(Recorded Webinar) Health Centers and the No Surprises Act: Where We Stand in 2023
Effective January 1, 2022, community health centers and other providers have been required, under the federal No Surprises Act, to provide a “good faith estimate” (GFE) of anticipated charges for certain services to uninsured and self-pay patients. In this webinar, firm attorney Susannah Vance Gopalan and Rebekah Wallace Pardeck of Achieve Revenue Management will summarize the GFE requirements in the federal regulations and offer operational guidance for meeting those requirements. They will discuss issues including:
- Which appointment types and which patients require a GFE, when it must be provided, and what information it must contain
- How GFE requirements interact with requirements under health centers’ obligations under the Section 330 sliding fee discount program
- Answers to common GFE questions relating to specific patient populations and types of care
- Strategies for coordinating intake/reception, billing and clinical personnel, and maximizing capabilities of existing systems, to meet the GFE requirements as efficiently as possible
The presenters will also provide an update on implementation and enforcement of the No Surprises Act in 2023.
- C-Suite: CEOs, CFOs, CMOs, COOs, and CCOs
- Compliance Staff
- Fiscal Staff
- Quality/Risk Management Staff
After this webinar, you will be able to:
- Describe GFE requirements and timelines in federal regulation
- Develop strategies for harmonizing the implementation of the GFE with existing health center policies concerning patient communication and patient fees
- Create staffing and workflow models that can help your health center efficiently meet the GFE requirements
SUSANNAH VANCE GOPALAN
Susannah is a Partner in the firm’s health law practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. Susannah brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
REBEKAH WALLACE PARDECK (ACHIEVE REVENUE MANAGEMENT, LLC)
President and Owner of Achieve Revenue Management, LLC, Rebekah has more than 20 years of coding, revenue cycle management, operations, and training experience. She provides training and revenue cycle management services to federally qualified health centers, rural health clinics, and medical practices and community health centers.
Previously, Rebekah worked for over a decade as a consultant with a national accounting firm and as the director of operations for management service organizations and hospital-owned multispecialty physician practices. She is experienced in consulting on professional revenue cycle analysis and enhancement, medical practice operations, patient flow redesign, business process improvement and development, staffing analysis and redesign, practice efficiency and productivity and educational sessions and training. [Full Bio]
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