Surprise billing remains a hot topic in Washington. It occurs when patients unknowingly receive either emergency or non-emergency care from an out-of-network provider. The law specifically targets balance billing, when providers attempt to recover the difference between in-network and out-of-network charges not covered by payors.
Recently, the Administration issued the Part II Interim Final Rule with comment period for the No Surprises Act, a bipartisan consumer protection law designed to help curb the practice of surprise medical billing.
DARK Daily hosted a live webinar titled, "The Practical Impacts of the No Surprises Act on Laboratories, Diagnostic Providers, and Specialty Physician Groups," that provided a review of the circumstances under which the No Surprises Act is relevant, as well as how and when the Act applies to both independent and hospital outreach laboratories. It also covered some state-specific rules and real-world examples such as the difference between how an out-of-network claim was handled prior to the No Surprises Act and how it is handled under the rules of the No Surprises Act.
The webinar also touched on the importance of providers having the capability to provide an accurate estimate of a patient's financial responsibility at the time of service.
During this 60-minute webinar, participants can expect to learn:
Circumstances under which laboratories and diagnostic providers are likely to be impacted by the No Surprises ActKey considerations for preparing for the No Surprises Act
How to produce an accurate patient responsibility estimate and why communicating it to patients upfront dramatically improves the likelihood of payment
Executive Vice President, General Counsel and Chief Compliance Officer
Director of Anatomic Pathology Development