(Recorded Webinar) Understanding the No Surprises Act
This webinar is closed to new enrollments.
The No Surprises Act aims to reduce the occurrence of surprise bills and introduce greater transparency in communicating with patients about the price of health care services. One provision of No Surprises requires providers and facilities, effective January 1, 2022, to furnish a written “good-faith estimate” (GFE) of the cost of services to uninsured or self-pay patients, inclusive of any discounts available to such patients, at the time the patient schedules services or requests an estimate.The GFE requirement has been implemented amidst a new surge in COVID-19 cases and, for many providers, an unprecedented staffing shortage.
This webinar will address common questions that providers and facilities have encountered in their first month of furnishing GFEs to uninsured and self-pay patients. We will address, for example,
- The interaction between the GFE and discounts some providers offer to uninsured or self-pay patients
- GFEs for “underinsured” patients (e.g., patients who have high deductibles or only partial coverage)
- GFEs involving referral providers, laboratories or radiological facilities
- GFEs for complex services
We will also summarize December 2021 HHS guidance on good-faith estimates.
- C-Suite: CEOs, CFOs, CMOs, COOs, and CCOs
- Compliance Staff
- Fiscal Staff
- Quality/Risk Management Staff
After this webinar, you will be able to:
- Know in what circumstances GFEs are required to reflect provider discounts for uninsured or self-pay patients
- Understand the role of “co-providers” in furnishing GFEs
- Understand in what format and timeframe the law requires GFEs to be provided
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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- 1.25 Certificate of Attendance
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