No Surprises, No Mistakes: Navigating Billing Compliance for Out-of-Network & Uninsured Patients

Billing out-of-network and uninsured patients can be a nightmare. The rules differ by provider discipline, by facility, by insurance type. Notices are required; specific verbiage is required; specific timing is required. Different rules apply depending on whether the patient is completely insured, not insured at all, or insured but the service provided is not covered. Federal courts have reversed certain portions of the NSA, and DHHS has revised various sections of the NSA. The purpose of the webinar is to add clarity to the current rules, regulations, and cases so providers are not assessed penalties for failure to follow current rules. During this online training, you’ll get clear compliance strategies on balanced billing, out-of-network billing, and billing uninsured patients.

Learning Outcomes

The goal of this webinar is to educate the attendees on the current state of the law regarding the NSA, including court decisions, changes by DHHS, and the complex rules and requirements for billing insured, uninsured, and partially insured patients, in all types of facilities, for all types of payors.

Areas Covered in the Session

Recommended Participants

• Physician Practices
• Medical Providers Involved in the Payment Process
• C-Level Executives in Healthcare
• Office Staff & Billing Managers
• Medical Billing Companies
• Hospital Revenue Cycle Staff
• Physicians, Nurses, and Specialists
• Physician Assistants & Nurse Practitioners
• Medical Assistants
• Practice Managers
• Office Managers
• Medical Billers, Coders, and Auditors
• CDI Specialists
• Collection Staff
• Compliance Officers
• Patient Accounts Personnel
• Medical Record Supervisors
• Health Information Management Administrators and Technicians
• Billing and Coding Consultants
• Insurance Verification Teams
• Healthcare Attorneys & Legal Professionals
• Healthcare Administrators
• Revenue Cycle Consultants
• Other Healthcare Personnel Interested in Billing Compliance and Payment Systems
• Healthcare Providers (Physicians, NPs, PAs, etc.)
• Billing Managers
• Compliance Officers
• Revenue Cycle Managers
• Insurance and Payer Relations Professionals
• Medical Office Administrators
• Legal Professionals in Healthcare
• Hospital and Specialty Practice Billing Teams
• Patients & Advocates

David Vaughn, ESQ., CPC, is an attorney with over 25 years of experience whose practice involves representing healthcare providers around the country regarding billing and healthcare compliance issues. David has also been a certified coder for 25 years. David has previously written articles on the No Surprises Act (“NSA”) and spoken nationally regarding this topic. Over the past 25 years David has been retained to defend healthcare providers in criminal investigations, False Claims Act cases, OIG investigations, FBI investigations, and a myriad of Medicare audits. David and his firm perform internal audits for their own clients to ensure compliant billing.   

• Internet Speed: Preferably above 1 Mbps
• Headset: Any decent headset and microphone which can be used to talk and hear clearly