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The No Surprises Act, Part One: Strategies for Compliance

June 7 @ 1:00 pm - 2:00 pm EDT

Free
MossAdams CPE Webinars

Participants of the free live webinar will be eligible for 1 CPE credit.

Register

The No Surprises Act (NSA) intends to help consumers minimize unexpected health care costs. Health care providers are prohibited from billing patients more than the applicable in-network cost-sharing amount for emergency and non-emergency services in certain situations.

The NSA specifies categories of services for which it applies, as well as key notices that must be provided to the patient to waive federal balance billing protections. Health care facilities and providers must understand the nuances of the NSA requirements and balance billing protection and evaluate their current processes to maintain compliance.

Join us, along with Foley & Lardner, for the first installment of our two-part webcast on the NSA. Key topics we’ll address in this segment include:

  • Definitions of the NSA and requirements related to prohibition of balance billing
  • Implementation risks
  • How to determine when an emergency is deemed over—and why it matters
  • Risk areas and internal controls in operations and the revenue cycle to consider

Please note, when registering, you’ll be automatically enrolled for both parts of the series. Download complete CPE information here.

Speakers

Lori Laubach, Partner, Moss Adams

Lori has worked in health care consulting and public accounting since 1991. She provides regulatory compliance program development and monitoring for integrated hospitals, multi-specialty clinics, single-specialty clinics, mental health centers, and community health centers. Lori also conducts forensic reviews, operational and revenue bench-marking projects, revenue cycle assessments, operational reviews, and risk assessments of physician groups and integrated systems.

Mandy Mori, Senior Manager, Moss Adams

Mandy has worked in health care since 2003. She consults with health care executive leaders to drive strategic planning, service line optimization, and create sustainable financial growth. Mandy specializes in strategic analysis and development of internally integrated and externally oriented strategic plans that assess market demand, identify service gaps, and build clarity on the long-range strategic direction.

Alexandra B. Shalom, Attorney, Foley & Lardner

Allie is an associate and health care lawyer with Foley & Lardner LLP and a member of the firm’s Health Care Practice Group and Telemedicine & Digital Health Industry Team. Her practice focuses on counseling hospitals, health systems, providers, and start-ups with respect to a wide range of transactional and health care regulatory compliance matters. Her experience includes advising clients on managed care and value-based payment arrangements; federal and state fraud and abuse compliance; multistate licensure issues; telehealth arrangements; Medicare and Medicaid reimbursement; and compliance with the No Surprises Act.

Kara Sweet, Attorney, Foley & Lardner

Kara is a health care lawyer with Foley & Lardner LLP and member of the firm’s Government Enforcement, Defense, and Investigation Practice and Telemedicine & Digital Health Industry Team. She works with hospitals and health systems, physician practice groups, pharmacies, durable medical equipment companies, laboratories, and emerging technology companies across the country. Kara’s work focuses on federal and state health care regulatory compliance, conducting internal investigations, and defending government investigations and enforcement actions.

CPE Information

PROGRAM LEVEL: Basic
CREDITS: Specialized Knowledge and Application: 1
DELIVERY METHOD: Webcast
LEARNING OBJECTIVES: After completing this training, participants will be able to; explain the risks associated with the NSA for in-and out-of-network patient populations; discuss the important aspects and key definitions related to balance billing; describe the notice, consent, and disclosure requirements for non-participating providers to bill patients; and discuss potential internal controls to mitigate risk.
PREREQUISITES: None
TARGET AUDIENCE: Compliance, internal audit and revenue cycle officers, managers, and directors.
REFUND POLICY: For more information about administrative policies regarding CPE, refunds or complaints, please contact Michaella Johnson at (503) 478-2289 or send them an email.
Moss Adams is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State Boards of Accountancy have the final authority on the acceptance of individual course for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

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