The No Surprises Act (NSA) provides consumer protections against unexpectedly high medical bills. When it comes to compliance, the rules differ depending on the situation. For part two, we’re breaking down how to comply with the rules for uninsured or self-pay individuals.
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The No Surprises Act (NSA) requires providers and facilities to communicate consumer protections against balance billing.
Read More There are no easy answers or a “one-size-fits-all” solution to compliance with the No Surprises Act (NSA). Deciphering the law and its requirements is one half of compliance. The other half is doing the hard work of figuring out where the NSA’s various provisions intersect with your facility’s operations and how you’ll create policies and procedures to implement the new requirements. The mechanics of implementation will vary among facilities and healthcare systems.
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Healthcare organizations share a common mission: improve patient outcomes and support community wellness. But without strong revenue cycle performance, that mission becomes impossible. And with thousands of payor updates per year, the process for getting paid is becoming more complex and labor intensive. The result? Hospitals suffer losses while payor profits soar. Something is broken. The solution? Outsourcing your revenue cycle function.
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With one in three hospitals expected to continue operating with negative margin, leaving money on the table is not an option, but it’s a billion-dollar issue.
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Point of Service Collections are not just about collecting dollars, but a critical piece of patient education on their personal insurance benefits and financial liabilities. This is information patients want to know when they are engaging in healthcare.
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Julie speaks with Arthur Loya (AVP of revenue cycle billing services) about Healthcare billing management–specifically Unbilled Management. This combines discharged not final billed and discharged not final submitted, while relying heavily on strong cross-departmental effort. Most importantly, working with a healthcare billing management specialist like Arthur is the FASTEST way to turn cash around.
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Operator Insights is a Revenue Cycle Management thought leadership series from Ensemble Health Partners, who was voted Best In KLAS for healthcare revenue cycle outsourcing in 2020.
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Through working with Epic clients for the last 16 years on implementations, system assessments, and Epic optimization projects, rarely have I come across a client that had a good handle on the Watch List section of their Hospital Billing Overview dashboard.
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