Price Transparency and the No Surprise Act

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Learn about Price Transparency and the No Surprise Act and what is required for Jan 1, 2022.

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. HHS has determined that the requirement to provide good faith estimates to insured individuals (which were to include services by co-providers) was not possible by January 1, 2022.

PARA will walk you through the 15 data elements needed for the good faith estimates that must be incorporated in easy-to-read language.  We will also walk you through the mandatory disclosure notice to ensure your facility is fully compliant by Jan 1, 2022.

PARA is prepared to assist your facility with implementing the requirements being enforced beginning January 1, 2022 – presenting a good faith estimate of charges to the self-pay patients.

Who should attend:

• Patient Accounts
• Up front registration
• Business Office Managers
• Revenue Cycle Directors
• Chief Financial Directors
• Chief Executive Directors
• Patient Financial Directors

Presenters:

Barbara Johnson, BSN, RN, CPC, FHFMA – Senior Revenue Cycle Consultant

Barbara joined PARA in June 2021.

Her healthcare career began in 1993 as a registered nurse working in emergency medicine, then transitioned into administration as a nursing supervisor while working for a hospital that provided everything from NICU care, inpatient behavioral health, open heart surgery, and inpatient rehab.

She moved to a healthcare facility as the ED Manager during the planning, building and move into a brand new hospital.

While still in an old, outdated hospital, her ED team utilized a LEAN Six Sigma process to take the ED from the 9th percentile in the Press ganey Likelihood to Recommend survey to the 92nd percentile.

After the move, she entered the specialty of Revenue Integrity where she expanded her knowledge of coding and earned her CPC while working as a Nurse Auditor for a multihospital health system.

She was afforded the opportunity to be active in her local HFMA chapter where she held a position on the Board of Directors for three years and chaired the communications committee. Through her volunteerism, leadership, and attendance in educational sessions, she became a Fellow of the HFMA.

Peter A. Ripper, President and Founder of PARA

Worked in health care since 1975 and began his health care career as a Financial Analyst and Hospital Controller for American Medicorp, Inc.

During 1976 and 1977 he served as a Principal Accountant at UCLA Medical Center, working in the Reimbursement Department.

In 1978 he co-founded his first health care consulting firm (Med-Charge Analysis, Inc.). Med-Charge specialized in auditing acute care hospital bills to improve the accuracy of the charge capture process.

In 1982 Peter sold Med-Charge to a New York Stock Exchange listed company, (Omnicare, Inc.) and from 1982 through 1985 he managed the charge capture health care consulting division of Omnicare.

In 1985 Peter formed his second company PARA-HCFS. PARA specializes in the review of charge masters to improve coding, pricing and charge capture.

PARA also maintains an extensive database of pricing history for every hospital that participates in Medicare. Peter has solely owned and operated PARA for over 30 years and two years ago PARA became an HFRI company.

Registration

This webinar is provided at no charge. Prior registration is required to ensure connection to the webinar.