Navigating Compliance With No Surprises Act and Price Transparency Requirements
- On-Demand

Available ON-DEMAND

Presented on: Wednesday, April 20, 2022

Presented by: Don Billingsley, CRCR and Caroline Znaniec, MBA, MS-HCA

The No Surprises Act introduced much-needed protections for patients against unexpected medical bills, but operationalizing the requirements is a major task for provider organizations. Implementing processes for notice and consent provisions and creating seamless workflows for accurate, compliant price estimates and good faith estimates (GFE) are significant challenges, especially at a time when many revenue cycles are strapped for resources. The No Surprises Act also raises the stakes through an independent dispute resolution process in which the loser accepts the costs of the arbitration. Managing compliance with these complex rules requires strong oversight, careful planning, and a thorough understanding of how the act intersects with CMS' price transparency requirements.

During this 60-minute webinar, Don Billingsley, CRCR, and Caroline Znaniec, MBA, MS-HCA, will provide an overview of the No Surprises Act and how it relates to CMS’ price transparency requirements. They’ll share best practices and tips for operationalizing requirements, including analysis of common compliance gaps and specific internal audit measures that can help assess compliance.

At the conclusion of this program, participants will be able to:

• Describe the requirements of the No Surprises Act
• Analyze compliance risks associated with the No Surprises Act
• Demonstrate methods for achieving compliance

Agenda

• Background and overview
  • No Surprises Act requirements
  • Key elements of compliance
  • Notice and consent
  • Price estimates and GFEs
  • Arbitration process
  • Review of CMS’ price transparency requirements
• Monitoring, enforcement, penalties
  • CMS’ auditing and monitoring plans
  • Enforcement and penalties
• Lessons learned and considerations
  • Cost projections and resources to support GFE databases and updates
  • Requirements for providing GFEs and billing and collection activities
• Q&A

Who Should Listen?

• Revenue cycle directors
• Revenue cycle managers
• Revenue integrity directors
• Revenue integrity managers
• Compliance officers
• Finance directors
• Finance managers
• Internal auditors
• Practice managers
• Business office managers
• Patient access directors
• Patient access managers
• Vice presidents of finance

Meet the Speaker

Don Billingsley, CRCR, is the director of the Protiviti office in Dallas, Texas. Billingsley is one of the founding professionals of Protiviti and the provider revenue integrity practice leader. He has extensive experience with assessing and improving healthcare providers’ operational, financial, and compliance processes. Prior to joining Protiviti, Billingsley worked as a revenue cycle consultant at Arthur Andersen and was a care manager and compliance auditor for one of the largest diversified specialty healthcare management organizations. He is a key leader in Protiviti’s healthcare practice and a frequent speaker on revenue improvement initiatives.

Caroline Znaniec, MBA, MS-HCA, is Protiviti’s healthcare revenue cycle practice leader. She has extensive professional consulting and industry experience in healthcare. Znaniec works with various provider organizations including hospitals, health systems, home care, physician specialty groups and clinics, freestanding ambulatory care providers, payers, private equity groups, and investors. Prior to joining Protiviti, she led the development and client delivery of revenue integrity consulting services for CohnReznick LLP, Grant Thornton LLP, and Navigant Consulting, Inc. She has experience in roles such as corporate compliance officer and director of revenue integrity for integrated health systems. She is a recognized industry speaker and author in the areas of revenue integrity; revenue cycle transformation; regulatory compliance; electronic health record design, implementation, and optimization; and data analytics.

Continuing Education

AAPC
This program has the prior approval of AAPC for 1 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. 

Ability to claim credits for this webinar expires on: 4/30/23

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

Ability to claim credits for this webinar expires on: 04/18/2023

NARHI
This program has been approved for 1 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Ability to claim credits for this webinar expires on: 04/19/2023

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $229 value! 

PLEASE NOTE 
Participation in the webinar is just $229 per site. All materials must be retrieved from the Internet.

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.