Understanding the NSA: New Rules for Surprise/Balance Billing - On Demand Access

The No Surprises Act has partially become effective following a chaotic and incomplete implementation process. During this 90-minute webinar, participants will learn what aspects of the Act that practices, providers and facilities are expected to comply with immediately – such as required disclosures and postings, and how and when to balance bill insured patients. The webinar will cover which aspects will not be enforced (or at least will not be completely enforced) such as the requirement to provide a good faith estimate to uninsured/self-pay patients. Attendees also will get an update on the status of the case brought by the AMA and AHA, among others, against the U.S. Departments of Health and Human Services, Labor, and the Treasury, which centers around the current version of the regulations regarding calculation of the out-of-network reimbursement rate.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Describe the general disclosure and posting requirements (in-office, website and verbal) of the No Surprises Act.  
  2. Explain the necessary steps for oral and maxillofacial surgeons to balance bill insured patients as well as when certain additional steps are expected to be implemented.  
  3. Explain the requirements for providing good faith estimates to uninsured/self-pay patients and how implementation is expected to progress in the near future. 
  4. Examine the status (and arguments) of the AMA/AHA case against HHS, DOL and the Treasury. 


An Internet-based CDE/CME Activity
Original Release Date: April 13, 2022
Expiration Date: April 13, 2025
Estimated time to complete this educational activity: 1.5 hours
Method of participation: Self-Study

Thomas J. Force Esq.

As a licensed attorney in New Jersey and New York, Thomas J. Force has over 34 years of experience in the healthcare and insurance industries. His success as a Wall Street insurance litigator and his tenure as General Counsel for a New York-based accident and health insurance company, where he served as Chief Compliance Officer, propelled the founding of The Patriot Group. He is nationally recognized as an expert in revenue collection techniques, appeal strategies and healthcare compliance. Force, a former U.S. Marine, is an active member and frequent speaker on managed care and collection techniques for the Health Finance Management Association, several state medical associations and other healthcare organizations.

Disclosures: No Relevant Conflict of Interest Disclosures were reported.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.5 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
5/1/18 – 12/31/22
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
Understanding the NSA: New Rules for Surprise/Balance Billing
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  3/5 points to pass
5 Questions  |  Unlimited attempts  |  3/5 points to pass
Evaluation
11 Questions
Certificate
1.50 CDE/CME credits  |  Certificate available
1.50 CDE/CME credits  |  Certificate available