On January 1st, 2022 there will be a new price transparency requirements for healthcare providers. Is your facility prepared for compliance for these new regulations?
No Surprise Billing
Congress passed the No Surprises Act to protect patients from surprise medical bills and created a process to resolve payment disputes between insurance plans and healthcare providers. The webinar presented by PARA Healthcare Analytics on Wednesday, December 1st walked members through the 15 data elements needed for the good faith estimates that must be incorporated in easy-to-read language. It also walked members through the mandatory disclosure notice to ensure facilities are fully compliant by Jan 1, 2022.
Members can access the webinar from December 1, 2021, that featured guests’ speakers: Peter A. Ripper, President and Founder of PARA and Barbara Johnson, BSN, RN, CPC, FHFMA, a Senior Revenue Cycle Consultant who joined PARA in 2021.
Click here to watch the webinar on-demand: Price Transparency and the No Surprise Act, from Dec. 1, 2021.
PAMA Lab Reporting
Protecting Access to Medicare Act (PAMA) requires applicable laboratories to report private payer rates for clinical laboratory services to the CMS; the data is necessary to calculate Medicare reimbursement rates for tests on the clinical laboratory fee schedule. In 2018, CMS included hospital “outreach” laboratories which submit claims for non-patient services to the list of entities that must report private payor data (if the hospital did more than $12,500 in specimen-only business with Medicare.) While not all hospitals are required to report, failure to report (or incomplete, inaccurate reporting) may trigger significant financial penalties. Is your hospital required to report? Find out now in order to avoid penalties for next report of private payor rates, due in the first quarter of 2022.
SDAHO is hosting a webinar on the topic of PAMA Lab Reporting on Wednesday, December 8 at 11:00 AM CST presented by PARA Healthcare Analytics. This session will cover the CMS mandate for lab PAMA reporting, discuss which hospitals are required to report, and anticipate consequences for failure to report timely, accurate and complete private payor data to CMS within the reporting period.
Visit the SDAHO Education calendar to learn more and to register for the PAMA Lab Reporting Webinar: Protecting Access to Medicare Act (PAMA) and what clinical labs need to know now to avoid future penalties.
- When: Dec. 8, 2021
- Time 11am to 12pm CST
About PARA Healthcare Analytics
PARA was founded in 1985, and today they have a national client base with over 350 hospital and health system clients, and 21 state hospital association. PARA is a proven resource for clients on pricing, coding, reimbursement, and compliance.