Navigating Balance Billing and No Surprises Act Compliance

Overview
Balance billing and improper waivers of copays or deductibles can expose healthcare providers to severe legal, financial, and reputational risks, including False Claims Act violations and exclusion from Medicare and Medicaid. The No Surprises Act (NSA), effective January 2022, adds further complexity with its independent dispute resolution (IDR) process and recent legal developments. Join our expert-led webinar to understand these critical regulations, explore recent case law, and learn practical strategies to strengthen your compliance program.

This session will break down the current regulatory landscape, highlight the November 2023 HHS OIG Compliance Guidance, and provide actionable tools to reduce risks and ensure compliance with federal and private payer requirements.

What You’ll Learn

• Understand Balance Billing: Define balance billing and identify when it’s permissible or prohibited.
• Grasp False Claims Act Risks: Learn how violations can lead to Medicare/Medicaid exclusion.
• Navigate the No Surprises Act: Explore NSA’s key provisions, IDR updates, and recent court cases.
• Leverage AMA Guidance: Understand the American Medical Association’s stance on balance billing.
• Build Robust Compliance: Implement practical strategies to mitigate legal and financial risks.
• Stay Current: Review the November 2023 HHS OIG Compliance Guidance and its implications.

Key Topics Covered

Regulatory Framework & Risks

• Balance billing: Legal boundaries and AMA’s position.
• False Claims Act: Liability and Medicare/Medicaid exclusion risks.
• Common fraud and abuse pitfalls in billing practices.

No Surprises Act & Updates

• Evolution and key aspects of the No Surprises Act (effective January 2022).
• Recent developments in the independent dispute resolution (IDR) process.
• Notable court cases shaping NSA implementation.

Compliance Strategies

• November 2023 HHS OIG Compliance Guidance highlights.
• Practical steps for building an effective compliance program.
• Tools to reduce legal, financial, and reputational risks.

Interactive Engagement

• Live Q&A session with compliance experts.
• Real-world case studies and actionable takeaways.
  

Why Attend?

Non-compliance with balance billing and NSA regulations can lead to False Claims Act penalties, program exclusion, and reputational damage. This webinar equips you to:

• Navigate complex federal and private payer requirements.
• Avoid costly violations through proactive compliance strategies.
• Stay updated on recent legal and regulatory developments.
• Access practical tools to strengthen your organization’s compliance program.

Why This Matters

The stakes for healthcare providers have never been higher. With the False Claims Act, No Surprises Act, and evolving HHS OIG guidance, non-compliance can result in severe penalties, including exclusion from Medicare and Medicaid. This webinar provides clarity on these regulations, offers insights from recent case law, and delivers practical compliance strategies to safeguard your organization’s operations and reputation.

Training Highlights

• Expert Insights: Learn from compliance and legal experts.
• Case Studies: Explore real-world scenarios and court cases.
• Practical Tools: Receive actionable guidance and compliance templates.
• Live Q&A: Get answers to your specific compliance questions.

Register Now to master balance billing, navigate the No Surprises Act, and build a robust compliance program. Don’t miss this opportunity to protect your organization from legal and financial risks with expert guidance and practical solutions!