability to balance bill the patient; etc.).
Who Should Attend
Healthcare providers and facilities, especially out-of-network providers.
|Aug 31, 2022||Drafting Effective Appeals and Defense of Recoupments||60 Mins||$199.00|
|Nov 04, 2021||Federal No Surprises Act – The IDR Process, Good Faith Estimates, and What Providers Need to Know||60 Mins||$199.00|
|Jun 24, 2021||An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant||60 Mins||$199.00|
|Jun 01, 2021||How to Draft Appeal Letters & To Resolve Denials Effectively 2021 Updates||120 Mins||$349.00|
|Apr 14, 2021||The Successful Clinical Appeal – A Guide for the reconsideration and Appeal of Medical Necessity Denials||60 Mins||$199.00|
|Mar 23, 2021||The New Federal No Surprise Act – Impact on Out-of-Network Providers||60 Mins||$199.00|
|Aug 20, 2020||Lessons Learned from the Cigna and Aetna cases against Humble Surgical Hospital||60 Mins||$199.00|