No Surprises Act – Best Practices For Providers

Conference Material (Password Required)

The recently enacted No Surprises Act protects patients from surprise medical bills, and represents one of the more complex pieces of legislation since the ACA. Patients, providers, and patients all are impacted by the various rules which based on interpretation, present challenges in implementation.  In this session, hear from industry expert Jonathan Wilk, who will outline the regulations, and their impact on the market, and highlight best practices for compliance.

Learning Objective:

• Learn the final regulation requirements of the No Surprises Act and their impact on the healthcare ecosystem
• Highlight specific provisions and operational challenges presented
• Share best practices from the industry on compliance and approach

Areas Covered in the Session:

• Federal and State Coordination on Enforcement
• No Surprise Act and Balance Billing
• Documentation Requirements
• Overview of the Services to IDR Process Timelines
• Determination of Patient Cost-Sharing Based upon Recognized Amount
• Payment to OON Provider
• Good Faith Estimate (GFE)
• State Variation with Insurer and Provider Enforcement Issues
• Hospital-based Physician balance billing
• Notice of Consent

Suggested Attendees:

• Medical providers, who are involved in the payment process of their practice
• C-level executives
• Office staff and Billing Managers
• Medical Billing Companies
• Billers
• Coders
• Auditors
• Hospital Revenue Cycle Staff
• Physician
• Nurses
• Physician Assistants
• Nurse Practitioners
• Medical Assistants
• Practice Manager
• Office Managers
• CDI Specialists
• Collection Staff
• Front Desk
• IT Specialists
• Compliance Officers
• Licensed Providers
• Medical Auditors
• Senior Internal Auditors
• Directors of Compliance
• Regulatory/Risk Officers
• Government Employees
• General Counsel
• Compliance Attorneys
• Telemedicine System Vendors
• Patient Accounts Personnel
• Medical record supervisors
• Health Information Management Administrators and Technicians
• Other Personnel Interested in Billing Privileges with the Medicare Program

Presenter Biography:

Jonathan G. Wilk has over 25 years of healthcare experience in acute care, health IT, and insurance settings. He started his career as a hospital transporter and served in clinical operations, patient access, billing, case management, and many other roles at a large not-for-profit acute care hospital and prominent commercial payer before serving as Chief Revenue Officer. In his current role as Vice President of Health Insights at FinThrive, he is responsible for leading healthcare data insights and research.  Wilk works closely with the market and hospitals on industry best practices for revenue management. He is considered an expert in the industry for healthcare finance, legislation, revenue management, and strategic transformation.

Wilk is an active advocate of legislative changes that evolve the healthcare industry. He’s the author of Healthcare Revolution: The Patient Is the New Payer, and Revenue Evolution: Helping Providers Get Paid in An Era of Uncertainty, which was released in early 2020. He frequently speaks as a thought leader at state and national events.

Wilk is the past President of Colorado HFMA and previously served as a board member for the American College of Healthcare Executives (ACHE) and Colorado Association of Healthcare Executives (CAHE). He holds a bachelor’s degree in sports medicine and holds two master’s degrees in healthcare administration and business.

Snippet From Our Previous Session