Introducing a new series from the Bass, Berry & Sims Healthcare Law practice designed to help industry leaders understand the most recent regulations and navigate challenges as you drive efficiency and innovation in the industry. Our goal is to provide the best information in its simplest form to help you decide the right course for your company. As always, we welcome your feedback and encourage sharing this invitation with anyone who may be interested in staying informed on the latest in healthcare law.
Effective January 1, 2022, healthcare facilities and providers are subject to several new compliance obligations under the No Surprises Act (NSA), a consumer protection law passed by Congress in December 2020. Under regulations implemented last year, healthcare facilities and providers are generally limited to charging commercially insured patients for out-of-network care at no more than in-network cost-sharing rates. Facilities and providers may not bill patients the balance of charges unreimbursed by a payor, resulting in a “surprise bill.” Facilities and providers must provide disclosures to commercially insured patients notifying them of their protections against balance billing.
The NSA also includes a separate requirement for all facilities and providers to provide a good faith estimate of expected charges for uninsured and self-pay individuals. Failure to comply with the NSA obligations can result in civil monetary penalties, and uninsured and self-pay patients can file dispute resolution claims against facilities and providers if their charges are at least $400 more than their estimated charges.
Hospitals, ambulatory surgical centers, physicians, and other facilities and providers may be struggling to understand which rules apply to them and under what circumstances. Join our healthcare attorneys for this complimentary webinar targeted for healthcare facility and provider organizations as they address key questions and challenges facing facilities and providers related to NSA compliance, including:
- Which facilities and providers are subject to the ban on balance billing and the balance billing disclosure requirements.
- Exceptions to the ban on balance billing.
- Written agreements between facilities and providers to meet balance billing disclosure requirements.
- Differences in the applicability of the ban on balance billing and the good faith estimate requirement for uninsured/self-pay patients, including applicability to physicians and other providers.
- The independent dispute resolution (IDR) process now available to settle payment disputes between payers and out-of-network facilities and providers.
This webinar will help attendees identify key compliance obligations under the NSA now in place for health care facilities and providers. Our attorneys will provide practical tips and discuss best practices for meeting the NSA compliance obligations.
Please join us Monday, February 14 from 12:00 p.m. – 1:30 p.m. CT for this informative discussion. To register, please click here.
Who Should Attend
- In-house legal counsel.
- Compliance officers.
- Privacy officers.
- C-level executives, consultants and principals.
The webinar is pending approval for 1.5 hours of General Tennessee CLE credit. Certificate of completion and other necessary application forms will be provided for use in other jurisdictions.
Submit questions for presenters during registration. For more information, please contact Tara Swint.
Click here to read a full recap of the webinar.