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Format: On-Demand Webinar
Presenter: Amanda L. Waesch
Time: You can access the webinar anytime
Duration: 60 minutes
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This webinar will provide a foundational overview of the No Surprises Act to ensure compliance with its requirements. This webinar will also discuss helpful tips and tricks for practices to ensure compliance. This session will review important legal updates to the No Surprises Act. Finally, this session will provide some examples for ensuring compliance.

Learning Objectives:

  • Understand the requirements of the No Surprises Act.
  • Identify situations where practices and physicians must comply with the No Surprises Act.
  • Discuss helpful tips and tricks to ensure compliance.
  • Discuss the appeals process.
  • Discuss penalties for noncompliance

Areas Covered in the Session

  • The No Surprises Act (NSA) Overview
  • Background and Purpose
  • Balance Billing
  • Notice & Consent Exception
  • Disclosure Requirement
  • Determining Out-of-Network Rates (OON)
  • Opening Negotiation Process
  • Independent Dispute Resolution Process (IDR)
  • Notice
  • IDR Entity and Selection
  • Selection
  • Payment Amount Determinations
  • Effects and Costs
  • Payments & Continuing Negotiations
  • Good Faith Estimates
  • Continuity of Care
  • Provider Directories
  • Consumer Complaint Process
  • Enforcement and State laws
  • Preemption
  • Considerations Under the NSA
  • Legal Challenges

Suggested Attendees

  • Licensed Providers
  • Physicians
  • Office Managers
  • Billing Staff
  • Medical Auditors
  • Practice Managers
  • Auditors
  • Billing Companies
  • Clinic Owners
  • Compliance Officers
  • Chief Quality Officers
  • Presidents/CEOs
  • Senior Internal Auditors
  • Directors of Compliance
  • Regulatory/risk Officers
  • Government Employees
  • General Counsel
  • Compliance Attorneys

About the Presenter

Amanda Waesch has experience of 18 years and operates a national healthcare practice and is licensed in both Ohio and Florida. She primarily focuses her practice on healthcare, employment law, corporate law, and healthcare litigation and advises all types of employers, in particular healthcare providers, including, hospitals and physicians, on various matters.

She also chairs the firm’s litigation team that is primarily responsible for handling all reimbursement audits and appeals for her firm’s healthcare clients and heads up BMD’s Provider Relations, Audit, Appeals, and Negotiations Unit (PRAAN) which handles all-payer audits, appeals, overpayments and payment extrapolations.

Course Content

You can access all the webinar materials after successful payment

  • Webinar Link + Handouts PDF
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  • Course Key
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