Master No Surprises Act Billing Rules by Jan. 1 to Avoid Penalties

Clear

Starting Jan. 1, you are required to have the new No Surprises Billing Act down cold. If not, the consequences include lost revenue, audits, and the prospect of sky-high monetary penalties.

Starting in 2022, the No Surprises Billing Act will require your practice to alert patients to potential out-of-network charges and give uninsured patients an upfront cost estimate, among many other policy changes. These consumer-centric mandates also make payer contract negotiations more difficult by skewing reimbursement baselines in their favor. And for those that fail to comply, the Act requires civil penalties up to $10,000 for each violation.

So, how can you avoid getting hit with these severe No Surprises Billing Act noncompliance penalties?

This is where healthcare attorneys, Daphne Kackloudis, JD, and Ashley Watson, JD, can help. During their upcoming online training they will walk you step-by-step through the minefield of No Surprises Billing Act new requirements you are expected to master to ensure you are fully compliant by the Jan. 1 deadline.

By attending this online training, you’ll get step-by-step strategies to comply with the No Surprises Billing Act by the January 1st, 2022, deadline:

  • Implement compliant collection strategies under the new arbitration provisions
  • Provide uninsured and self-paying patients with accurate good faith estimates
  • Utilize the independent dispute resolution process to resolve patient issues
  • Cut through consent form confusion prior to out-of-network treatment
  • Avoid getting caught up in external review disputes between patients and their insurers
  • Comply with state and federal disclosure requirements on balance billing protections
  • Circumvent costly mistakes when negotiating the qualifying payment amount
  • Resolve the most common No Surprises Act violations at your practice
  • Pin down when to use state vs federal billing standards during dispute resolutions
  • And so much more…

The administrative burden to your practice imposed by the No Surprises Billing Act is significant. You must master these new standards by the January 1st deadline to keep your practice’s billing and collection strategies compliant and effective. This is the only way you will avoid the massive civil penalties of up to $10,000 for each violation.

You don’t take risks with patient care, so don’t take risks with these fast-approaching new requirements. Sign up for this expert-led online training today to ensure that the No Surprises Act doesn’t unleash its own set of surprises on you! Don’t wait, register for this online training today.

Meet Your Experts

Daphne Kackloudis
Esq.Partner at Brennan, Manna & Diamond

Daphne heads the BMD Columbus office’s health care practice. One of her areas of practice is the nexus between traditional health care legal services and health care public policy. Daphne regularly advises health care clients, including providers and provider trade associations, regarding business and practice strategies impacted by federal and state health care reform initiatives, as well as service delivery and payment reform. She also advises clients regarding reimbursement, policy, and coverage matters. Additionally, Daphne has in-depth knowledge of Medicaid, behavioral health, and child welfare policy.

Prior to joining Brennan, Manna & Diamond, Daphne served as Senior Advisor for a health care consulting company; held policy positions in the Ohio Department of Medicaid, including leading Ohio Medicaid’s interaction with the Centers for Medicare & Medicaid Services and overseeing various components of Ohio Medicaid policy. She also served as director of state and local government relations for Nationwide Children’s Hospital in Columbus, OH. Daphne graduated cum laude from Capital University Law School and Indiana University, and is licensed to practice law in Ohio.

Ashley Watson
Esq.Associate in BMD's Columbus Office

Ashley is an associate in BMD’s Columbus office whose practice focuses primarily on Healthcare and Hospital law. Ashley graduated from The Ohio State University Moritz College of Law in 2017 and also has her Master’s in Art History and Museum Studies from Case Western Reserve University.

Reviews

The webinar was thorough and provided a high level overview.
Susan Grigel
Breg, Inc