Brian Stimson on the No Surprises Act [Podcast]




Compliance Perspectives show

Summary: <a href="https://www.complianceandethics.org/wp-content/uploads/2015/02/turteltaub-adam-200x200.jpg"></a>By <a href="mailto:adam.turteltaub@corporatecompliance.org">Adam Turteltaub</a><br> <br> The No Surprises Act is a significant change to how healthcare coverage is handled and billed. In general, it eliminates balance billing in three typical areas:<br> <br> * A patient is brought to an emergency room in an out of network hospital<br> * A patient is transported by air ambulance<br> * A patient is being cared for at an in-network hospital but, unbeknownst to him or her, a physician or service that is out of network provides care.<br> <br> To understand the Act more fully, we spoke with <a href="https://www.agg.com/professionals/brian-stimson/">Brian Stimson</a>, Partner, Arnall Golden Gregory, who will be leading the session <a href="https://my.corporatecompliance.org/s/community-event?id=a1m5f000002mCm1AAE#/Agenda-%26-Speakers">The All Surprises Act:  Avoiding Compliance Pitfalls and Responding to Administrative Enforcement Actions under the Surprise Billing Laws</a> at the 2024 HCCA <a href="https://www.hcca-info.org/conferences/institutes/28th-annual-compliance-institute">Compliance Institute</a>.<br> <br> As he explains, there is a two-tiered enforcement structure to the law, with both individual states and the federal government involved.<br> <br> Compliance teams looking to ensure their organizations are complying need to pay close attention to patient complaints. These can be a tip off to improper balance billing and a red flag of systemic issues. Be extra alert if a patient comes to them, and it can even be good to check social media for reports of wrongful billing.<br> <br> Listen in to learn more, and then join us in Nashville, April 14-17, for the HCCA <a href="https://www.hcca-info.org/conferences/institutes/28th-annual-compliance-institute">Compliance Institute</a>.