(Recorded Webinar) The No Surprises Act

Duration: 75 minutes
Recorded on: 12/16/2021

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.

Target Audience

  • C-Suite: CEOs, CFOs, CMOs, COOs, and CCOs
  • Compliance Staff
  • Fiscal Staff
  • Quality/Risk Management Staff

Learning Objectives

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
Course summary
Available credit: 
  • 1.25 Certificate of Attendance
Course opens: 
12/20/2021
Course expires: 
07/01/2023
Cost:
$150.00

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]

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Available Credit

  • 1.25 Certificate of Attendance

Price

Cost:
$150.00
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