Continuing Medical Education Information
The Federal No Surprises Act (NSA), passed by Congress in 2020, protects patients from receiving surprise medical bills resulting from gaps in coverage for emergency services and certain services provided by out-of-network clinicians at in-network facilities. The legislation also establishes an independent dispute resolution process in the event disputes regarding reimbursement arise between providers and insurers. Many physicians will be affected by the NSA including emergency department practices, anesthesiologists, radiologists, pathologists, and hospitalists. It is vital that physicians understand what is contained in the NSA, how it impacts your practice and what steps should be taken to ensure compliance.
Key aspects of the bill include:
- Rules relating to balance-billing in non-emergency services at in-network facilities and emergency services at hospitals or emergency departments
- Provision of good faith estimates for self-pay and uninsured patients
- Provision of disclosure notice on patient protections against surprise billing
- Independent dispute resolution process for certain out-of-network claims
Statement of Need:
Physicians are unaware of the provisions surrounding the No Surprises Act and how it will impact their billing process.
At the end of this module physicians will be able to:
- Describe the provisions of the No Surprises Act
- Access required/suggested CMS forms and documents to support compliance
- Implement new processes related to disclosure and good faith estimates for patients
The following planners disclose that they have no relevant relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients:
• Heather Lathan
• Miranda Mosley
The following speaker discloses disclose that they have no relevant relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients:
Dustyn B Jones
Commercial Support: There is no commercial support associated with this activity.
Accreditation and Designation:
The Kentucky Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Kentucky Medical Association designates this internet enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Target Audience: Physicians in the Commonwealth of Kentucky
Estimated Time to Complete: This module will take approximately 1.0 hour to complete
Method of Participation Used: Participants will view and listen to a recorded lecture while simultaneously viewing slides.
Hardware/Software Requirements: High speed internet connection
Faculty: Dustyn B Jones, Shea Luna
Meeting Planner: Miranda Mosley, Heather Lathan
Provider Contact Information: Miranda Mosley, Kentucky Medical Association
Copyright: There is no copyright associated with this activity
Release Date: April 2022
Termination Date: December 2022