No Surprises Act: Boost Self-Pay Collections, Stop Hefty Fines

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Recent changes to the No Surprises Act have made it harder than ever for you to get paid what you’re due from your self-pay patients. The Act also expands your risk with errors driving penalties of up to $10,000 per violation.

Some of the riskiest areas of the No Surprises Act include how, when, and what you can bill your self-pay patients, what is a Good Faith Estimate, and when are you required to provide one to your self-pay patients…it’s all enough to make your head spin.

Missing even one piece of this frequently evolving regulation when billing and collecting from your self-pay patients can cost you thousands in lost revenue and penalties – driven by you not implementing the rules correctly.

Thankfully, that’s where healthcare attorneys, Daphne L. Kackloudis, Esq., and Ashley B. Watson, Esq., can help. During this online training session, they’ll provide you with easy-to-follow No Surprises Act expert advice to ensure you’re billing and collecting your self-pay patients compliantly. You’ll reduce your error risk and the massive penalties that can accompany them.

Here are just a few of the practical No Surprises Act questions you’ll get answered by attending this 60-minute online training:

  • What are the allowable rates for self-pay patients?
  • How can you calculate your Qualifying Payment Amount (QPA)?
  • Which self-pay patients are excluded from the No Surprises Act rules?
  • Are Good Faith Estimates required for uninsured same-day appointments?
  • How should you bill a self-pay patient receiving same-day services?
  • When are diagnosis codes required on your Good Faith Estimates?
  • What if the insurance won’t pay, and the patient is left to self-pay?
  • When are you required to notify self-pay patients of the No Surprises Act?
  • How does co-provider care change your Good Faith Estimate Change?
  • What is the best way to handle notifications for future visits?
  • For recurring services, are you required to provide an estimate every time?
  • How can you check if there has been a No Surprises Act complaint against you?
  • What if a patient is insured but chooses to self-pay?
  • How should you handle unforeseen services that occur during a visit?
  • What if the patient refuses to sign the estimate, but still wants care?
  • What if a patient comes in for a procedure and no longer has insurance?
  • How long are you required to keep a copy of a Good Faith Estimate?
  • How can you indicate recurring services on patient Good Faith Estimates?
  • And so much more…

The nuances of complying with the No Surprises Act, especially since the most recent Health and Human Services (HHS) updates, is more challenging than ever. The good news is that with a little expert advice, you can collect more of the money you’re due from your self-pay patients and be confident you are compliant with the most recent No Surprises Act changes.

You’ve been given very little guidance on exactly how to comply with the No Surprises Act. And yet, your risk has gone up and your collections have gone down. Don’t risk complying with this new regulation on your own. Sign up for this must-attend online training session today.

Meet Your Experts

Daphne Kackloudis
Esq.Partner at Brennan, Manna & Diamond

Daphne L. Kackloudis is a member of the firm, she heads BMD Columbus’ health care practice, and she chairs BMD’s Empowerment and Opportunity (DE&I) Committee. Daphne’s success –and that of her clients – is rooted in the nexus between traditional health care legal services and health care public policy. She has broad and deep experience in health care operations, service delivery, payment systems, and compliance, as well as Medicaid, public policy, and government affairs. Daphne advises health care trade associations and health care providers as outside counsel and in-house as a member of her clients’ senior leadership teams.

Ashley Watson
Esq.Associate in BMD's Columbus Office

Ashley is a healthcare attorney in BMD’s Columbus office. She works with nonprofit and for-profit health care providers, health care trade associations, individuals, and businesses. Ashley is experienced in healthcare public policy and regulatory compliance, legislative and government affairs, grant administration, and healthcare program operations.

Reviews

The webinar was excellent and insightful.
Christopher Austin
CFO, All Points North Lodge
The webinar highlighted specific requirements of the NSA. I appreciated reviewing exactly what we (providers) need to be doing for this regulation.
Michael Snell
Chief Administrative Officer, Eye Surgeons Associates