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IHA Partner Perspectives: No Surprises Act & Price Transparency

Presenting Partner: Barbara Johnson, BSN, RN – Senior Revenue Consultant at ParaRev

Target Audience: CFO, Accounting & Finance Managers, Compliance Managers, Business Office Managers, Clinic Providers

With the intent to empower patients and increase competition, the Price Transparency requirements went into effect on January 1, 2021. One year later, the No Surprises Act (NSA) added more regulations to protect patients. Simply put, the NSA protects patients from surprise medical bills that come from unknowingly receiving care from out-of-network care providers and emergency services. It also took Price Transparency to a new level by requiring providers to present a good faith estimate to uninsured or self-pay patients since January 2022 and soon issuing estimates to health plans which will use the estimate to provide an advanced Explanation of Benefits to their enrollees. Many providers still have unanswered questions about how Price Transparency and NSA affect their practice—and the steps they must take to comply with them. This presentation will attempt to answer many of those questions as we discuss how Price Transparency and NSA have evolved and where they are projected to go.

Learning Objectives:
- Learn which healthcare facilities/providers must comply with Price Transparency and NSA regulations
- Outline the requirements of Price Transparency
- Discuss required NSA documents and timeframes for presenting these to patients
- Explore the NSA provisions that will be enforced later in 2023 after final rulemaking.

Content conveyed at, or in conjunction with, this event does not constitute the opinions of IHA.

May 4, 2023 02:00 PM in Indiana (East)