First Healthcare Compliance CONNECT January 2022
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hosted by Catherine Short<br />
Catherine Short speaks with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law,<br />
P.L.L.C., Houston, TX, on the topic of “The No Surprises Act – What You Need to Know.” Effective <strong>January</strong><br />
1, <strong>2022</strong>, the No Surprises Act has implications for patients, providers, and insurance companies alike. The<br />
impetus behind the legislation, as well as the regulations, is to prevent patients from receiving bills for certain<br />
services that were performed or delivered by providers out of their plan’s network. The scope is limited and<br />
providers and plans alike need to take steps to understand the appeal process when a payment or claim is<br />
challenged. The purpose of this episode is to provide a brief overview of the evolution of the United States’<br />
healthcare system and its relevance to the No Surprises Act. From there, the No Surprises Act and regulations<br />
will be explained, along with the appeal process. Finally, compliance tips will round out the show.<br />
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<strong>First</strong> <strong>Healthcare</strong> <strong>Compliance</strong>, LLC © <strong>2022</strong>
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