Know Your Rights and Responsibilities Under the No Surprises Act - On-Demand

Available ON-DEMAND

Presented on: Tuesday, November 8, 2022 

Presented by: Kimberly Ross Clayson, Esq., Partner, Jaffe Raitt Heuer & Weiss, PC

Your practice treated an out-of-network patient and there’s a dispute over the bill. A patient wants to pay for a service out of pocket. A health plan terminates your practice’s contract while some of your patients are in the middle of treatment. These are just three scenarios that create rights or responsibilities for medical practices under the No Surprises Act (NSA). This webinar will cut through the mountain of confusing information and explain the portions of this law that you need to understand.

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

• Know NSA terminology
• Understand the new restrictions on balance billing and covered services under the NSA
• Explain the patient notice rules required when the NSA applies
• Demonstrate knowledge of deadlines to dispute a payment under the IDR process
• Describe factors considered in IDR to determine proper payment

Agenda

• NSA enactment—purpose and general rules
• NSA covered services
• Impact on non-emergency services
• Impact on emergency services
• Compliance standards—contents of patient notice/waiver
• Compliance standards—restrictions on balance billing
• Independent dispute resolution (IDR) process—timeline/deadlines
• IDR process—applicable factors for IDR billing decision
• Q&A

Who Should Listen?

• Practice owners
• Practice managers
• Compliance officers
• Billing managers

Meet the Speaker

Kimberly Ross Clayson, Esq., is a partner with Jaffe Raitt Heuer & Weiss, PC, a Michigan-based law firm that provides exceptional hands-on, responsive, and solutions-oriented legal services. Clayson has been practicing law for 15 years supporting the general legal needs of businesses, including healthcare businesses and physician practices, and collaborating with attorney Vicki Myckowiak on healthcare compliance issues. She graduated from University of Detroit Mercy School of Law with a book award for legal research and writing. Clayson is an adjunct professor at the Mercy School of Law and has written on a variety of legal subjects for the Michigan Institute of Continuing Legal Education.

Continuing Education

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: 11/7/2023

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 $199 value! 

PLEASE NOTE 
Participation in the webinar is just $199 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.