The No Surprises Act
The No Surprises Act, a component of the Consolidated Appropriations Act 2021, is a wide-ranging law that takes effect January 1, 2022. The aims of the law are to reduce the occurrence of surprise bills (particularly, where insured patients unknowingly receive out-of-network services) and to require health insurers and health care providers to communicate with patients in advance of furnishing care about the anticipated costs of services. The law includes protections for privately insured patients and for self-pay/uninsured patients. Federal agencies issued regulations implementing the law this fall.
This webinar will cover the main provider-oriented requirements in the No Surprises Act that FQHC compliance professionals need to help their facility implement before the requirements go into effect on January 1, 2022. We will address the requirement in the law that providers and facilities provide to self-pay and uninsured patients a “good faith estimate” of the anticipated patient costs of services at the time a patient makes an appointment or requests the estimate, as well as the requirement (whose implementation has been postponed to a future date) to provide health plans with a similar good faith estimate regarding scheduled services for privately insured patients. We will offer guidance to health centers on strategies for furnishing the good faith estimates that are consistent with health centers’ existing policies on fees and discounts, and for addressing the administrative burdens on health centers of furnishing the up-front estimate.
We will also more briefly address other requirements in the No Surprises Act that have limited application to health centers, such as the protections it provides against insured patients encountering surprise bills for out-of-network services received in an in-network hospital, outpatient hospital department, or ambulatory surgical facility.
- C-Suite: CEOs, CFOs, CMOs, COOs, and CCOs
- Compliance Staff
- Fiscal Staff
- Quality/Risk Management Staff
After this webinar, you will be able to:
- Identify the key provider-oriented requirements in the No Surprises Act that will impact FQHCs
- Identify required elements of the “good faith estimate” health centers will be required to provide to self-pay or uninsured patients, effective as of January 1, 2022
- Develop strategies for implementing the good faith estimate that are consistent with health centers’ current policies relating to fees and discounts
SUSANNAH VANCE GOPALAN
A Partner in the firm’s health law practice group, Susannah focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. She brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. Susannah has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
Participants can earn up to 1.20 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.
ATTENDEE REQUIREMENTS FOR CPE CREDIT
If you purchase CPE credit for this webinar you must satisfy the following conditions in order to receive your certificate:
- Answer at least 3 of the 5 polling questions during the webinar
- Complete the evaluation survey after the conclusion of the webinar or in the follow-up email
Upon completion of these requirements, FTLF will email you your CPE Certificate within seven (7) business days.
- Prerequisites: None
- Target Audience: C-Suite: CEOs, CFOs, CMOs, COOs, and CCOs;Compliance Staff; Fiscal Staff; and Quality/Risk Management Staff
- Advanced Preparation: None
- Program Level: All
- Delivery Method: Group Internet Based
- Attendance Requirements: In order to be awarded the full credits, you must respond to three (3) out of five (5) polling questions.
Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).
- 1.00 Certificate of Attendance
Access to the recorded version of this webinar is included in your purchase.
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