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You need to know how to differentiate between what sections of the law apply to different types of healthcare professionals and facilities.
$259.00
The No Surprises Act— one of the more confusing laws to regulate the healthcare industry —applies to hospitals, ambulatory surgical centers, free-standing emergency departments and air ambulance providers. The law, which takes effect Jan. 1, 2022, applies to medical professionals who bill for services provided at those facilities. The law also creates certain obligations to provide fee estimates that apply more broadly across the industry.
Essentially, the law requires that emergency services rendered at those facilities be treated as if they were in-network, even if the patient is out-of-network. For non-emergency services, patient consent will be required before a patient may be balance-billed for out-of-network care. But the law prohibits many professionals from even asking for consent to balance bill patients for services at the facilities, greatly reducing the scope of this “exception.”
Not all parts of the “No Surprises Act” will be enforced Jan. 1, 2022. This important webcast will explain which of those provisions will be effective, allowing healthcare providers to prepare accordingly in order to remain compliant.
Some elements of the No Surprises Act are effective Jan. 1, 2022, which means your team has little time to prepare for the new law.
Chief financial officers, Chief executive officers, physician advisors, case managers, Utilization Review committee members, coders and billers.
Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available.
David M. Glaser is a shareholder in Fredrikson & Byron’s Health Law Group. David assists clinics, hospitals, and other health care entities negotiate the maze of healthcare regulations, providing advice about risk management, reimbursement, and business planning issues. He has considerable experience in healthcare regulation and litigation, including compliance, criminal and civil fraud investigations, and reimbursement disputes. David’s goal is to explain the government’s enforcement position, and to analyze whether this position is supported by the law or represents government overreaching. David is a member of the RACmonitor editorial board and is a popular guest on Monitor Mondays.
Mary assists health care clients with regulatory compliance and transactional matters. Mary’s practice focuses on advising clients on regulatory compliance policies and procedures, including pharmacy inventory management, fraud monitoring protocols, record keeping, fraud and abuse laws, and privacy issues.
Prior to joining Fredrikson & Byron, Mary gained experience in both litigation and transactional matters, including representing health care providers and pharmacies in investigations conducted by the Drug Enforcement Administration and other state and federal agencies. Mary’s dual experience provides her with valuable insight on the legal and business pressures facing companies, which she uses to deliver practical, business-minded solutions to her clients.
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