Webinar

Unpacking the No Surprises Act

On-Demand Any Time Your Desk!

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Wondering what the No Surprises Act means for your business?

You’re not alone.

The No Surprises Act was signed into law on December 27th, 2020. The seeks to protect patients from surprise medical bills and prohibits balance billing of patients for certain out-of-network care.

The No Surprises Act specifically prohibits balance billing patients for out-of-network (OON) emergency items and services, OON non-emergency services provided at in-network facilities, and OON air ambulance services.

The act has key differences from prior proposed bills, including a negotiation process to determine reimbursement for out-of-network charges in place of establishing a benchmark payment standard.

What impact does the No Surprises Act have on healthcare providers?

The law is good news for members, but it includes a few provisions that providers will want to prepare for. Join legislative and provider payment experts for insight on:

  • An overview of the No Surprises Act including balance billing prohibition, reimbursements and settlement processes, transparency requirements, relationship to state laws, and more
  • The legislation’s potential impact on providers
  • What providers need to know and how to prepare

Speakers

Ray Jebsen

EVP, Provider Network, Zelis Payments

Ray has over 20 years of experience in the healthcare technology industry. His background also includes experience in sales, strategy, software implementations and continuous process improvement at companies of all sizes and stages: Fortune 20, Private Equity backed firms, internet startups and small business ownership. At Zelis Payments, he leverages his expertise to develop high-performing teams and deliver disruptive solutions to providers.

Matthew Albright

Chief Legislative Affairs Officer, Zelis

Matthew has extensive experience with regulatory, political and public affairs. Matthew has written numerous state and federal regulations and helped draft HIPAA regulations while a director at CMS. He tracks and analyzes state and federal legislation and regulations that may impact clients and helps to ensure that Zelis stays two steps ahead of impending rules and requirements.

Eileen Lee

VP, Connected Solutions, Zelis

Eileen Lee is responsible for product management and strategy for Zelis. She leverages her extensive experience in the healthcare technology industry to develop innovative business strategies and lead team engagement. Her expertise is informed by experience in programming, technical architecture and EDI solutions, and participation in X12, WEDI and MGMA.

 
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