Online Training Course

Prod ID: 380
No Surprises Act: Legal Considerations for Providers

The "No Surprises Act" has been in place since January 1, 2022. Learn your legal obligations under the No Surpise Act. Learn all you need to know and ensure your billing practices are compliant.

CEUs

1

Length

62 min

Price

$99.00

Highlights:

  • Federal independent dispute resolution process
  • Exceptions and exclusions
  • Patient notification requirements
  • Good faith estimate
  • Patient-Provider dispute resolution process

Heidi Kocher

JD, MBA, CHC


Heidi's experience in healthcare law and compliance includes time in private practice, as well as positions at a large hospital corporation, serving as a compliance officer for a sleep lab/DME company and a compliance director/privacy officer at a medical device manufacturer. She has represented and advised critical access and long-term care hospitals, physician groups, home health agencies, DME companies, pharmacies, non-profit organizations, and licensed individuals. She serves as Counsel with Liles Parker, PLLC, a leading healthcare law firm in Washington, D.C. She is certified in Healthcare Compliance and is a member of the State Bar Association of Texas, and the American Health Lawyers Association.

This session will benefit compliance officers, medical office managers and billing supervisors who are navigating through the surprise billing guidelines that went into effect on January 1, 2022.

The "No Surprises Act" has been in place since January 1, 2022. Its origins are painfully familiar to patients and providers alike. In a study conducted from 2010-2016, more than 40 percent of emergency department visits to in-network hospitals resulted in an out-of-network bill. States began passing laws or regulations to limit surprise and balance billing of out-of-network services. This uprising led to the national guidelines to regulate partial balance billing/surprise medical billing. There's a lot to sort through, says healthcare attorney Heidi Kocher. "No Surprises Act is like HIPAA - it's a floor, not a ceiling!" Learn important insights now that will keep your billing practices compliant. 

Highlights:

  • Federal independent dispute resolution process
  • Exceptions and exclusions
  • Patient notification requirements
  • Good faith estimate
  • Patient-Provider dispute resolution process

Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Comments from past participants:

“This was a great presentation discussing the new protections under the 2022 No Surprises Act that prevent surprise medical bills. It addressed the notice and consent requirements when care is provided by out of network clinicians at in network facilities, the good faith cost estimate provided to patients upfront, and the dispute resolution opportunities for individuals when they receive a medical bill that is substantially greater than the good faith estimate.”

“Very helpful training! Excellent information provided regarding the No Surprises Act and Good Faith Estimate.”

“It's informative for emergency care services to understand what the GFE is and what patients it needs to be provided to.”

Other classes like this.

Contract Law for the Medical Practice Manager

Contract Law for the Medical Practice Manager

How to Fire a Patient

How to Fire a Patient

What You Need to Know about TPE Audits

What You Need to Know about TPE Audits